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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}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"After implant surgery for a typical 2-implant, 3-unit bridge, desk work resumes in 1-3 days. Prosthetic visits need no downtime."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 5 years, e.g. mucositis, screw loosening, chipping; serious ones rare."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Active untreated periodontitis or oral infection","Insufficient bone volume that cannot be augmented","High-dose IV bisphosphonates or head-and-neck radiotherapy (relative)","Heavy smoking or poor oral hygiene (relative)","Pregnancy (elective treatment usually deferred)","Growth not complete (adolescents)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental procedure; no overnight stay for typical implant placement and prosthetic stages."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise usually avoided for several days after implant surgery."},"final_result_months":{"min":3,"max":8,"unit":"months","qualifier":"Typical delayed-loading protocol: osseointegration about 3-6 months, then impressions and final bridge fitting; immediate-loading protocols can be shorter."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After implant placement surgery; depends on swelling, bleeding control, suture check and whether bone or sinus augmentation was added."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After implant placement; suture removal if non-absorbable sutures used."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Check of osseointegration before abutment/impression stage."}},{"purpose":"result_review","requirement":"routine","after":{"min":130,"max":270,"unit":"days","qualifier":"Check after final bridge fitting and bite adjustment."}}],"indications":["Replacement of two or more adjacent missing teeth","Healthy adjacent teeth that should not be ground down","Adequate bone volume or augmentable site for implants"],"main_risks":["Post-operative swelling, bleeding, bruising","Infection or peri-implantitis","Failure of osseointegration","Nerve injury or sinus perforation (site dependent)","Prosthetic complications such as screw loosening or ceramic chipping","Bone loss around implants","Anesthesia-related reactions"],"pain":"Procedure is done under local anesthesia with little pain; mild to moderate discomfort for a few days after implant placement, usually managed with standard analgesics.","preparation":["Clinical exam, X-ray/CBCT and treatment planning","Treatment of active dental or gum disease beforehand","Review of medical history and current medications with the dentist","Bone or sinus augmentation if needed","Good oral hygiene and smoking cessation advice"],"recovery_timeline":[{"phase":"First days after implant placement","description":"Swelling, mild pain and minor bleeding; soft diet.","restrictions":["Avoid chewing on surgical site","Avoid strenuous activity","Gentle oral hygiene"]},{"phase":"Weeks 1-2","description":"Soft tissue healing; sutures removed if needed.","restrictions":["Soft diet","Avoid smoking"]},{"phase":"Months 3-6","description":"Osseointegration; temporary restoration may be used, then abutments, impressions and bridge fitting.","restrictions":["Avoid hard chewing on temporary prosthesis"]},{"phase":"After final bridge","description":"Bite adjustment and return to normal function; ongoing hygiene and maintenance.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after implant placement surgery; final prosthesis adaptation is separate."},"result_longevity":"Implants often last many years with good hygiene and maintenance; the bridge superstructure may need repair or replacement sooner, depending on materials, bite forces and care.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant removal or bridge remake/replacement within 5 years; minor repairs excluded."},"scars":"No visible external scars; small intraoral gum incisions or sutures heal within days to weeks.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Treatment appointments for a typical delayed-loading 2-implant bridge, excluding routine checks."},"stages":[{"code":"implant_placement","label":"Implant placement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial stage."}},{"code":"abutment_exposure","label":"Healing abutment or second-stage exposure if needed","after":{"min":90,"max":180,"unit":"days","qualifier":"After osseointegration."}},{"code":"impressions","label":"Impressions or digital scan and try-in","after":{"min":100,"max":210,"unit":"days","qualifier":"After soft tissue healing."}},{"code":"bridge_fitting","label":"Final bridge fitting","after":{"min":115,"max":240,"unit":"days","qualifier":"After laboratory fabrication."}}],"qualifier":"Delayed-loading protocol; immediate-loading uses fewer visits."},"success":{"metric":"Implant survival with functioning bridge","value":95,"unit":"percent","horizon":"5 years","population":"Healthy adults with adequate bone, non-smokers, two-implant three-unit bridge","evidence_status":"limited"},"techniques":[{"name":"Delayed-loading implant bridge","suits_whom":"Most patients with adequate bone and standard healing; implants heal for months first.","recovery":"Longer overall timeline but standard approach with temporary restoration option."},{"name":"Immediate-loading implant bridge","suits_whom":"Patients with good bone and implant stability.","recovery":"Provisional bridge placed soon after surgery; soft diet during healing."},{"name":"Screw-retained or cemented bridge","suits_whom":"Screw-retained suits well-aligned implants; cemented suits angled implants.","recovery":"Similar recovery; screw-retained is easier to retrieve for maintenance."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Implant placement surgery for a typical two-implant, three-unit bridge; prosthetic visits are shorter and separate."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Dental CBCT scan of the missing-tooth area","Photos of teeth and gums, front and sides","Current medication list, including blood thinners","Dental scan or jaw models (if available)"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Implant surgery requires months of healing before the final bridge. Typical stays: 5-7 days for surgery, 5-7 days for bridge."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"A 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":"2026-11-13","http_status":200}},{"id":"W2","text":"Pus (infection) 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":"2026-11-13","http_status":200}},{"id":"W3","text":"Bleeding gums","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 Bleeding gums","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Swollen gums","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 Bleeding gums Fever Pus (infection) around the implant Swollen gums","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W5","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"A loose or wobbly implant Bleeding gums Fever","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 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teeth shaved down","name":"Tooth-supported bridge","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"To replace one missing tooth with a tooth-supported bridge, your dentist must shave down at least one tooth on either side of the gap.