Kitcha Dental Clinic is a Chiang Mai dental center with over 30 years of experience handling 10,000 patients each year. Its core specialties are general dentistry and maxillofacial surgery for adults and children. Credentials include the American Dental Association and membership in the International Team for Implantology.
Kitcha Dental Clinic is a Chiang Mai dental center with over 30 years of experience handling 10,000 patients each year. Its core specialties are general dentistry and maxillofacial surgery for adults and children. Credentials include the American Dental Association and membership in the International Team for Implantology.
Dr. Pawak Tungthangthum brings over _doctor_2034_years_ of specialized dental expertise, trained in both Thailand and the USA.
Dr. Pawak Tungthangthum heads the Dental Department at Bangkok Chiang Mai Hospital. He is a restorative dentistry and implantology expert based in Thailand. Dr. Tungthangthum completed a specialized implantology program at the University of California, Los Angeles. He is a certified Invisalign Provider with professional training from the USA.
Kitcha Dental Clinic is a Chiang Mai dental center with over 30 years of experience handling 10,000 patients each year. Its core specialties are general dentistry and maxillofacial surgery for adults and children. Credentials include the American Dental Association and membership in the International Team for Implantology.
This therapy restores lost gum tissue to protect exposed tooth roots and enhance your smile\"s aesthetics.
"},"918":{"operation":{"name":"Gingivectomy","alias":"gingivectomy","use_for_listing":true},"country_price":{"US":{"amount":300,"max_amount":1900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TR":{"amount":40,"max_amount":180,"currency":"USD","clinic_count":39,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":150,"max_amount":700,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TR":true,"TH":true},"description":"Excess gum tissue removal to treat or prevent gum disease, improving oral health and aesthetics.
"},"1037":{"operation":{"name":"Gum surgery","alias":"gum-surgery","use_for_listing":true},"country_price":{"US":{"amount":1800,"max_amount":4200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":100,"max_amount":270,"currency":"USD","clinic_count":21,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":250,"max_amount":300,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"mixed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true},"description":"This therapy treats gum disease, involves removing infection, reshaping tissues, and sometimes bone restructuring.
"},"1199":{"operation":{"name":"Apically repositioned flap","alias":"apically-repositioned-flap","use_for_listing":true},"country_price":{"US":{"amount":900,"max_amount":2100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":220,"max_amount":450,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":150,"max_amount":700,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":false,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":false,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":false,"AL":true,"DO":true,"EG":true,"GE":true},"description":"This therapy realigns gum tissue for better dental health, through a minimally-invasive surgical process offering quick recovery.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":3,"rehabilitation_days":7,"satisfied_percent":78,"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"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Desk work usually next day or within 2-3 days; avoid strenuous activity."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 3 months, mainly sensitivity, recession or delayed healing; serious ones under 2%."},"contraindications":["Uncontrolled systemic disease such as diabetes","Heavy smoking","Active uncontrolled periodontal infection","Poor oral hygiene","Shallow vestibule or no attached gingiva (graft needed)","Recent radiotherapy to the jaw or IV bisphosphonate therapy","Anticoagulant therapy not cleared by physician"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed in dental chair; patient goes home or to hotel same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light activity after about a week; strenuous exercise after 2 weeks if comfortable."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Gingival margin stabilizes and tissue maturation completes; final restorations usually follow."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Flying usually fine after the first check; suture removal often at 7-14 days."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":3,"max":7,"unit":"days","qualifier":"Check of flap and periodontal dressing if used."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":14,"unit":"days","qualifier":"Sutures removed; can be done by home dentist."},"requirement":"routine"},{"purpose":"result_review","after":{"min":30,"max":90,"unit":"days","qualifier":"Healing and gingival margin review."},"requirement":"routine"}],"indications":["Inadequate width of keratinized gingiva","Short clinical crown requiring crown lengthening","Periodontal pocket reduction","Exposing tooth structure for restoration margins"],"main_risks":["Postoperative pain and swelling","Gingival recession and root exposure","Tooth sensitivity","Bleeding","Infection","Loss of interdental papilla or black triangles","Delayed healing","Bone loss from osteotomy"],"pain":"Mild to moderate for 2-4 days, usually controlled with standard painkillers; sensitivity of exposed roots may persist for weeks.","preparation":["Scaling and oral hygiene instruction beforehand","Review of medical history and medications","Stop smoking before and after surgery","Periapical or panoramic dental X-ray","Antiseptic mouth rinse before surgery"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling and soreness; periodontal dressing may cover the area.","restrictions":["Soft cool foods","No brushing at the surgical site","Avoid smoking"]},{"phase":"Days 7-14","description":"Sutures removed; gentle cleaning resumes with antiseptic rinse.","restrictions":["Avoid hard foods at the site","No strenuous exercise"]},{"phase":"Weeks 3-8","description":"Gingival tissue matures and normal brushing resumes.","restrictions":["Soft toothbrush only until cleared"]},{"phase":"Months 3-6","description":"Margin stabilizes; definitive restorations can be finalized.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary eating and oral hygiene comfortably restored."},"result_longevity":"Long-term with good oral hygiene and periodontal maintenance; recession may recur if plaque control is poor.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat or additional gingival surgery at the site, such as graft, within 2 years."},"scars":"Intraoral only; no visible skin scar. Gingiva heals with minor tissue contour change and possible root exposure.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session per sextant or quadrant."},"stages":[{"code":"surgery","label":"Flap surgery with apical repositioning and suturing","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day."}}],"qualifier":"Single-stage surgery for one area."},"success":{"metric":"Gain in keratinized gingiva width","value":2,"unit":"mm","horizon":"6 months","population":"Adults with inadequate keratinized gingiva and good plaque control","evidence_status":"limited"},"techniques":[{"name":"Full-thickness apically repositioned flap","suits_whom":"Crown lengthening or pocket reduction with adequate keratinized gingiva.","recovery":"Healing in 2-3 weeks; mature in 3-6 months."},{"name":"Partial-thickness apically repositioned flap","suits_whom":"Thin tissue or need to preserve periosteum and widen attached gingiva.","recovery":"Slightly longer healing; often more sensitive."},{"name":"With osseous recontouring","suits_whom":"Cases needing bone reduction for biologic width.","recovery":"Longer healing, 4-6 weeks before restoration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Per quadrant or sextant."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of affected teeth","Photos of gums and teeth","Periodontal chart (if available)","List of medications, including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days if sutures are removed abroad, otherwise 3-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly with the clinician who will treat you before you 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procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check who will treat you and the facilities available, because care standards may differ","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"whether you know enough about the people who'll treat you and the facilities available","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 clinic markets the surgery as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Treatment advice comes from a travel agent, sales representative or administrator","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the operating surgeon","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take 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infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11693765/","host":"pmc.ncbi.nlm.nih.gov","quote":"Other complications, including vascular injury, soft tissue laceration, incision dehiscence, and surgical site infection, should be treated according to standard surgical principles.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Flap separation from incision","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11693765/","host":"pmc.ncbi.nlm.nih.gov","quote":"Other complications, including vascular injury, soft tissue laceration, incision dehiscence, and surgical site infection, should be treated according to standard surgical principles.","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":"Prescriptions let the home doctor continue your medicines after return","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-14","http_status":200}},{"id":"T2","text":"Scans let the home doctor see the treated area and follow it up","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-14","http_status":200}},{"id":"T3","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":"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 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].","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=thailand/city=chiang-mai/procedure=apikalnoe-smeshchenie-loskuta/"}],"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":53936},"manualSeo":[],"updatedAt":"2026-11-09T00:02:49.000Z","activeCountries":["TH","TR","US"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}