I can vouch for the medical/dental system here in Costa Rica, it is quite good. The World Health organization rates the Costa Rican health care system ahead of the US.

That said, if I required something major, I would prefer it done in the US.

But for routine procedures Costa Rica beats the US in almost every category!!!!

My favorite example of how much more practical the system is here: In many Pharmacies they have a Dr on site. If you have something wrong, you walk into the pharmacy, you ask for the Dr., the Dr. consults with you on the spot, you buy your meds and you are on your way in a matter of minutes.

But on topic: There are scores of compitent bi-Lingual dentists in Costa Rica. You can expect to pay about 30% what you would pay in the States!!!!