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a denture that rests on your gums","name":"Traditional dentures","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"Dental implants usually last longer than alternatives that replace lost teeth (like traditional dentures that rest on your gums).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"delayed-loading-implant","name":"Delayed-loading implant bridge","how_it_works":{"text":"The bridge is attached after the implant fuses to the jawbone","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"Once your implant heals, your dentist can attach the abutment (small connector post) and your final restoration (crown, bridge or denture).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"immediate-loading-implant","name":"Immediate-loading implant bridge","how_it_works":{"text":"Immediate loading places the prosthesis on the implant right after surgery","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12109868/","host":"pmc.ncbi.nlm.nih.gov","quote":"the process of placing a dental prosthesis on an implant immediately after surgical insertion, usually within 48 h","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"screw-retained","name":"Screw-retained or cemented bridge","how_it_works":{"text":"The bridge is secured with dental cement or tiny screws","source":{"url":"https://my.clevelandclinic.org/health/treatments/10921-dental-bridges","host":"my.clevelandclinic.org","quote":"Secure your bridge in place. Your dentist may use dental cement or tiny screws to do this.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"delayed-loading-implant","name":"Delayed-loading implant bridge","how_it_works":{"id":"H1","text":"The bridge is attached after the implant fuses to the jawbone","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"Once your implant heals, your dentist can attach the abutment (small connector post) and your final restoration (crown, bridge or denture).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most patients with adequate bone and standard healing; implants heal for months first.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer overall timeline but standard approach with temporary restoration option."},{"id":"immediate-loading-implant","name":"Immediate-loading implant bridge","how_it_works":{"id":"H1","text":"Immediate loading places the prosthesis on the implant right after surgery","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12109868/","host":"pmc.ncbi.nlm.nih.gov","quote":"the process of placing a dental prosthesis on an implant immediately after surgical insertion, usually within 48 h","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients with good bone and implant stability.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Provisional bridge placed soon after surgery; soft diet during healing."},{"id":"screw-retained","name":"Screw-retained or cemented bridge","how_it_works":{"id":"H1","text":"The bridge is secured with dental cement or tiny screws","source":{"url":"https://my.clevelandclinic.org/health/treatments/10921-dental-bridges","host":"my.clevelandclinic.org","quote":"Secure your bridge in place. Your dentist may use dental cement or tiny screws to do this.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Screw-retained suits well-aligned implants; cemented suits angled implants.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery; screw-retained is easier to retrieve for maintenance."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have neighboring teeth shaved down","name":"Tooth-supported bridge","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"To replace one missing tooth with a tooth-supported bridge, your dentist must shave down at least one tooth on either side of the gap.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want a denture that rests on your gums","name":"Traditional dentures","source":{"url":"https://my.clevelandclinic.org/health/procedures/10903-dental-implants?","host":"my.clevelandclinic.org","quote":"Dental implants usually last longer than alternatives that replace lost teeth (like traditional dentures that rest on your gums).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders need no visa for a tourism visit to Dominican Republic of up to 30 days","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You can visit the Dominican Republic for tourism without a visa for 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Bring prescription medication into Dominican Republic in its original labeled packaging","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Take your prescription medication in the original labeled packaging.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"all","volatile":false,"text":"Carry a copy of your doctor's prescription when traveling to Dominican Republic with medication","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Bring a copy of your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Dominican Republic require advance payment or proof of internationally accepted insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Private hospitals need advance payment or proof of internationally-accepted insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 911 and ask for an ambulance in Santo Domingo","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/health","host":"gov.uk","quote":"Call 911 and ask for an ambulance if you’re in Santo Domingo.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","brazil","bulgaria","canada","china","colombia","costa-rica","cyprus","czech-republic","ecuador","egypt","el-salvador","georgia","hungary","india","jordan","lithuania","malaysia","mexico","poland","portugal","republic-of-korea","romania","singapore","spain","thailand","turkey","ukraine","united-arab-emirates","united-states","vietnam"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":1,"count":1,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How it works","kind":"content"},{"text":"How Much Does Implant-Supported Dental Bridge Cost in Dominican Republic?","kind":"content"},{"text":"Discover the Best Implant-Supported Dental Bridge Clinics in Dominican Republic: 23 Verified Options and Prices","kind":"content"},{"text":"Implant-Supported Dental Bridge Overview in Dominican Republic","kind":"content"},{"text":"Our Trusted Doctors","kind":"ui"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Reviews about Bookimed: Discover Patients' Insights","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}