
If chipped, stained, uneven, or widely spaced front teeth make you hide your smile, porcelain veneers in Costa Rica may look financially attractive—but the lowest quote is not automatically the safest choice. Recent public Costa Rica listings commonly place porcelain veneers around $400–$650 per tooth, before you confirm laboratory work, temporary restorations, travel, and treatment for decay or gum disease.
Before paying a deposit, ask for the dentist’s active registration with the Colegio de Cirujanos Dentistas de Costa Rica and the clinic’s current Ministerio de Salud operating authorization. You also need a written plan showing how much enamel may be removed, how your bite will be assessed, what happens if a veneer chips, and who will support you after you return home.
Quick Summary: Porcelain Veneers in Costa Rica
- Estimated treatment price: A practical planning range is about $400–$650 per porcelain veneer; six veneers would therefore be roughly $2,400–$3,900 before travel or extra dental treatment.
- Safety: Veneers are elective dental treatment, not a risk-free cosmetic shortcut. Existing cavities, gum disease, untreated bite problems, and tooth grinding need assessment first.
- Likely candidate: An adult with healthy teeth and gums, a stable bite, adequate enamel, and a realistic goal for changing tooth color, shape, minor spacing, or small chips.
- Stay and appointments: Laboratory-made porcelain veneers commonly require at least two visits and several days in Costa Rica. Ask the dentist to confirm the number of clinical and laboratory days for your case.
- Provider credentials: Verify the facility’s current Ministerio de Salud authorization, the dentist’s active CCDCR status, relevant postgraduate training, case experience, and a named aftercare contact.
- Main reason patients consider Costa Rica: Lower procedure pricing combined with established international travel access, especially from the United States and Canada. Visitor data does not prove that every traveler seeks dental care.
- Important caution: A price per tooth may exclude scans, mock-ups, temporaries, gum treatment, bite guards, remakes, medications, accommodation, transfers, or care after you return home.
Understanding Porcelain Veneers in Costa Rica
A porcelain veneer is a thin, custom-made ceramic shell bonded to the front surface of a tooth. It can change the visible color, contour, length, or apparent spacing of selected teeth, but it does not replace a complete tooth like a crown.
The procedure is cosmetic for many patients, yet it still alters tooth structure. A dentist normally evaluates your enamel, bite, gum health, tooth vitality, old fillings, and habits such as clenching before recommending treatment. The American Dental Association notes that veneers are not reversible when enamel is removed, so the decision should be made with the same care as any permanent restoration.
Patient takeaway: The important question is not simply whether Costa Rica offers a low per-tooth price. It is whether the proposed design preserves as much healthy enamel as possible and gives you a workable long-term maintenance plan.
Why Patients Consider Costa Rica for Porcelain Veneers
Patients usually compare Costa Rica with local care because a multi-tooth smile plan can be expensive at home, insurance may exclude cosmetic treatment, or an appointment may be difficult to fit around work and family responsibilities. A shorter international trip can appear practical when a clinic provides coordinated consultations and laboratory appointments.
- Price comparison: Published Costa Rica prices may be lower than broad private-market ranges in the United States and some Canadian cities.
- Travel access: San José is the main planning hub for many international patients, while other cities may require additional ground travel.
- Communication: Ask whether consultations, informed consent, shade selection, and discharge instructions are available in your preferred language.
- Laboratory coordination: The value of a veneer depends on the clinician, preparation, bonding, and laboratory—not only on the ceramic name.
- Time: A coordinated visit may reduce the number of trips, but it cannot remove the need for a careful diagnosis or a review appointment.
- Privacy and confidence: Some patients prefer receiving elective cosmetic care away from their local community, but privacy should never replace credential verification.
Caution about comparisons: A lower number can reflect different materials, fewer included visits, a smaller number of teeth, or procedure-only pricing. Ask every provider to quote the same number of teeth and the same services.
Patient Demographics and Origin Markets for Costa Rica Dental Travel
There is no verified public 2025–2026 dataset that reports Costa Rican porcelain veneer patients by age, gender, procedure count, or country of origin. It would be misleading to assign percentages to a typical veneer patient. The most useful current proxy is the official visitor-origin data published by Costa Rica’s Instituto Costarricense de Turismo (ICT), which describes people entering the country for all reasons—not dental patients.
