By email — for the case
The right channel when you are attaching a CT scan or a medical history. Files stay intact and nothing is lost in a chat thread.
International patients
Send the case.
There is no form to fill in here on purpose. A useful preliminary opinion needs your imaging and your history, and those travel better by message than through a set of boxes.
Step one
What to include
The difference between a general answer and a useful one is almost entirely in what arrives with the first message.
- A CT scan, if you have one. A cone beam CT (CBCT) of the upper jaw is the single most useful item. A panoramic X-ray is better than nothing but shows far less about available bone. Send the file itself, not a photograph of a screen.
- What you have been told so far. If another surgeon said a graft was needed, that implants were not possible, or that you should wait — say who said it and what reason they gave.
- Your history with implants. Previous implants, whether any failed, and roughly when. Include records from the earlier treatment if you still have them.
- Relevant medical history. Conditions and medications that affect surgery or healing — particularly bisphosphonates, anticoagulants, diabetes, smoking, and any history of radiotherapy to the head or neck.
- Where you would be travelling from, so the plan can be built around realistic dates rather than adjusted afterwards.
Please write in English. Correspondence is handled in English and Portuguese, and Spanish is understood. If your first language is another one, English keeps the clinical detail accurate — a mistranslated medical history is worse than a slow reply.
Step two
Where to send it
By WhatsApp — for questions
The right channel for a short question before you commit to gathering records. Messages reach the clinic reception and are normally answered within minutes during clinic hours. Natal is on UTC−3 with no daylight saving — check the difference before expecting an instant reply.
The reception answers quickly. The clinical opinion — whether your case is one for zygomatic implants — comes from Dr. Coutinho after he has looked at your imaging, not from a call centre and not from an automated quote. Those are two different replies, and the second one is worth waiting for.
Step three
What happens next
Your first consultation
For patients abroad this is always the starting point, and it is a scheduled video appointment with Dr. Coutinho rather than an exchange of messages. It ends with exactly which imaging he needs and how to obtain it where you live.
Second consultation, with the scan
You return with the CT scan and it is read with you on screen. This is where the plan and the written proposal are presented — phases, days needed in Natal, and the estimate — before you book any travel.
In person, with surgery scheduled
You travel only once the plan is agreed. The clinical examination confirms it, and the implant surgery takes place on that same trip, on dates set before you left home.
A message is not a consultation, and neither is a diagnosis. Nothing written to you before the first appointment establishes that a treatment is indicated. The online consultations are real appointments, held under Brazil’s teleodontology rules (Resolution CFO 278/2025), and recorded in your clinical file — but the plan they produce is confirmed, or corrected, by the in-person examination in Natal.
Where to come
The clinic
Ancore Implantodontia is located in the Tirol district of Natal, on the north-east coast of Brazil. The nearest airport is Natal — Aluízio Alves International (NAT).
Praça Augusto Leite, 656, Sala 14
Tirol · Natal / RN · CEP 59020-380
Brazil
