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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 resumes within 1-3 days; avoid strenuous duties initially."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication within 6 months, such as sensitivity, infection, recession or bleeding; serious ones rare."},"contraindications":["Insufficient root length or crown-to-root ratio after bone removal","Uncontrolled diabetes or other uncontrolled systemic disease","Active periodontal infection not yet treated","Recent head and neck radiotherapy or IV bisphosphonate therapy","Poor oral hygiene or heavy smoking","Furcation or root proximity that makes the tooth unsalvageable"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Done under local anesthesia; patient goes home the 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; heavy training after clearance at the check-up."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Gum margin stabilises over 3-6 months; final crown or restoration usually waits until then."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"Fly after the early check and suture removal if the clinic confirms healing is on track."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":10,"unit":"days","qualifier":"Check of the surgical site"},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":10,"unit":"days","qualifier":"Suture removal if non-resorbable sutures were used"},"requirement":"conditional"},{"purpose":"result_review","after":{"min":42,"max":90,"unit":"days","qualifier":"Review of tissue healing before the final restoration"},"requirement":"conditional"}],"indications":["Short clinical crown that cannot hold a restoration","Subgingival cavity or fracture reaching below the bone crest","Biologic width violation","Insufficient tooth structure for a crown ferrule","Subgingival margin that blocks impressions or isolation"],"main_risks":["Bleeding","Gum recession and a longer-looking tooth","Tooth sensitivity","Loss of bone support and tooth mobility","Infection","Gum margin relapse","Aesthetic changes such as black triangles"],"pain":"Mild to moderate pain for 2-4 days. Over-the-counter painkillers usually control it.","preparation":["Dental exam, periapical X-ray or CBCT","Treat gum disease and cavities beforehand","Professional cleaning","Stop smoking before surgery and during healing","Review of medications that affect bleeding"],"recovery_timeline":[{"phase":"Days 1-3","description":"Swelling and mild pain. Surgical dressing may cover the site.","restrictions":["Soft cool foods","No brushing at the site","Avoid strenuous activity"]},{"phase":"Days 7-14","description":"Sutures removed and the gum begins to heal.","restrictions":["Gentle brushing only","Antiseptic rinse as advised","Avoid hard foods"]},{"phase":"Weeks 6-12","description":"Gum margin is still settling. The tooth is checked for a final restoration.","restrictions":["Final crown delayed until tissue stability"]},{"phase":"Months 3-6","description":"Tissue is mature and the final restoration is placed or finalised.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Normal eating and oral hygiene return within 1-2 weeks."},"result_longevity":"Usually permanent if oral hygiene is good and the gum margin stays stable. Relapse is possible with poor hygiene or periodontitis.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat surgery or additional bone or gum correction within 12 months, mainly for margin relapse or aesthetics."},"scars":"No visible external scars. Gum healing leaves a slightly changed margin line inside the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical visit for one tooth or a small segment."},"stages":[{"code":"osteotomy_surgery","label":"Gum flap and bone reshaping","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day"}},{"code":"healing_period","label":"Healing before final restoration","after":{"min":42,"max":90,"unit":"days","qualifier":"Waiting period"}}],"qualifier":"The restoration follows after healing."},"success":{"metric":"Adequate tooth structure above bone for restoration","value":90,"unit":"percent of treated teeth","horizon":"6 months","population":"Adults with short clinical crowns or subgingival margins, good oral hygiene","evidence_status":"limited"},"techniques":[{"name":"Flap with osteotomy and osteoplasty","suits_whom":"Patients needing 3-4 mm of bone removal to restore biologic width.","recovery":"Healing in 1-2 weeks, with tissue stabilising over 3-6 months."},{"name":"Apically positioned flap with ostectomy","suits_whom":"Patients with enough keratinised gum who need aesthetic symmetry.","recovery":"Similar timeline; the gum margin settles in 3-6 months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"For one tooth or a small segment."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the tooth","Intraoral photos of the tooth","Dental CBCT scan (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Surgery and suture removal fit one 7-10 day stay; a second trip is needed only for a final crown abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications and references of the treating clinician independently before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Speak directly with the clinician who will treat you before booking the trip","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Hold a face-to-face consultation with the professional who will operate before the procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm how aftercare will be coordinated before you agree to treatment abroad","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":"C5","text":"Make sure you understand the possible complications and side effects of the treatment before going ahead","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":"C6","text":"Check that you can communicate with clinic staff, ideally in a shared language","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Make sure you are able to communicate; check if you speak the same language as clinic or hospital staff.","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":"Pressure to make a quick decision about treatment abroad is a warning sign","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":"F2","text":"An offer asks you 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 place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"A hospital that sells the treatment as a holiday package is a warning sign","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":"F4","text":"Treatment advice that comes from a travel agent or sales staff rather than the clinician is a warning sign","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":"F5","text":"The clinic cannot explain how 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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Infection or delayed healing","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13408112/","host":"pmc.ncbi.nlm.nih.gov","quote":"Infection or delayed healing, although rare with appropriate technique and adequate postoperative care.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W2","text":"Severe tooth sensitivity","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13408112/","host":"pmc.ncbi.nlm.nih.gov","quote":"Dentin hypersensitivity, the most common complication (5 to 6% of cases).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W3","text":"Gum recession affecting appearance","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13408112/","host":"pmc.ncbi.nlm.nih.gov","quote":"Gingival recession, especially in patients with thinned periodontium, which may affect the esthetic outcome.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W4","text":"Periodontal inflammation","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13408112/","host":"pmc.ncbi.nlm.nih.gov","quote":"Any damage to this structure can lead to serious complications such as periodontal inflammation, periodontal pocket formation, or gingival recession [15].","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lists medicines the home doctor needs to continue treatment","document":"prescription copies","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":"Imaging copies the home doctor needs to review the treatment","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":"Shows the analgesics and chlorhexidine rinses given after the procedure","document":"postoperative instructions","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13537224/","host":"pmc.ncbi.nlm.nih.gov","quote":"The procedure was completed with minimal trauma, and the patient was given postoperative instructions, including analgesics and chlorhexidine rinses, along with a follow-up schedule to monitor healing and tissue response.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T4","text":"Lists the review visits arranged after the procedure","document":"follow-up schedule","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13537224/","host":"pmc.ncbi.nlm.nih.gov","quote":"Routine follow-up visits were arranged at one week, two weeks, one month, three months, and one year.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T5","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":"T6","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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tooth has sufficient keratinized gingiva","name":"Gingivectomy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"For a tooth with a probing depth of ≥4 mm and sufficient keratinized gingiva, a gingivectomy or gingivoplasty is performed (first approach).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":918},{"id":"A2","text":"Preserving adjacent structures and interdental papillae is crucial","name":"Orthodontic extrusion","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"In cases where preserving adjacent structures and interdental papillae is crucial, such as with a fractured tooth in the anterior region, orthodontic forced eruption is undertaken, potentially followed by crown lengthening (fourth approach).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":1202}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"flap","name":"Flap with osteotomy and osteoplasty","how_it_works":{"text":"The flap exposes bone, which is reshaped or removed around the 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required.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"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=udlinenie-koronki-zuba-s-osteotomiey/"}],"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":53906},"manualSeo":[],"updatedAt":"2026-11-14T00:20:08.246Z","activeCountries":["TH","TR","US"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}