The 2025 ICT yearbook recorded 1,627,807 arrivals from the United States, 274,081 from Canada, and 97,712 from Mexico. These figures help explain why North American patients are an important audience for Costa Rica dental planning, but they do not establish that those visitors received veneers. Patients from Europe, Latin America, and other regions may also consider treatment.
| What the data can show | What it cannot show |
|---|---|
| North America is a major source of visitors to Costa Rica. | The age, gender, treatment, or dental spending of those visitors. |
| The United States and Canada are sensible markets for English-language dental information. | That a clinic is suitable simply because it serves international visitors. |
| A patient should plan around travel and clinic logistics. | A guarantee that treatment will be completed on a particular day. |
For veneer eligibility, age and gender are less important than oral health, enamel availability, bite forces, expectations, and the ability to attend follow-up care. A responsible provider should evaluate the individual in front of them rather than fit the patient into a marketing profile.
Who May Be a Candidate for Porcelain Veneers in Costa Rica?
You may be considered for porcelain veneers if your teeth and gums are sufficiently healthy, your bite can tolerate the proposed design, and your concerns are mainly cosmetic. Common concerns include persistent discoloration, small chips, mild shape irregularities, or limited spacing between front teeth.
Health readiness for veneers
Cavities and active gum disease should be addressed before cosmetic bonding.
Enamel and tooth structure
The dentist must determine whether adequate enamel remains for predictable adhesion.
Stable veneer expectations
The final shade, tooth length, and symmetry should be discussed before preparation.
Costa Rica veneer aftercare
You need a realistic plan for routine examinations and repairs at home.
When Porcelain Veneers in Costa Rica May Not Be Appropriate
A dentist may recommend treating another problem first—or choosing another restoration—when veneers would expose you to avoidable failure or harm. The American Dental Association specifically cautions that decay and gum disease should be treated before veneer placement.
- Untreated decay, cracked teeth, loose fillings, or signs of infection.
- Active periodontal disease, bleeding gums, or poor plaque control.
- Severe crowding, a deep overbite, or a bite that places heavy force on the veneer edges.
- Frequent clenching or grinding without a plan to control the forces and protect the restorations.
- Expectations for a completely uniform, extremely white smile that leave no room for natural variation.
- A schedule that allows no time for a try-in, bite adjustment, or review before flying home.
Do not accept a “no examination” offer: Any service that promises veneers from photographs alone, skips a medical and dental history, or avoids a dentist-led diagnosis deserves serious caution.
Porcelain Veneers, Composite Veneers, and Alternatives in Costa Rica
Porcelain is not automatically the right material for every cosmetic concern. Your dentist should compare the least invasive option that can meet your functional and aesthetic goals.
| Option | May suit | Main trade-off |
|---|---|---|
| Porcelain veneer | Visible discoloration, chips, shape changes, or limited spacing when the tooth is suitable. | Often requires enamel preparation and future replacement may be needed. |
| Composite bonding or veneer | Small defects or a conservative, lower-cost change. | More susceptible to staining and wear; repairs may be easier. |
| Professional whitening | Color change when tooth shape and alignment are acceptable. | It will not change fillings, crowns, or the shape of a tooth. |
| Orthodontic treatment | Crowding, rotation, or spacing caused by tooth position. | Takes longer and may still require restorative work afterward. |
| Crown | A tooth with substantial structural damage that needs broader coverage. | Covers more of the tooth and is not interchangeable with a veneer. |
What Happens During Porcelain Veneer Treatment in Costa Rica?
Laboratory-made porcelain veneers usually involve diagnosis, design, tooth preparation, impressions or digital scanning, laboratory fabrication, a try-in, bonding, and an occlusion check. The exact sequence differs by clinic and by the number of teeth involved.
- Pre-travel review: Send recent dental records, photographs, radiographs when available, and a clear description of your goals. A remote review cannot replace an in-person examination.
- In-person diagnosis: The dentist examines teeth, gums, bite, existing restorations, and any signs of grinding or infection.
- Smile design and consent: Discuss tooth proportions, shade, translucency, gum display, speech, and whether a mock-up or provisional design is available.
- Preparation: If indicated, the dentist removes a limited amount of enamel and records the prepared teeth using an impression or scanner.
- Temporary phase: Temporary restorations may protect prepared teeth while the laboratory makes the final veneers.
