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Adjustments need local orthodontic access."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"First adjustment, counted from bonding; later adjustments every 4-8 weeks during active treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"Debonding and retainer fitting, counted from bonding when goals are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"First retainer check, counted from debonding; later checks per clinician plan."}}],"indications":["Crowding or spacing of teeth","Malocclusion such as overbite, overjet, underbite or crossbite","Rotated or tilted teeth","Relapse after earlier orthodontic treatment","Alignment before restorative, implant or prosthetic work"],"main_risks":["Gum inflammation","Enamel demineralisation or white spot lesions and caries","Mouth ulcers and irritation from brackets","Root resorption (usually mild)","Gum recession","Broken brackets or wires lengthening treatment"],"pain":"Mild to moderate aching and pressure for the first 2–5 days after placement and after adjustments; lip and cheek irritation is common early on.","preparation":["Orthodontic examination, photographs, X-rays and dental impressions or scans","Treatment of cavities and gum disease before starting","Professional cleaning","Extraction of teeth if the treatment plan requires it","Discussion of appliance type, duration and retention plan"],"recovery_timeline":[{"phase":"First days after bonding","description":"Teeth and soft tissues are sore while adapting to speech and eating. Most patients can fly and resume normal activity within a day or two.","restrictions":["Soft diet initially","Use orthodontic wax on irritating brackets"]},{"phase":"Weeks 2-4","description":"Soreness settles as the patient adapts to braces and cleaning routine.","restrictions":["Avoid hard, sticky and very chewy foods","Careful brushing and interdental cleaning"]},{"phase":"Active treatment","description":"Adjustments every 4-8 weeks over about 12-30 months with metal braces. Soreness lasts 2-5 days after adjustments. Wear a mouthguard for contact sports.","restrictions":["Maintain meticulous oral hygiene","Avoid damaging brackets and wires","Arrange local orthodontic access for planned adjustments when travelling"]},{"phase":"Debonding and retention","description":"After braces are removed, retainers are fitted and worn to maintain results; this phase is separate from active treatment.","restrictions":["Wear retainers as instructed"]},{"phase":"At any time","description":"See orthodontist promptly for broken brackets, loose wires, ulcers, severe pain, swelling or lost retainers. Urgent care for swelling with fever or breathing trouble.","restrictions":["Use wax on sharp parts meanwhile","Do not cut or bend wires yourself"]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Time to adapt to the initial appliance and comfortable eating."},"result_longevity":"Alignment is generally lasting only with long-term retainer wear; teeth can shift without retention.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Need for additional refinement or retreatment (including relapse correction) after initial debonding; counts adults with conventional fixed braces."},"scars":"No surgical scars; bonding fixed braces involves no incision. Any extractions or mini-screws, if the plan requires them, are separate from this protocol.","sessions_or_stages":{"sessions":{"min":10,"max":35,"unit":"visits","qualifier":"Conventional metal braces on both arches: 12-30 months of adjustments every 4-8 weeks, plus bonding, debonding and retainer visits."},"stages":[{"code":"bonding","label":"Bonding of brackets and first archwires (one or two visits)","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 = first bonding appointment."}},{"code":"adjustments","label":"Recurring adjustment visits: archwire changes, elastics and hygiene checks","after":{"min":28,"max":56,"unit":"days","qualifier":"First adjustment counted from bonding; later visits every 4-8 weeks until alignment goals are met, about 12-30 months in total."}},{"code":"debonding_retainers","label":"Debonding, cleanup and retainer fitting","after":{"min":365,"max":900,"unit":"days","qualifier":"Counted from bonding, when alignment and bite goals are met; the same range as the 12-30 month active treatment."}},{"code":"retention_reviews","label":"Separate retention phase with periodic retainer checks","after":{"min":30,"max":180,"unit":"days","qualifier":"Counted from debonding; later checks depend on retainer type and clinician plan."}}],"qualifier":"Visit count depends on treatment length and interval. Retention continues after the 12-30 month active phase."},"success":{"metric":"Clinician-judged satisfactory alignment and bite improvement at debonding","value":85,"unit":"% of patients","horizon":"At end of 12-30 months of active treatment","population":"Adults with conventional fixed metal braces, good hygiene and attendance, uncomplicated cases","evidence_status":"limited"},"techniques":[{"name":"Conventional fixed metal braces","suits_whom":"Most adults, including complex malocclusions.","recovery":"Adaptation soreness for several days after bonding and adjustments."},{"name":"Ceramic (tooth-colored) braces","suits_whom":"Adults wanting less visible braces.","recovery":"Similar to metal braces; brackets can be more fragile."},{"name":"Lingual braces","suits_whom":"Adults wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation than labial braces."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for full upper and lower fixed braces; not the total treatment time."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray (if available)","Front and side face photos","Photos of teeth in bite and both arches","Digital dental scan or models (if available)"],"travel_trips":{"min":2,"max":8,"one_trip_possible":false,"qualifier":"Bonding and debonding trips are 12-30 months apart; adjustments need trips or a local orthodontist. Allow 3-7 days per trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the first stage assesses your current tooth position and how your teeth will likely change over time","scope":"procedure","source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/o/article/orthodontics","host":"111.wales.nhs.uk","quote":"The first stage of treatment is to assess the current position of your teeth and how they're likely to change over time.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask whether the treatment plan suggests more than one type of treatment","scope":"procedure","source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/o/article/orthodontics","host":"111.wales.nhs.uk","quote":"This may suggest more than one type of treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm your oral hygiene is assessed before treatment starts, because treatment can increase the risk of decay and gum problems","scope":"procedure","source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/o/article/orthodontics","host":"111.wales.nhs.uk","quote":"Treatment will not begin unless you have a good standard of oral hygiene as treatment can increase the risk of tooth decay and gum problems.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Ask which retainer type you need and how long you must wear it after treatment ends","scope":"procedure","source":{"url":"https://111.wales.nhs.uk/Encyclopaedia/o/article/orthodontics","host":"111.wales.nhs.uk","quote":"Your orthodontist will advise you on the type you need and for how long you must wear it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the qualifications of the medical team that will treat you before you book","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Make sure you understand the possible complications and side effects before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer puts pressure on you to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The offer is a hard sell, a warning sign before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The provider does not discuss possible complications before you book","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The provider cannot explain how aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Broken wires or brackets","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Broken wires or brackets.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Trauma to your mouth or face","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Trauma to your mouth or face.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Bleeding or infection in your gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Bleeding or infection in your gums.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Pain that doesn't go away with medication","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Pain that doesn’t go away with medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a popular alternative to traditional braces","name":"Clear aligners","source":{"url":"https://my.clevelandclinic.org/health/treatments/24285-orthodontics","host":"my.clevelandclinic.org","quote":"Clear orthodontic aligners are a popular alternative to braces.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":1173}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-fixed-metal-braces","name":"Conventional fixed metal braces","how_it_works":{"text":"Brackets, bands and wires gradually shift teeth into desired positions","source":{"url":"https://my.clevelandclinic.org/health/treatments/24285-orthodontics","host":"my.clevelandclinic.org","quote":"Braces gradually shift your teeth into their desired positions over time using a combination of brackets, bands and wires.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"ceramic-braces","name":"Ceramic (tooth-colored) braces","how_it_works":{"text":"Ceramic brackets and wires move teeth like metal braces","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Ceramic braces — sometimes called clear braces — work the same way as metal braces.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"lingual-braces","name":"Lingual braces","how_it_works":{"text":"Braces attach to the back surfaces of teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"But they go on the back surfaces of your teeth instead of the front.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kitaj/city=uhan/procedure=brekety-dlya-vzroslyh/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}