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Checks every 6-12 weeks need planning."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"First progress check, commonly every 6-12 weeks, repeated through treatment."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":540,"unit":"days","qualifier":"End-of-treatment review and retainer fitting."}}],"indications":["Mild to moderate crowding","Mild to moderate spacing","Relapse after previous orthodontic treatment","Mild bite problems suitable for aligner movement"],"main_risks":["Temporary soreness and pressure","Gum irritation or attachment-related discomfort","Root resorption (uncommon)","Caries or gingival problems with poor hygiene","Relapse without retention","Temporary lisp"],"pain":"Mild to moderate pressure-type soreness for the first few days of each new aligner set; usually managed without strong analgesia.","preparation":["Dental examination and treatment of caries or gum disease","Professional cleaning","Photos, X-rays and digital scan or impressions","Digital treatment plan reviewed and approved","Discussion of wear time and compliance"],"recovery_timeline":[{"phase":"Initial fit day","description":"Aligners and any attachments are fitted after manufacturing, with wear and cleaning instructions. Normal activities can continue.","restrictions":["Remove aligners to eat and drink anything but water","Brush before reinserting"]},{"phase":"First days of each set","description":"Pressure and mild soreness while teeth adapt, usually settling within a few days. Walking and daily activity are unaffected.","restrictions":["Wear 20-22 hours daily","Use over-the-counter analgesia only as advised"]},{"phase":"Active treatment","description":"New set every 1-2 weeks at home; checks about every 6-12 weeks. Normal exercise is fine; mouthguard may help in contact sports.","restrictions":["Clean aligners daily","Keep spare and previous sets"]},{"phase":"Retention","description":"Retainers are fitted at the end of active treatment, after attachments are removed. Long-term wear is needed to limit relapse.","restrictions":["Wear retainers as instructed"]},{"phase":"At any time","description":"See a dentist promptly for loose tooth, swelling, pus, severe pain, bleeding gums, or damaged, lost or detached aligners or attachments.","restrictions":["Urgent care for facial swelling, fever, swallowing or breathing trouble","Do not force aligners that do not seat"]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No rehabilitation period; normal activities continue. Mild soreness can occur with each new set."},"result_longevity":"Results are generally stable with consistent long-term retainer wear; relapse can occur without retention.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Patients needing refinement aligners or additional scan after initial series; varies with case complexity and compliance."},"scars":"No incisions and no scars. Bonded attachments, if used, are tooth-colored and removed at the end of treatment.","sessions_or_stages":{"sessions":{"min":4,"max":18,"unit":"visits","qualifier":"Conditional in-person visits over a 6-18 month course: planning, fitting, monitoring, retainer. Some checks may be remote; refinement adds visits."},"stages":[{"code":"records_and_plan","label":"Records, scan and digital plan approval","after":{"min":0,"max":14,"unit":"days","qualifier":"After the initial consultation; plan approval precedes manufacturing."}},{"code":"aligner_manufacturing","label":"Aligner manufacturing before the initial fit","after":{"min":14,"max":42,"unit":"days","qualifier":"After plan approval; varies with manufacturer and plan complexity."}},{"code":"initial_fit","label":"Initial fit and instructions, with attachments or interproximal reduction if planned (0.5-1 hour)","after":{"min":14,"max":56,"unit":"days","qualifier":"After the scan; depends on manufacturing."}},{"code":"progress_checks","label":"Progress checks with new aligner sets dispensed","after":{"min":42,"max":84,"unit":"days","qualifier":"After the initial fit, then repeated about every 6-12 weeks during active treatment."}},{"code":"refinement_if_needed","label":"Refinement scan and additional aligners if teeth are not tracking as planned","after":{"min":150,"max":420,"unit":"days","qualifier":"After the initial fit; conditional, not needed in every case."}},{"code":"retention_fit","label":"Attachment removal and retainer fitting; long-term retention follows","after":{"min":180,"max":540,"unit":"days","qualifier":"After the initial fit, at the end of active treatment."}}],"qualifier":"Adult mild-moderate course of about 6-18 months. Aligner sets change at home every 1-2 weeks; clinic visits are conditional."},"success":{"metric":null,"value":null,"unit":null,"horizon":null,"population":"Compliant adults with mild to moderate crowding or spacing; refinements are often needed.","evidence_status":"not_proven"},"techniques":[{"name":"Digitally planned clear aligner series","suits_whom":"Adults with mild to moderate malocclusion and good compliance","recovery":"No downtime; mild soreness with each new set."},{"name":"Clear aligners with bonded attachments or interproximal reduction","suits_whom":"Cases needing rotations, controlled movements or extra space","recovery":"Brief tooth sensitivity may occur after interproximal reduction; same aligner course and monitoring apply."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Aligner fitting visit with attachments, per appointment; total treatment lasts months."},"initial_assessment_documents":["Front and side smile photos","Intraoral photos of bite, front and sides","Panoramic dental X-ray (OPG)","Intraoral 3D scan file (if available)","Previous orthodontic treatment records (if available)"],"travel_trips":{"min":2,"max":5,"one_trip_possible":false,"qualifier":"Course lasts 6-18 months: trips for scan and fit, in-person checks, and final retainer fitting. Stay 1-3 days per trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the 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":"Confirm 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the 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monitoring helps ensure teeth move safely according to the treatment plan","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2026/october/fda-warns-public-about-unauthorized-directtoconsumer-clear-aligners/","host":"adanews.ada.org","quote":"Periodic in-person visits after treatment begins can also help ensure teeth are moving safely and according to the treatment plan.","tier":"tier1_medical","fetched_at":"2026-11-12","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 dentist or orthodontist who will treat you cannot be spoken to before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/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 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