- Try-in: The dentist evaluates fit, contact points, shape, color, speech, and the way the teeth meet before final bonding.
- Bonding and review: The veneer is bonded after the final checks, then the dentist gives hygiene instructions and a plan for follow-up.
Ask before you travel: Will the dentist allow you to see and assess the provisional or try-in design before final cementation? A rushed “same-day smile” may leave little time to correct a bite or aesthetic concern.
Porcelain Veneers Cost in Costa Rica
As a September 2026 planning snapshot, recent public Costa Rica listings reviewed for this page commonly place a porcelain veneer at about $400–$650 per tooth. A broader range can appear when providers use different ceramics, laboratories, preparation methods, cities, or package inclusions. The final price should be issued after examination and treatment planning.
| Number of veneers | Planning range at $400–$650 each | Typical planning question |
|---|---|---|
| 1 tooth | $400–$650 | Can the shade and translucency match neighboring teeth? |
| 4 teeth | $1,600–$2,600 | Will the design look balanced when you speak and smile? |
| 6 teeth | $2,400–$3,900 | Are the upper front teeth the correct number for your smile line? |
| 8 teeth | $3,200–$5,200 | Are premolars visible enough to require a wider design? |
| 10 teeth | $4,000–$6,500 | Does the quote include every laboratory and temporary fee? |
| 12 teeth | $4,800–$7,800 | Would a full-mouth plan create unnecessary treatment? |
The table is a multiplication model, not a national Costa Rican fee schedule or a promise from a particular provider. It excludes flights, accommodation, meals, local transport, diagnostics, treatment of disease, sedation, bite guards, and any repair after you return home.
Costa Rica Porcelain Veneer Prices Compared With the United States and Canada
A fair comparison requires the same number of teeth, the same ceramic category, similar laboratory work, and the same level of diagnostic and aftercare support. The following figures are broad planning references, not official tariffs and not quotes for an individual patient.
| Location | Single porcelain veneer planning reference | What to verify before comparing |
|---|---|---|
| Costa Rica | About $400–$650 | Whether the price is procedure-only, which laboratory and ceramic are used, and how many visits are included. |
| United States | About $1,020–$2,506 in broad consumer-market references | City, dentist experience, laboratory fee, insurance exclusion, and whether the quote includes a mock-up or temporaries. |
| Canada | Highly variable by province and city; use a current local quote or provincial fee guide | CAD versus USD, provincial fee references, laboratory charges, and the scope of cosmetic coverage. |
The comparison can make Costa Rica look attractive, but travel expenses and follow-up risk reduce the difference. If a veneer loosens after you return, the cost of a local examination, temporary repair, replacement, and additional travel may change the overall value of the original quote.
What a Costa Rica Veneer Quote Should Include
A useful quote separates clinical fees from travel benefits and lists exclusions in plain language. “Package” does not always mean all-inclusive, and airport transfers or hotel nights do not prove that laboratory or follow-up costs are covered.
| Cost category | Ask whether it is included | Why it matters |
|---|---|---|
| Diagnosis | Consultation, photographs, radiographs, scans, and periodontal evaluation | Veneers placed without a full diagnosis can mask disease or create bite problems. |
| Design | Digital preview, wax-up, mock-up, try-in, shade selection, and revisions | You need an opportunity to assess shape and function before final bonding. |
| Laboratory | Ceramic type, lab fee, technician work, rush service, and remake terms | The lab influences fit, shade, contour, and turnaround time. |
| Clinical placement | Anesthesia, preparation, temporaries, bonding, bite adjustment, and review | A per-tooth fee may omit services that are necessary for completion. |
| Travel support | Hotel, transfers, interpreter, and local transport | These items are logistical support, not evidence of clinical quality. |
| Aftercare | Emergency contact, adjustment policy, repair policy, and records for your home dentist | Dental problems may appear after travel and may need local care. |
Choosing a Costa Rica Dental Clinic for Porcelain Veneers
Start with the exact facility where your examination, preparation, laboratory work, and bonding will occur. A clinic may operate in a different location from a hospital or may refer some services to an outside laboratory, so confirm each address before booking.
Local authorization in Costa Rica
Request the current Ministerio de Salud Permiso Sanitario de Funcionamiento and confirm that the legal facility name and address match your appointment.
