Edgar Rivera Estrada brings a UCLA School of Dentistry honors degree and CBCT-guided implant capability to La Mesa's Grossmont area from Suite 220 at 8881 Fletcher Parkway near Sharp Grossmont Hospital. Post-surgical antibiotic and analgesic prescriptions for extraction and implant cases fill through Sharp Grossmont Hospital Pharmacy on the same Fletcher Parkway medical corridor. Dr. Rivera Estrada graduated from UCLA in 2013 with an undergraduate foundation in neuroscience, and his Confident Smiles practice equips the La Mesa suite with iTero and PrimeScan digital impression systems, an in-house milling unit, and a 3D printer for surgical guide fabrication. Implant-case treatment planning for medically complex patients coordinates pre-operative clearance with physicians such as Ashkan Abedini, MD - Sharp Rees-Stealy La Mesa. Cone-beam computed tomography generates sub-millimeter cross-sectional imaging of alveolar bone density and inferior alveolar nerve position, guiding fixture angulation for each of the 700-plus implants the practice places annually across its multi-location network.