Dr. Miller has _doctor_7328_years_ of experience performing 25,000+ dental procedures under sedation. Extractions with IV sedation may cost around $1,333 – typically covering treatment, 3-4 days of hospital stay, X-rays, and postoperative care. The clinic features an in-house dental lab using FDA-approved materials. Dr. Miller holds digital smile design certification and AACD membership.
YeahSmile is a private dental center in Cancun, Mexico, offering a five-year guarantee on all treatments. Its core specialties include implantology, aesthetic dentistry, restorative dentistry, and prosthetics. The center uses materials from FDA-approved brands like Nobel Biocare and Straumann.
Dental Clinic Shtern is a private multi-specialty medical center in Cancún, Mexico. The team specializes in dental treatment, diagnostics, maxillofacial surgery, and prosthetics and orthotics, including full-mouth rehabilitation and full-arch restorations, with more than 200 full-arch restorations performed to date.
The clinic treats adult patients only. Patients most often come from Europe & Commonwealth, the USA, Canada and Australia, and Russian-speaking countries.
","text_type":"short_description","best_texts":{"techniques":"Conscious sedation, IV sedation","good_fit_for":"Patients with dental anxiety and complex cases"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8183,"alias":"shtern-dental-clinic-ai","name":"DENTAL CLINIC SHTERN","short_description":"Dental Clinic Shtern is a private multi-specialty medical center in Cancún, Mexico. The team specializes in dental treatment, diagnostics, maxillofacial surgery, and prosthetics and orthotics, including full-mouth rehabilitation and full-arch restorations, with more than 200 full-arch restorations performed to date.
The clinic treats adult patients only. Patients most often come from Europe & Commonwealth, the USA, Canada and Australia, and Russian-speaking countries.
","images":[{"base_url":"clinic/6a3bef4678dce","title":"Modern dental treatment room at DENTAL CLINIC SHTERN with advanced equipment"},{"base_url":"clinic/6a3bef49ef8b5","title":"Dental treatment room at DENTAL CLINIC SHTERN with modern chair and colorful artwork"},{"base_url":"clinic/6a4bef6c9fa00","title":"Outdoor patient lounge at DENTAL CLINIC SHTERN with garden seating area"},{"base_url":"clinic/6a623c6bc037b","title":"Reception and waiting area at DENTAL CLINIC SHTERN with modern decor"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Cancún","id":454,"alias":"cancun"},"address":"C. Cielo 10, capilla ecumenica, 77500 Cancún, Q.R., Mexico"},"rating":{"rating":4.9,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":9,"year_foundation":2018},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6123a8e7e1f93.jpeg","name":"Straumann® Dental Implant System Official Provider","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1812f0596.jpeg","name":"Patient choice in Dentistry","country_code":"UA"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Dentavida Clinic is a private dental center in Cancún, Mexico. It serves around 1,000 patients a year from the USA, Canada, and Australia. Its core specialties are general dentistry and dental surgery.
Dentavida Clinic is a private dental center in Cancún, Mexico. It serves around 1,000 patients a year from the USA, Canada, and Australia. Its core specialties are general dentistry and dental surgery.
RO Dental Clinic is a private multi-specialty dental center in Cancun, Mexico. It serves around 500 patients each year, focusing on dental aesthetics and dental implants. Holds accreditation from the Asociación Dental Mexicana (ADM).
RO Dental Clinic is a private multi-specialty dental center in Cancun, Mexico. It serves around 500 patients each year, focusing on dental aesthetics and dental implants. Holds accreditation from the Asociación Dental Mexicana (ADM).
Unique Dental Clinic is a private dental center in Cancun serving only adults. It attracts patients from Latin America, the US, Canada, and Australia. The clinic takes a holistic approach, checking gum and tooth health before any cosmetic work.
Unique Dental Clinic is a private dental center in Cancun serving only adults. It attracts patients from Latin America, the US, Canada, and Australia. The clinic takes a holistic approach, checking gum and tooth health before any cosmetic work.
Over 25,000 dental procedures performed – Dr. Paula combines art and science for life-changing smiles at YeahSmile.
Dr. Miller Vieira Paula has successfully performed more than 25,000 dental procedures. He is the medical lead at YeahSmile Clinic in Cancun. Dr. Paula specializes in All-on-4 and All-on-6 dental implants. He is also a certified dental ceramist and expert in aesthetic dentistry. Dr. Paula serves as a professor and researcher in oral microbiology.
YeahSmile is a private dental center in Cancun, Mexico, offering a five-year guarantee on all treatments. Its core specialties include implantology, aesthetic dentistry, restorative dentistry, and prosthetics. The center uses materials from FDA-approved brands like Nobel Biocare and Straumann.
