The Eden Dental Surgery in Carlisle went private two weeks ago, slashing its patient list from 5, 500 to just under 3, 000.
Toronto and Calgary have sprouted health centres that employ scores of doctors, charging heavily for diagnostic services and some orthopaedic or dental surgery.
The unusually hot weather, even in upstate New York, has made the idea of spending time working outside about as appealing as dental surgery.
As with other regions in the UK, trying to sign up to an NHS dental surgery in mid-Wales can be as painful as the treatment itself.
The study, which the researchers believe is the first systematic review of literature on the subject, finds that the technique may be effective in alleviating pain either during or after dental surgery.
Prof Damien Walmsley, scientific adviser at the British Dental Association, said surgery was not risk-free.
There is a small queue in the waiting room as she and her dental nurse inside the surgery give one of her young patients a filling.
Belgium, Slovakia and the Ukraine are also popular, particularly when the price of plastic surgery and dental cosmetic work puts procedures out of reach for many.
Part of Tobias' business is running a mobile clinic, where for your dental appointment, the surgery - and the dentist - turns up on your doorstep.
Nearly 20 billion was spent last year worldwide on a variety of medical procedures from fertility treatments to elective cardiac surgery, dental work, as well as cosmetic procedures.
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In part, the card issuers are taking advantage of gaps in health-insurance policies for procedures like dental implants, corrective eye surgery and cosmetic surgery.
CareCredit, an arm of General Electric Money Company, states clearly that the card is intended for patients seeking elective treatments, such as dental work or vision correction surgery, not for emergency care.
The study published in the latest issue of the British Dental Journal urges dentists and other surgery staff to encourage patients to give up smoking.
Prof Tara Renton, lead study author from King's College London Dental Institute, said the way patients were treated before and after implant surgery was not good enough.
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