Responsible dentist for veneers
Ask who is the clinic’s responsible or regent dentist and who will personally perform preparation and bonding.
Infection prevention for dental care
Ask how instruments are cleaned, packaged, sterilized, monitored, and handled between patients.
Emergency pathway after treatment
Confirm where you would be sent for urgent dental or medical care and whether the clinic can provide records promptly.
International accreditation signals
JCI or another recognized accreditation can be a secondary signal when it applies to the exact facility; verify it independently.
Transparent veneer records
Choose a clinic willing to give you your treatment plan, material details, consent, invoices, and discharge instructions.
Costa Rica’s national authorization is the baseline to check; international accreditation is not a substitute for a licensed dentist, and accreditation does not guarantee a particular cosmetic result. The CDC advises medical travelers to research the clinician and facility, understand follow-up arrangements, and plan for complications.
How to Verify a Porcelain Veneer Dentist in Costa Rica
The Colegio de Cirujanos Dentistas de Costa Rica provides a professional directory that can be searched by name, professional code, specialty, and status. Use the directory yourself and compare the result with the name on your treatment plan and consent documents.
- Write down the dentist’s full legal name and Costa Rican professional code.
- Check the dentist’s current CCDCR status and any listed specialty or postgraduate credential.
- Ask who will perform each step; a coordinator, technician, and dentist may be different people.
- Request evidence of specific experience with porcelain veneers, not only general years in dentistry.
- Ask how many veneers are placed in a typical case, how complications are managed, and who handles remakes.
- Confirm the dentist will provide records and a written plan for your home dentist if follow-up is needed.
Red flags: refusal to share a professional name, pressure to pay before an examination, a clinic that cannot identify the laboratory, claims of a guaranteed result, or a plan that recommends treating every visible tooth without explaining why.
Ceramic Materials, Dental Laboratories, and Smile Design in Costa Rica
Ask what the clinic means by “porcelain.” The material may be feldspathic porcelain, a glass-ceramic, lithium disilicate, or another ceramic system. The selection should reflect tooth position, thickness, preparation, bite, translucency, and the dentist’s bonding protocol—not just the brand name.
You should also ask whether the laboratory is on-site or independent, whether a registered dental technician designs the restorations, and how the clinic verifies the shade under different lighting. A photograph or digital preview can help communication, but it is not a guarantee of the final result.
| Question for the clinic | A useful answer should identify |
|---|---|
| Which ceramic will be used? | The material category, manufacturer if relevant, indication, and limitations. |
| Will the veneers be bonded mainly to enamel? | The planned preparation and how the dentist manages exposed dentin, if any. |
| Who makes the restorations? | The laboratory location, technician involvement, and communication process. |
| What happens if the shade or shape is not acceptable? | A try-in and adjustment or remake policy before final bonding. |
Current research supports good long-term performance for ceramic laminate veneers, but reported survival varies by material, study design, preparation, patient factors, and follow-up. Chipping, fracture, debonding, marginal discoloration, and biological problems can still occur.
Recovery and Aftercare After Porcelain Veneers in Costa Rica
Veneer placement usually does not require the recovery period associated with major surgery, but your teeth and gums may feel sensitive while you adjust. Your bite should feel acceptable before you leave, and you should contact the dentist if a restoration feels high, sharp, loose, or painful.
| Timeframe | Clinical process | What you may notice | Activity level | Action required |
|---|---|---|---|---|
| First 24–48 hours | Gums and bonding interfaces begin settling. | Possible sensitivity or awareness of new contours. | Normal daily activity unless your dentist says otherwise. | Avoid using teeth as tools; report severe or persistent pain. |
| First week | You adapt to the bite, speech, and cleaning routine. | Minor bite awareness may improve; an uneven bite should be reviewed. | Travel only when the clinic confirms the fit is acceptable. | Attend the planned review before flying home. |
| First months | Gum margins and hygiene habits become easier to assess. | Any looseness, rough edge, bleeding, or bite change is important. | Use caution with hard objects and contact sports. | Keep records and arrange a local dental examination. |
| Long term | The restorations remain subject to wear, trauma, hygiene, and aging. | Staining around margins or a chip can develop. | Use a sports guard or night guard when clinically recommended. | Brush with fluoride toothpaste, clean between teeth, and attend checkups. |
Cleveland Clinic describes veneers as lasting about 10–15 years on average with appropriate care, while research reviews show that survival estimates vary. Treat longevity figures as population-level evidence, not a promise for your teeth.
