“Blessed are they who hold lively conversations with the helplessly mute, for they shall be called dentists.”
― Ann Landers
We’ve been searching for professional and trustworthy dentists in Nicaragua for three years. Finally, after excellent recommendations from several friends in Granada, Nicaragua, we found the perfect couple to attend to our dental needs.
Ron had major teeth problems and I needed a thorough cleaning. So, we contacted Dr. Erwin Esquivel Chavez through an email for an appointment. He responded the same day and set up appointments for our dental exams.
Meet the dentists: Dr. Erwin Esquivel Chavez and his wife Dra. Ximena Urbina Ordoez
Website: Clinica Dental Esquivel-Urbina
Office Phone: 2552-0664
The oral surgeon,Dr. Gilberto Martinez, aka TITO,
comes every Friday.
Dental Tourism is growing in Nicaragua. Dr. Erwin specializes in oral rehabilitation and implants. His wife, Dra. Ximena specializes in root canals.
State of the art dentistry at its best. Modern, sterilized equipment is provided for every procedure.
Gentle care: Dr. Erwin cleaned my teeth for over 1 and 1/2 hours. He took 5 x-rays and showed them to me immediately on his computer screen. He stopped often to ask if I felt any sensitivity. When my fingers started playing Fredric Chopin’s Polonaise (over the stereo system), he stopped suddenly, concerned that I was in pain. “Not at all,” I said, “I used to play this on the piano.” He was impressed…lol…because it is an extremely difficult piece to learn.
Ron had five teeth extracted by the oral surgeon. Next, he has to decide whether to get implants or partials. Where else can one sit in the office, watch the step-by-step extraction with a detailed explanation of everything in fluent English, and receive HUGS after it is over?
I asked the dentists if they are required to have liability insurance or malpractice insurance and they said that Nicaragua doesn’t have anything like that. So, the savings are passed down to the patients.
1. Teeth cleaning: $45
2. 9-10 x-rays: $100
3. tooth extraction: $60
4. Ron had 5 teeth extracted, injections to numb his mouth, and stitches: $300 for all of his dental work.
5. Antibiotics and pain pills $15
total: $460 for both of us
If he wants implants, they will cost $1,200 each for everything. For a partial denture: $300
Nicaragua is generally a cash only society, and the dentists were no exception.
If these same procedures were done in Tennessee, I calculated the cost using this website:
Dental Cost Calculator in the United States
1. Teeth cleaning $84.71
2. single x-ray $17.34 for 10 x-rays $170.34
3. Tooth extraction $ 126.82 each additional tooth $131.87
for 5 teeth $ 654.30
4. Initial surgical consultation $84.71
5. antibiotics and pain pills $80
One Implant Placement: $2,407.31
Partial Denture: $1,544.97
We could have shopped around for a good dentist that would have been considerably less money. For example, Ron went to a dentist in Rivas and had a tooth removed. It cost $25. But, for the comfort, sterile environment, modern equipment, and dentists who speak fluent English, it was worth the extra money. They were wonderful and I would recommend these dentists to anyone seeking dental procedures. In fact, after our first appointment, we stopped at a main street cafe…a very touristy area. Two groups of people overheard us talking about the dentists and came over to our table to ask us more questions. Did I ever tell you how much we love Nicaragua…even when we are helplessly mute!
Also, see my new friend’s blog article Holes in the Head about her experience with these dentists.
Our lives are like quilts- bits and pieces, joy and sorrow, colored with love.
This morning, we visited a tile factory in Granada, Nicaragua. It reminded me of the quilts my mother used to make. These tiles are a perfect representation of my life, colored with love.
Blessed are the Piecemakers.
“If you pick up a starving dog and make him prosperous he will not bite you. This is the principal difference between a dog and man.”
― Mark Twain
Conejo, which means rabbit, was our neighborhood dog. Most of the time our closest neighbors claimed him, but once Conejo realized that the gringos next door (us) had wholesome food and green grass in which to leisurely roll, he chose to live with us.
I asked our neighbors if they minded if we kept Conejo. They shrugged their shoulders and above the barking of their other five dogs roped to trees, they said, “No importa.”
