NOVUDENT is a private dental clinic in Puebla, Mexico. It specializes in implantology, oral rehabilitation, periodontics, and maxillofacial surgery. The center also offers orthodontic care and aesthetic dentistry. Since opening in 2012, the team has treated over 10,000 patients. They have performed more than 5,000 procedures.
Dr. Agustín Monroy Carvajal is a key specialist at the clinic. He is certified by the Mexican Board of Maxillofacial Surgery. Dr. Laura Carrera leads the team, focusing on orthodontics and periodontics. The clinic uses fully digital radiology to keep radiation doses low. All oral instruments are sterilized or single-use. Consultations are available in English and Spanish.
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Dr. Agustín Monroy Carvajal is a key specialist at the clinic. He is certified by the Mexican Board of Maxillofacial Surgery. Dr. Laura Carrera leads the team, focusing on orthodontics and periodontics. The clinic uses fully digital radiology to keep radiation doses low. All oral instruments are sterilized or single-use. Consultations are available in English and Spanish.
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"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":3},"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":3,"max":7,"unit":"days","qualifier":"Desk work after swelling settles; longer if donor site is the chin or ramus and pain persists."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication (exposure, infection, numbness, partial resorption) within 6 months; serious ones under 5%."},"contraindications":["Uncontrolled diabetes","Heavy smoking without willingness to quit","Active infection at recipient or donor site","Recent head and neck radiotherapy","Current IV bisphosphonate or antiresorptive therapy for cancer","Uncontrolled periodontal disease","Immunosuppression or unstable systemic disease"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed under local anesthesia with sedation; patient goes home same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":4,"unit":"weeks","qualifier":"Light activity earlier; avoid strenuous exercise and contact sports until soft tissue has healed."},"final_result_months":{"min":4,"max":6,"unit":"months","qualifier":"Graft integration and bone maturation before implant placement."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After first wound check, once swelling is controlled; air pressure is generally tolerated."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":3,"unit":"days","qualifier":"Check swelling, bleeding and flap closure."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Suture removal and soft tissue check."},"requirement":"routine"},{"purpose":"assessment","after":{"min":120,"max":180,"unit":"days","qualifier":"CBCT to assess graft integration before implant placement or screw removal."},"requirement":"routine"}],"indications":["Severe horizontal alveolar ridge deficiency","Combined horizontal and vertical ridge defect","Insufficient bone width for dental implant","Bone loss after tooth extraction, trauma or infection","Ridge defect where particulate grafting is inadequate"],"main_risks":["Swelling, bruising and pain","Wound dehiscence with graft exposure","Infection","Partial graft resorption or failure","Temporary numbness or nerve injury at donor or recipient site","Sinus membrane perforation if upper jaw involved","Bleeding or hematoma"],"pain":"Moderate for 3-5 days, higher at the donor site; controlled with standard analgesics.","preparation":["CBCT scan and dental examination","Treat gum disease and active dental infection","Stop smoking at least 2-4 weeks before","Review of blood thinners and chronic conditions","Antibiotic and antiseptic rinse plan","Arrange soft diet and transport home"],"recovery_timeline":[{"phase":"Days 1-3","description":"Peak swelling and bruising; cold packs, soft diet.","restrictions":["No brushing at surgical site","No pressure on the graft area","Avoid smoking"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures removed around day 10-14.","restrictions":["Soft diet","No removable denture pressure on graft","No heavy exertion"]},{"phase":"Weeks 3-6","description":"Soft tissue healing completes; normal diet resumes gradually.","restrictions":["Avoid contact sports","Gentle chewing away from the site"]},{"phase":"Months 4-6","description":"Graft integrates; CBCT check, then screw removal and implant placement.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Gradual return to normal eating and routine activity."},"result_longevity":"Integrated graft bone is long-lasting with good hygiene and a maintained implant.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Graft failure or need for repeat grafting before implant placement."},"scars":"Intraoral incisions only; no visible scar. Minor gum scarring may remain at the site.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Graft surgery, then implant surgery after healing; possible separate screw-removal visit."},"stages":[{"code":"graft_surgery","label":"Block graft harvest and fixation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"implant_placement","label":"Screw removal and implant placement","after":{"min":120,"max":180,"unit":"days","qualifier":"After graft integration confirmed on CBCT."}}],"qualifier":"Implant placement is a second stage after the graft heals."},"success":{"metric":"Implant placement achieved in grafted ridge without further grafting","value":90,"unit":"percent of patients","horizon":"4-6 months after graft","population":"Adults with severe horizontal ridge deficiency treated with autogenous block graft","evidence_status":"limited"},"techniques":[{"name":"Autogenous block from chin","suits_whom":"Patients with small to moderate ridge defects needing limited bone.","recovery":"Chin numbness and soreness for days to weeks."