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Contact sports need a mouthguard; gum surgery or extractions extend this."},"final_result_months":{"min":0.5,"max":1,"unit":"months","qualifier":"Result is visible at final cementation; gum settling and bite adaptation take about 2–4 weeks."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Counted from tooth preparation; fly after final cementation and bite check, usually 1-2 weeks of lab fabrication."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Final cementation and bite check before flying home."}},{"purpose":"assessment","requirement":"conditional","after":{"min":180,"max":365,"unit":"days","qualifier":"Check-up of bite and gums, at home or in clinic."}}],"indications":["Discolored teeth unresponsive to whitening","Chipped, worn or misshapen teeth","Gaps or mild misalignment of front teeth","Uneven tooth size or shape"],"main_risks":["Tooth sensitivity","Irreversible enamel removal","Gum irritation or recession","Chipping, fracture or debonding of veneers/crowns","Pulp irritation possibly requiring root canal treatment","Aesthetic dissatisfaction with shape or shade","Secondary decay at margins"],"pain":"Procedure is painless under local anesthesia; mild to moderate soreness and temperature sensitivity for a few days, controlled with simple analgesics.","preparation":["Dental examination, X-rays and photographs","Treatment of caries or gum disease beforehand","Smile design, digital preview or mock-up","Impressions or digital scan and shade selection","Professional cleaning and whitening before shade selection if desired"],"recovery_timeline":[{"phase":"Preparation day","description":"Teeth are prepared and temporary restorations placed; numbness wears off in a few hours.","restrictions":["Avoid hard or sticky foods","Avoid very hot or cold drinks"]},{"phase":"Temporary phase (about 1 week to 2 weeks)","description":"Temporaries worn while the laboratory makes final restorations; mild sensitivity is common.","restrictions":["Careful brushing and gentle flossing","Avoid biting hard items"]},{"phase":"After final placement","description":"Permanent veneers/crowns bonded; sensitivity and bite adaptation settle within days to weeks.","restrictions":["Avoid biting nails or hard objects","Wear night guard if prescribed"]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Normal activities resume once anesthesia wears off. Mild sensitivity and gum soreness may last a few days."},"result_longevity":"Often 10-15 years or more with good hygiene and bite protection, but varies with materials, habits such as bruxism, and maintenance.","revision_rate_pct":{"min":4,"max":11,"unit":"percent","qualifier":"Replaced or redone within about 10 years; higher with bruxism and poor hygiene."},"scars":"None; work is done inside the mouth. The permanent change is enamel removal, with possible slight gum-line change if gums recede.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Typical treatment appointments for a multi-tooth smile makeover; excludes routine check-ups."},"stages":[{"code":"planning_and_scan","label":"Consultation, planning, scans and smile design","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit; may be combined with preparation."}},{"code":"tooth_preparation","label":"Tooth preparation and temporary restorations","after":{"min":0,"max":7,"unit":"days","qualifier":"Same day as or soon after planning."}},{"code":"final_placement","label":"Fitting and bonding/cementation of final restorations","after":{"min":7,"max":14,"unit":"days","qualifier":"After laboratory fabrication, usually 1–2 weeks."}}],"qualifier":"Scope: a typical multi-tooth front smile makeover; varies by number of teeth and materials."},"success":{"metric":"Cumulative survival of porcelain laminate veneers","value":95.5,"unit":"percent","horizon":"10 years","population":"Adults with porcelain laminate veneers; about 94–97% across ceramic types.","evidence_status":"limited"},"techniques":[{"name":"Porcelain/ceramic veneers","suits_whom":"Patients with generally healthy teeth and enough enamel, seeking natural aesthetics.","recovery":"Mild sensitivity for days; resume normal diet in about 1-2 days."},{"name":"Zirconia or ceramic crowns","suits_whom":"Heavily discolored, weakened or restored teeth needing full coverage.","recovery":"Sensitivity and bite adaptation for a few days to weeks."},{"name":"Composite bonding smile makeover","suits_whom":"Patients preferring a less invasive, lower-cost option.","recovery":"Minimal; usually immediate return to normal activity."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"One chairside session for a multi-unit case (preparation and scan, or cementation); full makeover takes 2-3 visits."