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Minor events excluded."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Recent or ongoing head and neck radiotherapy to the jaw","IV bisphosphonate or antiresorptive therapy with osteonecrosis risk","Active uncontrolled periodontal disease or oral infection (until treated)","Heavy smoking or severe bruxism (relative)","Insufficient bone where grafting or zygomatic options unfeasible (relative)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Single-arch placement is done as an outpatient procedure with same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity first; strenuous exercise once swelling and bleeding risk have settled."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical time to final prosthesis after osseointegration; immediate-load provisional bridge is usually fitted at surgery."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"From one-arch surgery. 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Routine 7-14-day visit is separate."}},{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery; bite and bridge check, plus suture removal if non-dissolving sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"After surgery; bite, hygiene and provisional bridge review."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":150,"unit":"days","qualifier":"After surgery; osseointegration and soft tissue check before final impression."}},{"purpose":"result_review","requirement":"routine","after":{"min":105,"max":180,"unit":"days","qualifier":"After surgery, at final prosthesis delivery; bite and fit check."}}],"indications":["Edentulous jaw (upper or lower arch)","Failing dentition needing full-arch extraction (periodontitis, decay)","Poor fit or dissatisfaction with conventional dentures","Reduced posterior bone volume"],"main_risks":["Swelling, bruising and bleeding","Infection","Implant failure or failed osseointegration","Peri-implantitis over time","Prosthesis fracture or screw loosening","Nerve irritation or numbness","Sinus perforation (upper jaw)","Speech or bite adaptation difficulties"],"pain":"Procedure is done under anesthesia with little pain; moderate soreness and swelling for 3-5 days, usually managed with standard analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT scan","Medical and oral health review; treat infection or gum disease","Treatment planning and digital or model-based prosthesis design","Arrange soft food diet and aftercare supplies","Stop smoking before and after surgery","Fast only if sedation is planned"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild oozing and soreness; provisional fixed bridge in place. 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Soft diet and oral care continue."},"result_longevity":"Implants can last many years with good hygiene and maintenance; the prosthesis may need repair or replacement sooner than the implants.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Per patient over 1-5 years: unplanned surgery for implant removal/replacement or prosthesis remake. Excludes routine repairs and planned final exchange."},"scars":"No visible external scars; small intraoral gum incisions heal without noticeable marks.","sessions_or_stages":{"sessions":{"min":2,"max":4,"unit":"visits","qualifier":"One arch, immediate load: surgery, impression visit, optional try-in, final delivery. Healing reviews listed separately."},"stages":[{"code":"surgery_provisional","label":"Extractions if needed, four implants and immediate provisional bridge","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery; reference event for later timing."}},{"code":"final_impression","label":"Final impression after soft tissue and implant healing, if the lab requires it","after":{"min":90,"max":150,"unit":"days","qualifier":"After surgery; depends on healing and lab protocol."}},{"code":"final_bridge","label":"Final prosthesis delivery","after":{"min":105,"max":180,"unit":"days","qualifier":"After surgery; typically 2-4 weeks after impression for lab fabrication."}}],"qualifier":"One arch, adequate stability. Delayed loading, grafting and two arches excluded. Final delivery may fall after 6 months if delayed."},"success":{"metric":"Implant survival","value":97,"unit":"percent of implants","horizon":"About 5 years","population":"Edentulous adults, one arch, four implants, immediate provisional bridge; per implant, not per patient","evidence_status":"limited"},"techniques":[{"name":"One-arch immediate-load All-on-4 with provisional fixed bridge","suits_whom":"Patients with adequate bone for primary implant stability","recovery":"Soft diet continues while implants integrate; provisional bridge worn until final prosthesis."},{"name":"Delayed loading","suits_whom":"Patients with low primary stability or needing grafting","recovery":"Removable temporary denture during healing; longer wait for fixed teeth."},{"name":"Computer-guided immediate-load placement","suits_whom":"Cases planned digitally for precise placement","recovery":"Often less swelling; similar healing timeline."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"One arch surgery including implant placement and immediate provisional bridge; extractions may extend duration."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Front and side photos of face and smile","Photos of current teeth or denture","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Typical stay 3-7 days; final bridge needs a return trip after 3-6 months."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the dentist's training in implant dentistry, since not all dentists have it","scope":"treatment_type","source":{"url":"https://connect.aaid-implant.org/blog/dental-implant-questions-to-ask-before-choosing-an-implant-dentist","host":"connect.aaid-implant.org","quote":"Not all dentists are thoroughly trained and experienced in implant dentistry.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team who will treat you","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":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check how aftercare will be coordinated after you go home","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":"2026-11-11","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Loose or wobbly implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants","host":"my.clevelandclinic.org","quote":"A loose or wobbly implant","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Pus around the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Pus (infection) around the implant","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Pain not improved by medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Records the operation actually carried out, which the home doctor needs for follow-up","document":"discharge summary","source":{"url":"https://standards.nhs.uk/published-standards/core-information-standard/implementation-guidance?page=38","host":"standards.nhs.uk","quote":"The discharge summary should include the operation which was actually carried out","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","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":"T3","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}},{"id":"T4","text":"Carries the patient's identity alongside implanted-device information for follow-up","document":"implant card","source":{"url":"https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX:32017R0745","host":"eur-lex.europa.eu","quote":"Member States shall require health institutions to make the information referred to in paragraph 1 available, by any means that allow rapid access to that information, to any patients who have been implanted with the device, together with the implant card, which shall bear their identity.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":202}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to replace a full set of missing teeth","name":"Complete dentures","source":{"url":"https://my.clevelandclinic.org/health/treatments/10900-dentures","host":"my.clevelandclinic.org","quote":"Also called a complete denture, this appliance replaces an entire arch of missing teeth.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"one-arch-immediate-load-all-on-4","name":"One-arch immediate-load All-on-4 with provisional fixed bridge","how_it_works":{"text":"Implants replace an entire arch of missing teeth","source":{"url":"https://my.clevelandclinic.org/health/articles/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"This method replaces an entire arch of missing teeth using just four dental implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null},{"id":"delayed-loading","name":"Delayed loading","how_it_works":{"text":"The implant is left to heal in the bone","source":{"url":"https://www.cuh.nhs.uk/patient-information/dental-implants-in-restorative-dentistry/","host":"cuh.nhs.uk","quote":"The implant is then left to heal in the bone – this usually takes from three to six months but can be longer.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":null},{"id":"computer-guided-immediate-load-placement","name":"Computer-guided immediate-load placement","how_it_works":{"text":"Digital planning software helps the dentist choose the best implant 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placement","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=la-romana/procedure=implantaciya-zubov-po-tehnologii-all-on-4--vse-na-chetureh/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":9},"manualSeo":[],"updatedAt":"2026-11-13T01:58:05.000Z","activeCountries":["DO","TR","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}