},{"name":"Autogenous block from mandibular ramus","suits_whom":"Patients needing larger horizontal augmentation with cortical bone.","recovery":"Temporary cheek swelling, jaw stiffness and pain; less chin numbness risk."},{"name":"Allogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."},{"name":"Xenogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Includes harvest, fixation and flap closure for a single-site defect."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw","Intraoral photos of the defect area","List of blood thinners","Medical history noting diabetes and smoking"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Graft trip with 7-day stay; return 4-6 months later for implant placement after integration."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating 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":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"2026-11-14","http_status":200}},{"id":"C3","text":"Check how your 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":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the 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":"2026-11-14","http_status":200}},{"id":"C5","text":"Check how many procedures of this type the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check what preoperative and postoperative care is in place","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"You need to look at what kind of preoperative and postoperative care is in place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon who will operate is not met before the day of surgery","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"\"If they don't have the opportunity to meet with the surgeon who's actually performing the procedure before the day of surgery, I would say that's a huge, major red flag,\" said Hadeed, adding that oftentimes patients who go to so-called \"plastic surgery factories\" never even meet with a medical provider.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer applies pressure to make a quick decision","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":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon does not discuss postoperative instructions before treatment","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"And while every plastic surgeon will have their own list of postoperative instructions, if you're plastic surgeon doesn't speak with you on this prior to your surgery, that's a major red flag.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The offer does not discuss possible complications before booking","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":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wound opening","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Exposed graft material","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs the treatment details to continue care","document":"operation report","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"The home doctor needs aftercare arrangements to continue treatment","document":"aftercare plan","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","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":"T4","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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to avoid the complications of onlay grafts","name":"Sandwich osteotomy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Alternative techniques such as interpositional bone grafts (sandwich osteotomy) and alveolar bone distraction have been used to avoid these complications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want to avoid the complications of onlay grafts","name":"Alveolar bone distraction","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Alternative techniques such as interpositional bone grafts (sandwich osteotomy) and alveolar bone distraction have been used to avoid these complications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"autogenous-block-from-chin","name":"Autogenous block from chin","how_it_works":{"text":"Bone block taken from inside the mouth is fixed with screws","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Block type autogenous bone, harvested mainly in intraoral sites, is fixed with screws after intimate adaptation to the recipient surface.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"autogenous-block-from-mandibular-ramus","name":"Autogenous block from mandibular ramus","how_it_works":{"text":"Bone block taken from inside the mouth is fixed with screws","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Block type autogenous bone, harvested mainly in intraoral sites, is fixed with screws after intimate adaptation to the recipient surface.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"allogenic-block-graft","name":"Allogenic block graft","how_it_works":{"text":"Donor bone block with preset shape replaces your own bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4616242/","host":"pmc.ncbi.nlm.nih.gov","quote":"Bone allografts allow the selection of blocks with a predefined configuration and a corticocancellous composition, and overcome disadvantages related to autografts such as availability and morbidity, allied to decrease blood loss.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"xenogenic-block-graft","name":"Xenogenic block graft","how_it_works":{"text":"Animal-derived bone substitute is used in place of your own bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"For alternatives to autogenous bone, many studies have been conducted for allogenic, xenogenic, and alloplastic bone substitutes.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=puebla/procedure=blochnyy-kostnyy-transplantat/"}],"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":1},"manualSeo":[],"updatedAt":"2026-11-11T20:13:19.000Z","activeCountries":["MX","US","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}