Dr. Lopez specializes in conservative dentistry with sedation at YeahSmile, combining precision with patient comfort.
Dr. Andy Gerardo Jimenez Lopez is a conservative dentist practicing at YeahSmile in Cancun. He specializes in endodontics and dental surgery. His research on mineral trioxide aggregate for apexification earned recognition from the University Rector. Dr. Jimenez Lopez focuses on preserving natural tooth structure during restorative procedures.
YeahSmile is a private dental center in Cancun, Mexico, offering a five-year guarantee on all treatments. Its core specialties include implantology, aesthetic dentistry, restorative dentistry, and prosthetics. The center uses materials from FDA-approved brands like Nobel Biocare and Straumann.
Specialist in anesthesia for complex dental procedures – Dr. Aguilar ensures patient comfort and safety during interventions at YeahSmile.
Dr. Enrique Aguilar Romero is an anesthesiologist at YeahSmile in Cancun. He is certified by the Mexican Board of Anesthesiology. Dr. Aguilar Romero specializes in sedation for complex dental procedures. This includes dental implants and maxillary sinus lifts. He holds a medical degree from Universidad Panamericana.
YeahSmile is a private dental center in Cancun, Mexico, offering a five-year guarantee on all treatments. Its core specialties include implantology, aesthetic dentistry, restorative dentistry, and prosthetics. The center uses materials from FDA-approved brands like Nobel Biocare and Straumann.
Dental Clinic Shtern is a private multi-specialty medical center in Cancún, Mexico. The team specializes in dental treatment, diagnostics, maxillofacial surgery, and prosthetics and orthotics, including full-mouth rehabilitation and full-arch restorations, with more than 200 full-arch restorations performed to date.
The clinic treats adult patients only. Patients most often come from Europe & Commonwealth, the USA, Canada and Australia, and Russian-speaking countries.
","images":[{"base_url":"clinic/6a3bef4678dce","title":"Modern dental treatment room at DENTAL CLINIC SHTERN with advanced equipment"},{"base_url":"clinic/6a3bef49ef8b5","title":"Dental treatment room at DENTAL CLINIC SHTERN with modern chair and colorful artwork"},{"base_url":"clinic/6a4bef6c9fa00","title":"Outdoor patient lounge at DENTAL CLINIC SHTERN with garden seating area"},{"base_url":"clinic/6a623c6bc037b","title":"Reception and waiting area at DENTAL CLINIC SHTERN with modern decor"}],"flags":[{"name":"has_active_agencies","value":true},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Mexico","id":40,"alias":"mexico","iso_code":"MX"},"city":{"name":"Cancún","id":454,"alias":"cancun"},"address":"C. Cielo 10, capilla ecumenica, 77500 Cancún, Q.R., Mexico"},"rating":{"rating":4.9,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":9,"year_foundation":2018},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6123a8e7e1f93.jpeg","name":"Straumann® Dental Implant System Official Provider","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1812f0596.jpeg","name":"Patient choice in Dentistry","country_code":"UA"}]}},{"doctor":{"id":3225,"alias":"samuel-alberto-guevara-gomez","name":"Samuel Alberto Guevara Gomez","clinic_id":1586,"photo":"doctor/616d807261c58","first_year_working":1997,"created_at":"2021-10-18T14:10:55.000+00:00","short_description":"Dr. Samuel Alberto Guevara Gomez is a specialist in oral rehabilitation and implantology at Dentavida Clinic in Cancún. He holds diplomas in endoperiodontology from UNAM and prosthodontics from Universidad DeLaSalle Bajio. Dr. Guevara Gomez performs full-mouth restorations using All-on-4 and All-on-6 dental implant protocols.
Dentavida Clinic is a private dental center in Cancún, Mexico. It serves around 1,000 patients a year from the USA, Canada, and Australia. Its core specialties are general dentistry and dental surgery.
This therapy aims to eradicate tooth decay, restore dental health and prevent further damage through filling or root canal.
"},"985":{"operation":{"name":"Curettage","alias":"curettage","use_for_listing":true},"country_price":{"US":{"amount":450,"max_amount":1500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":80,"max_amount":190,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":150,"max_amount":320,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":180,"max_amount":320,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":false},"description":"This procedure removes tissue from the body using a curette, promoting healing and diagnosing conditions.