You see, Nicaraguan people don’t understand the concept of pets. They are guards, herders, and working animals. In return for guarding their houses and herding their cattle, they are fed rice and beans, or out of desperation they learn to fend for themselves. Once, I asked our neighbors what they did with their rancid cooking oil, and they said, “Our dogs love it.”
It’s not that the Nicaraguans aren’t compassionate. They are. But, they are very practical and poor people. They understand the importance of a good hunting, herding, and guard dog. However, they don’t understand the importance of giving their dogs nutritional food and tending to their illnesses. Spaying and neutering dogs is not the norm. It’s expensive and in their eyes, unnecessary. It stems from a lack of education and a lack of connection with their animals.
We’re not sure how old Conejo was. Dogs generally don’t live a long life here. One day, I noticed one of our neighbor’s five dogs tied to a tree in their front yard, instead of with the others in the backyard. “Why is your dog isolated from the others?” I asked. “Oh, he is very sick and old,” Jose responded. “He is four years old, and he will die soon.”
Conejo was not familiar with love and affection. He barked at intruders, like a good Nicaraguan dog, but when we tried to pet him or show him some affection, he shied away from us…almost like we were going to hurt him. It took over a year for Conejo to trust us enough to pet him.
But, oh boy, once we started loving on him, there was no end. He followed us everywhere. He’d lie down and let us rub his belly, while he moaned in ecstasy. He was never demanding, always waiting patiently for a few kind words and a bowl of chicken scraps mixed with dog food.
In March, Conejo developed a tumor in his mouth. He looked gross with snot dripping out of his nose, but the rest of his body was healthy…gordo in fact… with no rib bones showing…unlike all the other dogs in the neighborhood. So, I called our local vet. He arrived with a hunting knife and a piece of rebar. After many injections to put him to sleep, so he could operate on him, they laid him gently on top of our septic tank and removed part of the tumor, then cauterised the cut with a hot rebar toasted over a fire.
It was a very primitive operation giving me nightmares for days afterward. Guillermo, the vet, told me he had 35 years of experience, but no professional training. He said, “I was bestowed with a gift from God to help animals.” I truly believe him. His compassion and understanding comforted me. With gentle guidance…and lots of soft homemade chicken soup ( by the way, everyone laughed at me making chicken soup for a dog), we nursed Conejo back to health.
Yet, I knew his time was short. The cancerous tumor was deep in his throat and inoperable. Guillermo hugged me and told me that when we felt Conejo’s quality of life was compromised, he would return with an injection and euthanize him.
Meanwhile, Conejo got stronger and fatter. He learned how to play…amazing for a dog that never had a playmate. He kept the cows and horses from weaseling their way to our property to munch on the ripe mangoes…and Ron’s garden produce! He dug hundreds of holes in the soft volcanic sand and made cool little nests. He barked ferociously at people passing by our front gates. And he made friends with our three new kittens.
Sadly, the tumor grew back. We added milk or water, or sometimes chicken broth to his dog food so he could eat. His breathing became labored and we knew it was time. Yesterday, Guillermo returned. He helped us dig a grave, and we cradled Conejo one last time…reassuring him softly that his suffering was over.
R.I.P my friend. We’ll miss you.
There are several wonderful organizations in Granada that rescue abused and neglected animals. If you are looking for an organization or a way to help through donations, or volunteering contact one of these programs:
Ron and I always stayed at Bobby’s house when we went in Granada. However, when we went to Granada for Bobby’s wake, we knew it was time to explore another part of town. The memories of Bobby’s house are too fresh, every street reminded me of him.
This time, we explored the area around the lake. Hotel Granada was a block from our bed and breakfast. Ron was particularly interested in visiting the swimming pool. A retired swim coach always investigates the pools! For $7 a day, one can swim in their Olympic sized salt water pool. It was magnificent.
Hotel Granada is an old colonial fortress in the historical center of the city. Although the cheapest room is $75 per night, it was too expensive for two retired teachers on a fixed income. Maybe someday, for a very special occasion, we can spring for a night.
For your enjoyment, take a walk with us through this amazing hotel and convention center.