High-precision technology
You'll see your own X-rays, photos, and measurements on screen before we decide anything.

Periodontist in Costa Rica · Gum health and dental implants
Periodontics and implants with Dr. Sergio Ortiz: skilled hands, honest treatment, and personal follow-up.
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Patients already smiling with confidence.
Procedures performed
Of experience in periodontal microsurgery
a lifetime. We guide you
with a clear, honest plan.
Trained for surgery.
Focused on people.
You're never alone in the process. We explain every step and answer every question, before and after treatment. And before removing a tooth, we explore every option to save it.
You'll see your own X-rays, photos, and measurements on screen before we decide anything.

A written plan, broken down by phases, with the cost of each stage.

After your procedure, Dr. Ortiz personally checks on your recovery, answers your questions, and makes sure the right follow-up visits are scheduled.

Photographs of real patients, published with their consent.
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Patient voices
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I came in for a second opinion and left with a clear plan. Dr. Ortiz explains every step and respects the time it takes to recover.
Patient G. S.Periodontal plastic surgery
I never felt like anyone was trying to sell me a treatment. He called me personally the night of my surgery. That kind of care makes all the difference.
Patient J. A.Dental implants
Another specialist told me the tooth had to be removed. Dr. Ortiz found a way to save it. A year later, it is still strong.
Patient M. E.Bone regeneration
I had receding gums and sensitivity for years. The surgery was easier than I expected, and now I smile without thinking twice.
Patient A. V.Gum graft
I came in for a second opinion and left with a clear plan. Dr. Ortiz explains every step and respects the time it takes to recover.
Patient G. S.Periodontal plastic surgery
I never felt like anyone was trying to sell me a treatment. He called me personally the night of my surgery. That kind of care makes all the difference.
Patient J. A.Dental implants
Another specialist told me the tooth had to be removed. Dr. Ortiz found a way to save it. A year later, it is still strong.
Patient M. E.Bone regeneration
I had receding gums and sensitivity for years. The surgery was easier than I expected, and now I smile without thinking twice.
Patient A. V.Gum graft
I have been coming in every four months for the past three years. This is the first practice where I truly feel supported.
Patient C. R.Periodontal maintenance
I was told I needed three implants. Dr. Ortiz honestly explained that I only needed one. That kind of transparency is priceless.
Patient F. M.Second opinion
I never liked how much gum showed in photos. The change looks subtle and natural.
Patient I. Q.Crown lengthening
I came in convinced I would lose my lower teeth. Two years later, they are still strong.
Patient R. A.Advanced periodontitis
I came in for a second opinion and left with a clear plan. Dr. Ortiz explains every step and respects the time it takes to recover.
Patient G. S.Periodontal plastic surgery
I have been coming in every four months for the past three years. This is the first practice where I truly feel supported.
Patient C. R.Periodontal maintenance
I was told I needed three implants. Dr. Ortiz honestly explained that I only needed one. That kind of transparency is priceless.
Patient F. M.Second opinion
I never liked how much gum showed in photos. The change looks subtle and natural.
Patient I. Q.Crown lengthening
I came in convinced I would lose my lower teeth. Two years later, they are still strong.
Patient R. A.Advanced periodontitis
I came in for a second opinion and left with a clear plan. Dr. Ortiz explains every step and respects the time it takes to recover.
Patient G. S.Periodontal plastic surgery
Where we see you
Choose the location that works best for you. Clínica Montelimar and Costa Pacífica follow the same clinical standards and coordinated care.
Appointments in Escazú can also be arranged in advance. Arrange on WhatsApp

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Clínica Montelimar, Diagonal 35, Montelimar, Goicoechea, San José 10803
Consulta principal · periodoncia, implantología y microcirugía.
Common questions
Periodontics is the specialty that treats the gums and the bone that holds your teeth. A periodontist diagnoses gingivitis and periodontitis, performs deep cleanings and gum grafts, and places implants when a tooth can no longer be saved.
View the treatmentPeriodontitis is controlled, not erased. Bone that is already lost does not grow back on its own, but with treatment and maintenance every three to four months the disease stops and teeth are kept for years.
View the treatmentYes. Gingivitis is the reversible stage: if plaque and tartar are removed with a professional cleaning and good home care, gums stop bleeding within a week or two and return to a firm pink color.
View the treatmentHealthy gums do not bleed. Bleeding usually means inflammation caused by plaque below the gum line. Brushing more gently will not solve it: the plaque must be removed and the gums checked for periodontal pockets.
View the treatmentWith local anesthesia, gum treatment is usually well tolerated. You may have mild soreness or cold sensitivity for a few days, depending on how much treatment you need, and we check in with you afterward.
View the treatmentNo antibiotic cures periodontitis on its own, because the bacteria live in a biofilm attached to the root. Treatment is mechanical: cleaning that root. Antibiotics are only used as support in aggressive cases, and only when a specialist prescribes them.
View the treatmentUsually every three to four months. Bacteria can build up below the gumline again within a few months, so the interval is adjusted to your risk, bleeding, and pocket depth.
View the treatmentIn many cases, yes, with a gum graft. Tissue is taken from the palate or a matrix is used to cover the exposed root. Besides improving appearance, it removes sensitivity and protects the root from wear.
View the treatmentOnly after it's under control. Placing an implant in a mouth with active periodontitis increases the risk of peri-implantitis. We stabilize the gums first, then plan the implant.
View the treatmentIt depends on how many areas are affected and whether surgery or a graft is needed. At your evaluation visit you receive a written estimate by phases, in clinical order and with no surprise costs.
View the treatmentIt depends on your case. Usually one surgical visit, a few months of healing, and a final visit for the crown. 3D planning keeps the process efficient.
View the treatmentYes, often. We coordinate appointments around your travel dates and give you the records your dentist or insurer back home may need.
It lets us work with much greater precision: smaller incisions, faster healing, and details that are invisible to the naked eye.
Message us on WhatsApp and tell us about your symptoms. Our team will help you schedule the right consultation, with no forms to fill out.