In recent years, many United States patients have gone abroad for their dental implant work. In most countries outside the United States, one dentist will both place and restore the dental implant (as I do) so they have the advantage of a lower fee schedule to start with. The problem with going abroad is the lack of support the patient will get if there are any problems developing later on. There are also problems with training and education in some of these countries which might lead to poorer outcomes than work done in the States. What patients need here are dentists like myself who are trained in all aspects of dental reconstruction, including dental implant placment, so that more of them can provide a total service for their patients while working to lower fees to a more reasonable level.