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stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":0,"unit":"weeks","qualifier":"Normal exercise can usually be resumed the same day."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Immediate cleaner teeth; gum inflammation typically settles within 1-2 weeks with good home care."},"fly_home_after_days":{"min":0,"max":0,"unit":"days","qualifier":"No specific restriction after routine scaling in an uncomplicated case."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Routine recall/maintenance check and cleaning interval, depending on gum health and risk."}}],"indications":["Plaque and calculus (tartar) accumulation","Gingivitis","Extrinsic staining","Routine preventive periodontal maintenance","Halitosis related to plaque and calculus","Preparation before other dental treatment"],"main_risks":["Temporary gum tenderness or minor bleeding","Temporary tooth sensitivity","Transient bacteraemia","Gingival recession becoming more visible after calculus removal","Minor soft tissue irritation"],"pain":"Usually little to mild discomfort during the procedure, with mild gum soreness or sensitivity for a day or two afterward; more sensitive patients or inflamed gums may feel more.","preparation":["Brush and floss normally before the visit","Tell dentist about medical conditions, bleeding tendency, medicines","Review medical history and dental examination before scaling"],"recovery_timeline":[{"phase":"Same day","description":"Mild gum soreness, minor bleeding and tooth sensitivity possible. Normal eating and activities resume immediately.","restrictions":["Avoid very hot, cold or hard foods if sensitive"]},{"phase":"1-2 days","description":"Gums settle and sensitivity fades with gentle brushing and flossing.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Time for any mild gum soreness or sensitivity to settle after a routine scaling visit."},"result_longevity":"Plaque and calculus re-accumulate over time; the benefit lasts only with good daily oral hygiene and regular professional cleanings, commonly every 3-12 months depending on individual risk.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Routine full-mouth scaling for gingivitis or light-to-moderate calculus is usually completed in one visit."},"stages":[{"code":"scaling_polishing","label":"Ultrasonic and/or hand scaling with polishing","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single visit."}}],"qualifier":"Deep scaling and root planing for periodontitis is a separate, multi-visit protocol."},"success":{"metric":"Visible plaque and calculus removed at visit","value":95,"unit":"percent of patients","horizon":"Immediately after the visit","population":"Adults with gingivitis or light-to-moderate calculus, no periodontitis","evidence_status":"limited"},"techniques":[{"name":"Ultrasonic/piezoelectric scaling","suits_whom":"Most patients with plaque, calculus and staining.","recovery":"Minimal; same-day return to normal activities."},{"name":"Manual hand-instrument scaling","suits_whom":"Fine residual calculus, sensitive areas, or when ultrasonic devices are unsuitable (e.g. some pacemaker or infection-control situations).","recovery":"Minimal; same-day return to normal activities."},{"name":"Air polishing (adjunct)","suits_whom":"Stain and biofilm removal after scaling.","recovery":"Minimal; mild sensitivity possible."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per full-mouth routine scaling and polishing visit."},"initial_assessment_documents":["Photos of front teeth and gums","Photos of upper and lower back teeth","Panoramic dental X-ray (OPG) (if available)","Dental record showing date of last professional cleaning","Medical history listing blood thinners and heart conditions"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit routine scaling and polishing; stay 1 day. Recall cleaning at 3-6 months is done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C2","text":"Whether you can put your questions directly to the treating clinicians","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 been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Whether the facility and professionals hold accreditation or 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stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23983-tooth-scaling-and-root-planing","host":"my.clevelandclinic.org","quote":"But let your dentist know if you have excessive bleeding that doesn’t stop.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus or infection at the treatment site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Infection (pus) at the treatment site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain that does not go away","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Severe pain that doesn’t go 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