Risks and Complications of Porcelain Veneers in Costa Rica
The main risks relate to the teeth, gums, bite, ceramic, bonding, and continuity of care. Traveling abroad can add communication, records-transfer, and follow-up challenges if a problem appears after you return.
| Possible issue | What can increase the concern | How to reduce avoidable risk |
|---|---|---|
| Sensitivity or nerve symptoms | Deep preparation, pre-existing cracks, decay, or an inflamed pulp. | Obtain a diagnosis and ask how much enamel preparation is planned. |
| Chipping or fracture | Trauma, heavy bite forces, grinding, or unsuitable thickness and design. | Discuss occlusion, protection, and the clinic’s repair or remake policy. |
| Debonding or loosening | Moisture control problems, bonding to less favorable tooth structure, or trauma. | Ask about isolation, bonding protocol, and what to do if a veneer comes off. |
| Gum inflammation or decay | Over-contoured margins, plaque retention, untreated disease, or poor cleaning. | Treat disease first and maintain daily brushing, interdental cleaning, and checkups. |
| Unsatisfactory appearance | Unclear consent, no try-in, poor shade communication, or unrealistic expectations. | Approve shape, shade, and function before final bonding. |
Seek urgent dental or medical attention for facial swelling, fever, uncontrolled bleeding, difficulty swallowing or breathing, severe pain, or a restoration that creates a sudden major bite change. Ask the clinic for a written emergency number before you travel.
Planning Flights, Accommodation, and Travel Health for Costa Rica Veneers
Plan the dental schedule before planning sightseeing. A veneer trip may involve a consultation, preparation, temporary phase, laboratory wait, try-in, bonding, and final review. The clinic should confirm whether all steps occur in one city and how much buffer time is sensible.
Before booking
Confirm passport, entry rules for your nationality, payment terms, cancellation policy, and whether your travel insurance excludes dental treatment.
Before departure
Ask your dentist whether you need updated radiographs, a medical clearance, or treatment for gum disease. Keep copies of records and medications.
During the visit
Leave room for a try-in and review. Do not schedule a flight immediately after the final appointment if a bite adjustment may be needed.
After returning home
Arrange routine dental follow-up and retain the lab report, tooth chart, material details, invoices, and consent documents.
The CDC recommends a pre-travel consultation for medical tourism and notes that follow-up care, payment, communication, and legal recourse can differ across countries. The CDC’s Costa Rica traveler guidance also recommends checking routine travel health requirements, including current measles vaccination guidance.
Questions to Ask Before Paying for Porcelain Veneers in Costa Rica
Send these questions in writing and keep the answers with your quote. Clear answers help you compare providers on clinical value rather than a headline price.
- What is the dentist’s full name, CCDCR code, active status, and specific training in restorative or cosmetic dentistry?
- What is the facility’s current Ministry of Health authorization, and where will each part of treatment occur?
- How many teeth does the dentist recommend, and why is that number appropriate for my smile?
- How much enamel will be removed, and what happens if the tooth has insufficient enamel?
- Which ceramic and laboratory will be used, and can I receive the material and lab details?
- Does the quote include scans, radiographs, mock-ups, temporaries, try-in, bonding, and follow-up?
- What is excluded, including cavities, gum therapy, root canals, extractions, bite guards, sedation, and emergency care?
- What is the written policy for a chip, debonding, shade concern, or remake after I return home?
- How will I receive my records, and can my home dentist communicate with the Costa Rican dentist?
- What happens if the dentist decides veneers are not appropriate after the in-person examination?
Frequently Asked Questions About Porcelain Veneers in Costa Rica
How much do porcelain veneers cost in Costa Rica?
A practical September 2026 planning range is about $400–$650 per porcelain veneer in Costa Rica. Six veneers would be approximately $2,400–$3,900 before travel, diagnostics, treatment for decay or gum disease, temporary restorations, and other exclusions. A dentist should provide a patient-specific written quote after examination.
Is Costa Rica safe for porcelain veneer treatment?
Safety depends on the dentist, facility, diagnosis, infection-control process, materials, bonding technique, and follow-up—not the country name alone. Verify the clinic’s Ministry of Health authorization and the dentist’s active CCDCR status. Ask how complications are managed and retain records for a dentist at home.