"},"988":{"operation":{"name":"Dental treatment with sedation","alias":"dental-treatment-with-sedation","use_for_listing":true},"country_price":{"US":{"amount":1200,"max_amount":2800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":280,"max_amount":550,"currency":"USD","clinic_count":18,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":230,"max_amount":760,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1000,"max_amount":1500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":true,"CA":false,"AE":false,"TH":false,"PL":true,"KR":true,"CZ":true,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":true,"BR":true,"AL":true,"CR":true,"EG":true,"GE":true,"HU":true,"JO":true},"description":"The procedure offers oral care under tranquilization, ensuring comfort during surgeries, especially beneficial for anxious patients.
"},"1004":{"operation":{"name":"STA computer assisted anaesthesia","alias":"sta-computer-assisted-anaesthesia","use_for_listing":false},"country_price":{"US":{"amount":60,"max_amount":130,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":40,"max_amount":90,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"MX":{"amount":40,"max_amount":90,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":40,"max_amount":90,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"MX":false,"TH":false},"description":"This therapy involves computer-aided local anesthesia delivery, ensuring less pain, precision, and faster recovery.
"},"1310":{"operation":{"name":"Aesthetic Composite Filling","alias":"aesthetic-composite-filling","use_for_listing":true},"country_price":{"US":{"amount":220,"max_amount":480,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":50,"max_amount":150,"currency":"USD","clinic_count":17,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":90,"max_amount":140,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":150,"max_amount":350,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":true},"description":"The procedure involves tooth-colored material for cavity repair, producing natural-looking results and strengthening teeth.
"},"1459":{"operation":{"name":"Composite Filling","alias":"composite-filling","use_for_listing":true},"country_price":{"US":{"amount":200,"max_amount":380,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":65,"max_amount":130,"currency":"USD","clinic_count":19,"price_kind":"from_range","price_source":"tariff","scope":"country"},"MX":{"amount":50,"max_amount":80,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":90,"max_amount":190,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"MX":true,"TH":false}}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_conditions":"inpatient","treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Dental Treatment","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local","sedation"],"back_to_work_days":{"min":1,"max":2,"unit":"days","qualifier":"After one sedation visit; return once drowsiness has fully resolved, depending on the dental work done."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Minor events (nausea, drowsiness, transient desaturation, bruising) per visit; serious events under 0.1%."},"contraindications":["Allergy or previous serious reaction to sedative agents","Severe uncontrolled cardiorespiratory disease (e.g., unstable heart disease, severe COPD)","Pregnancy (relative, especially first trimester)","Severe obstructive sleep apnea or difficult airway (relative)","Acute intoxication","Uncontrolled systemic illness requiring prior medical optimisation"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient visit with same-day discharge after recovery from sedation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Avoid strenuous exercise for about 24-48 hours after sedation; longer if extractions or surgery were performed."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Sedation clears within 24 hours; healing of fillings or extractions takes days to weeks."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Simple IV-sedation work: fly after at least 24 hours once dentist clears you; longer after surgery."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"After sedation visit; only if treatment needs a healing or progress check, not routine."}}],"indications":["Dental anxiety or phobia","Extensive dental work in one session","Patients with special needs or difficulty cooperating","Strong gag reflex","Prolonged or complex procedures (e.g., multiple extractions, implants)","Previous traumatic dental experiences"],"main_risks":["Excessive drowsiness or prolonged sedation","Nausea or vomiting","Respiratory depression or low oxygen saturation","Drop in blood pressure","Paradoxical agitation","Amnesia and temporary impaired coordination","Risks of the underlying dental treatment (pain, swelling, bleeding, infection)"],"pain":"Sedation may not remove pain; local anesthetic is used, so most people feel little or nothing and remember little. Mild to moderate soreness is managed with simple analgesics; uncontrolled pain needs dental review.","preparation":["Medical history and medication review before the visit","Fasting as instructed for IV or deeper sedation","Arrange an adult escort and transport home","Wear loose comfortable clothing","Follow clinic instructions about regular medications","Avoid alcohol before the visit"],"recovery_timeline":[{"phase":"First hours (same day)","description":"Monitored clinic recovery until alert, then same-day discharge with an adult escort. Drowsiness, unsteadiness and partial memory loss are common; numbness lasts hours.","restrictions":["No driving or machinery for at least 24 hours","No alcohol for at least 24 hours","No important or legal decisions for at least 24 hours","Adult escort and supervision until clinic confirms safety"]},{"phase":"Day 1-2","description":"Sedation effects fade. Soreness, swelling or mild bleeding may appear. Most resume light activity once drowsiness has fully resolved.","restrictions":["Rest at home on the day of sedation","Follow dental aftercare for the treatment performed"]},{"phase":"Following days to 1 week","description":"Return to normal routine; recovery follows the dental treatment. Strenuous exercise is delayed 24-48 hours, longer after extractions or surgery.","restrictions":["No strenuous exercise until dentist clears, usually 24-48 hours"]},{"phase":"Warning signs at any time","description":"Seek urgent clinic or emergency help for breathing difficulty, blue lips, prolonged drowsiness, fainting, uncontrolled bleeding, fever, spreading swelling, persistent vomiting or allergic reaction.