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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Delay after extraction, infection or pain."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Optional check of bite, comfort and gum health after cementation; timing varies by clinic."}}],"indications":["Heavily decayed tooth with insufficient structure for a filling","Cracked or fractured tooth","Tooth after root canal treatment needing coverage","Worn, discolored or malformed tooth needing restoration with aesthetic demands","Replacement of a failing old crown or large filling","Covering a dental implant (implant-supported crown)"],"main_risks":["Tooth sensitivity after preparation","Need for root canal treatment if the pulp is irritated","Chipping or fracture of the porcelain","Crown loosening or debonding","Gum irritation or recession at the margin","Secondary decay under the crown margin","Bite discomfort needing adjustment"],"pain":"Little or no pain during treatment under local anesthesia; mild soreness and temperature sensitivity for a few days afterward, usually managed with simple analgesics.","preparation":["Dental examination and X-rays to assess the tooth and roots","Treat active decay, infection or gum disease beforehand","Discuss shade and material choice","Maintain good oral hygiene before the visit","Inform the dentist about allergies, medications and medical conditions","Discuss procedure, visits, cost and temporary crown care"],"recovery_timeline":[{"phase":"Day of tooth preparation","description":"Tooth is shaped under local anesthesia, impression or digital scan taken and a temporary crown placed.","restrictions":["Avoid chewing until numbness resolves","Avoid sticky or hard foods on the temporary crown"]},{"phase":"Interim period","description":"Laboratory or in-house fabrication of the porcelain crown while the temporary crown protects the tooth.","restrictions":["Avoid sticky or hard foods","Careful flossing around the temporary"]},{"phase":"Cementation visit and first days","description":"Permanent crown is tried in, adjusted and cemented; mild sensitivity may persist for a few days.","restrictions":["Avoid very hard foods briefly if sensitive"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after the cementation visit for one tooth; mild sensitivity may last a little longer."},"result_longevity":"Porcelain crowns commonly last many years, often a decade or more, depending on oral hygiene, bite forces, grinding habits and the underlying tooth.","revision_rate_pct":{"min":5,"max":7,"unit":"percent","qualifier":"About 5–7% of single all-ceramic crowns need replacement within 5 years; rate rises with longer follow-up."},"scars":"No scars: the procedure is done on the tooth with no skin incision, and the crown margin sits at or near the gum line, where it is not visible as a scar.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"One tooth, conventional workflow: preparation visit and cementation visit; single-visit chairside milling is a variant."},"stages":[{"code":"preparation","label":"Tooth preparation, impression or scan, temporary crown","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit"}},{"code":"cementation","label":"Try-in, adjustment and cementation of the permanent porcelain crown","after":{"min":7,"max":21,"unit":"days","qualifier":"After fabrication in the laboratory"}}],"qualifier":"Describes treatment appointments for one tooth only."},"success":{"metric":"Crown survival (crown still in service, no replacement)","value":93,"unit":"percent","horizon":"5 years","evidence_status":"proven","population":"Adults with single tooth-supported all-ceramic crowns."},"techniques":[{"name":"Conventional crown with laboratory fabrication","suits_whom":"Most patients needing a crown on one tooth","recovery":"Two visits with a temporary crown in between; minimal downtime."},{"name":"Same-day chairside milled (CAD/CAM) ceramic crown","suits_whom":"Patients whose clinic offers in-office milling and who prefer a single visit","recovery":"Single longer visit; similar minimal downtime."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per appointment for one tooth; the preparation visit is typically longer than the cementation visit."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","Clear photos of the affected tooth and bite","Previous dental treatment records for the tooth (if available)","Intraoral scan or dental impression (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Lab crown needs two visits 7-21 days apart; same-day milled crown needs one trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the dentist provides treatment information beneficial for future care when requested","scope":"treatment_abroad","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","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":"C3","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}},{"id":"C4","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","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":"The consultation does not explain reasonable alternative treatment options","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","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":"ok","items":[{"id":"W1","text":"Cracks or chips in your crown","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Cracks or chips in your crown.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp edges that bother your tongue or gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Sharp edges that bother your tongue or gums.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe in","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Tells the home dentist which medicines, doses, directions, and refills were prescribed","document":"medication 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notes","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Among other things, they contain information about the patient’s treatment plan and care that has been delivered.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T4","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 cavity can be restored with a filling","name":"Filling","source":{"url":"https://ebooks.ada.org/1a1iptr/36","host":"ebooks.ada.org","quote":"Tooth Restoration — If you have a cavity then you may need a filling.","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":"conventional-crown","name":"Conventional crown with laboratory fabrication","how_it_works":{"text":"A dental technician crafts the crown from materials such as porcelain","source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Dental technicians craft crowns from a variety of materials, including resin, metal and porcelain.","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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