How many days do I need in Costa Rica for porcelain veneers?
Laboratory-made veneers generally require more than one clinical visit and may take several days because the dental laboratory must fabricate the restorations. Your exact stay depends on the number of teeth, laboratory workflow, preparation, and whether a try-in or remake is needed. Build in buffer time before flying home.
Are porcelain veneers permanent or reversible?
Many porcelain veneer preparations remove at least some enamel, so treatment is generally considered irreversible. Veneers may also need repair or replacement in the future. Ask the dentist whether a no-preparation or minimal-preparation option is clinically realistic for your teeth; do not assume that a label means the treatment is reversible.
Can I get porcelain veneers if I grind my teeth?
Possibly, but grinding or clenching can increase the risk of chipping, fracture, or debonding. The dentist should assess your bite and discuss whether treatment should be delayed, modified, or protected with a custom night guard. A low price does not compensate for an untreated force problem.
How do I verify a Costa Rica veneer dentist?
Use the official Colegio de Cirujanos Dentistas de Costa Rica directory to search the dentist’s name or professional code and check current status. Match the result to your written treatment plan. Also ask for specific veneer experience, the facility authorization, laboratory details, informed consent, and a records-transfer plan.
What should be included in a Costa Rica porcelain veneer package?
Ask whether it includes diagnosis, radiographs or scans, smile design, enamel preparation, temporaries, laboratory fabrication, try-in, final bonding, bite adjustment, follow-up, and a remake policy. Hotel nights, airport transfers, and local transport are separate logistical items. Request a written list of exclusions before paying a deposit.
Are porcelain veneers better than composite veneers in Costa Rica?
Neither is universally better. Porcelain may offer stronger stain resistance and a laboratory-designed result, while composite may require less enamel removal and can be easier to repair. The appropriate choice depends on your tooth health, bite, cosmetic goal, maintenance expectations, and the dentist’s examination.
What happens if a veneer chips after I return home?
Contact the Costa Rican clinic and a local dentist promptly. Do not glue a veneer back yourself. Ask before travel whether minor repairs, remakes, local examinations, laboratory fees, and additional travel are covered. Keep the veneer, treatment records, material details, and photographs available for the dentists involved.
Can I combine a veneer trip with a Costa Rica vacation?
You can plan leisure time, but treatment appointments should come first. Leave time for examination, laboratory work, try-in, bonding, and review rather than scheduling a flight or remote excursion immediately after treatment. Follow your dentist’s advice about food, hygiene, sports, and any sensitivity or bite concern.
Does dental insurance cover porcelain veneers in Costa Rica?
Cosmetic veneers are commonly excluded, and overseas treatment may have additional exclusions or reimbursement limits. Ask your insurer in writing before travel. Even if a tooth is chipped or discolored after an injury, coverage depends on the policy and the clinical reason for treatment.
Plan Porcelain Veneers in Costa Rica With Clearer Information
PlacidWay can help you compare available providers, understand treatment costs, prepare the right questions, review treatment options, and request information from clinics. Your final decision should follow a qualified dentist’s examination and your own review of credentials, inclusions, risks, and follow-up.
Submit Your Request | Get Healthcare Providers Specific to Your NeedsDisclaimer: This information is for educational purposes only and does not replace professional medical advice. Always consult a qualified healthcare provider before making medical decisions.
References for Porcelain Veneers in Costa Rica
- Veneers – American Dental Association, MouthHealthy
- Veneers: What Are Dental Veneers? Cost, Procedure & Advantages – Cleveland Clinic
- Survival and Complication Rates of Ceramic Partial Coverage Restorations and Ceramic Laminate Veneers – PubMed, 2025
- Medical Tourism – CDC Yellow Book, 2026 edition
- Costa Rica Traveler View – CDC Travelers’ Health
- Permisos de Funcionamiento – Ministerio de Salud, Costa Rica
- Listado Oficial de Odontólogos – Colegio de Cirujanos Dentistas de Costa Rica
- Anuario Estadístico de Turismo 2025 – Instituto Costarricense de Turismo
The visitor-origin charts use the ICT 2025 Statistical Yearbook listed above. Visitor arrivals are not dental-patient data. Pricing figures are planning references and should be replaced by a current, patient-specific written quote.

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