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":2,"unit":"days","qualifier":"Ordinary recovery from sedation for a standard session; the dental work itself may need longer."},"result_longevity":"Sedation itself is temporary and leaves no lasting effect. Durability depends on the dental treatment performed and oral hygiene, so no sedation-specific longevity applies.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Patients needing repeat sedation or conversion to deeper sedation because of inadequate effect or incomplete treatment."},"scars":"None from sedation; IV access may leave a tiny needle mark or minor bruise that fades. Any dental surgery performed may leave a small wound or sutures.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One sedation visit; further dental visits depend on the treatment plan."},"stages":[{"code":"iv_sedation_dental_treatment","label":"IV sedation with local anesthetic and monitored dental treatment (1-3 hours)","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of sedation visit (reference event)."}},{"code":"monitored_recovery","label":"Monitored recovery in clinic until alert and stable","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day, once clinic discharge criteria are met."}},{"code":"escorted_discharge","label":"Discharge home with adult escort and written instructions","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day; no overnight stay planned."}},{"code":"further_dental_visits","label":"Conditional further dental visits for the underlying treatment","after":{"min":7,"max":14,"unit":"days","qualifier":"After sedation visit; only if treatment plan requires."}}],"qualifier":"One IV sedation with local anesthetic for a 1-3 hour dental session, same-day discharge. Nitrous oxide, oral sedation excluded."},"success":{"metric":"Completed planned dental treatment under sedation","value":95,"unit":"percent of patients","horizon":"Single sedation visit","population":"Anxious adults receiving IV conscious sedation for dental treatment","evidence_status":"limited"},"techniques":[{"name":"Intravenous conscious sedation with local anesthetic","suits_whom":"Adults with moderate to severe anxiety, gag reflex, or longer, complex treatment of about 1-3 hours.","recovery":"Monitored recovery in clinic, same-day discharge with escort; no driving, alcohol or important decisions for at least 24 hours."},{"name":"Oral sedation","suits_whom":"Mild to moderate anxiety and shorter procedures.","recovery":"Prolonged drowsiness is possible; escort required; timing differs from the IV profile."},{"name":"Nitrous oxide inhalation sedation","suits_whom":"Mild anxiety, or patients wanting rapid recovery.","recovery":"Effects wear off within minutes; some patients resume normal activity the same day if the clinic allows."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Per single sedation dental session, including the treatment time; excludes recovery time and varies with the work done."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Dental treatment plan or clinic quote","Medical history with heart, lung, sleep apnea conditions","List of current medications and blood thinners","Known allergies and prior anesthesia reactions"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single sedation visit with same-day discharge; stay 1-3 days for simple work. Extensive plans may add visits."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that you understand the possible complications and side effects of your 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask what training and experience the person giving sedation has for this procedure","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/all-topics-a-z/anesthesia-and-sedation-for-your-child","host":"mouthhealthy.org","quote":"What training and experience does the person providing sedation or anesthesia for the procedure have?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether the sedation provider renews their training regularly","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/all-topics-a-z/anesthesia-and-sedation-for-your-child","host":"mouthhealthy.org","quote":"Do they renew their training regularly?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Ask whether assisting staff have emergency training","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/all-topics-a-z/anesthesia-and-sedation-for-your-child","host":"mouthhealthy.org","quote":"Do assisting staff have emergency training?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Aftercare arrangements are unclear or not explained 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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","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":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives the home doctor your treatment details and future care needs","document":"discharge letter for your gp","source":{"url":"https://www.nhs.uk/using-the-nhs/nhs-services/hospitals/being-discharged-from-hospital/","host":"nhs.uk","quote":"You'll also be given a letter for your GP, providing information about your treatment and future care needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","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":"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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your fear of the dentist is strong and you prefer no medication","name":"Exposure 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helps you change the way you see and respond to situations that trigger symptoms.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"intravenous-conscious","name":"Intravenous conscious sedation with local anesthetic","how_it_works":{"text":"Medicine is given through a vein to relax you during treatment","source":{"url":"https://my.clevelandclinic.org/health/diseases/22594-dentophobia-fear-of-dentists","host":"my.clevelandclinic.org","quote":"Medications may include nitrous oxide (laughing gas), pills taken orally or IV sedation (through a vein).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"oral-sedation","name":"Oral sedation","how_it_works":{"text":"A sedative pill is taken before treatment to make you 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