},"initial_assessment_documents":["Front smile photo with teeth together","Close-up photos of upper and lower teeth","Side-profile and smile photos","Panoramic dental X-ray (OPG)","Recent dental X-rays or CT scan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Veneers or crowns can be completed in one trip with temporaries; stay 7-14 days for lab fabrication and final cementation."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Only use a licensed dentist to place veneers, because the treatment is not reversible","scope":"treatment_type","source":{"url":"https://www.mouthhealthy.org/en/az-topics/v/veneers","host":"mouthhealthy.org","quote":"For safe and effective treatment, only trust a licensed dentist to place your veneer.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Confirm that any decay or gum disease is treated before veneers are placed","scope":"treatment_type","source":{"url":"https://www.mouthhealthy.org/en/az-topics/v/veneers","host":"mouthhealthy.org","quote":"Your dentist must first treat any dental issues you have like decay or gum disease.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Discuss your dental history, treatment expectations and reservations with the dentist before treatment","scope":"treatment_type","source":{"url":"https://www.mouthhealthy.org/en/az-topics/v/veneers","host":"mouthhealthy.org","quote":"As with all your dental care, discuss your dental history, treatment expectations, and reservations with your dentist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask where follow-up care will take place, and whether it is 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":"2026-11-12","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Veneer technicians advertise on social media as people who place veneers, without a dentist","scope":"treatment_type","source":{"url":"https://adanews.ada.org/ada-news/2024/may/ada-advises-public-to-avoid-veneer-techs/","host":"adanews.ada.org","quote":"Veneer techs appear to promote themselves on social media as individuals who place veneers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"A clinic that cannot show before and after pictures of its work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chipped or cracked veneer","urgency":"contact_clinic","general":false,"source":{"url":"https://www.mouthhealthy.org/en/az-topics/v/veneers","host":"mouthhealthy.org","quote":"A veneer may chip, crack, wear down or loosen over time, requiring your dentist to re-bond, repair or replace it.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Veneer falls off or becomes loose","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers","host":"my.clevelandclinic.org","quote":"It’s possible for a veneer to fall off or become dislodged.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Veneer feels not quite right","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers","host":"my.clevelandclinic.org","quote":"If you already have veneers and something doesn’t feel quite right, call your dentist right away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","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":"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":"Home dentist can use these images for comparison instead of ordering new ones","document":"dental x-rays (radiographs)","source":{"url":"https://mouthhealthy.org/en/az-topics/x/x-rays","host":"mouthhealthy.org","quote":"If a previous dentist has any images of you, your new dentist may ask for copies instead of ordering new ones.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your teeth are stained and need no chips or gaps fixed","name":"Teeth whitening","source":{"url":"https://www.mouthhealthy.org/en/az-topics/t/teeth-whitening","host":"mouthhealthy.org","quote":"These bleaches break stains into smaller pieces, which makes the color less concentrated and your teeth brighter.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your teeth are crooked or crowded rather than chipped","name":"Clear aligners","source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Like traditional metal or ceramic braces, clear aligners work by gently moving your teeth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":1173}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"porcelain","name":"Porcelain/ceramic veneers","how_it_works":{"text":"Enamel is trimmed from the front, then a thin layer is bonded","source":{"url":"https://www.mouthhealthy.org/en/az-topics/v/veneers","host":"mouthhealthy.org","quote":"Prepare your tooth for bonding by removing a small amount of enamel from the front and sides.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same 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light","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"Your dentist will use a curing light to harden the composite resin and bond it to the surface of your tooth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"You’ll be able to resume all normal activities once you leave your dentist’s 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