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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 book","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":"C2","text":"Check the treating clinician's qualifications and references yourself","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":"C3","text":"Confirm the clinic staff can communicate in a language you speak","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}},{"id":"C4","text":"Confirm aftercare arrangements and what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the 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 place.","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":"Persistent bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4541311/","host":"pmc.ncbi.nlm.nih.gov","quote":"The risks of surgery are pain, swelling, bloodloss, reaction to medications, and infection.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Increasing swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4541311/","host":"pmc.ncbi.nlm.nih.gov","quote":"The risks of surgery are pain, swelling, bloodloss, reaction to medications, and infection.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Surgical-site 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 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 excess gum tissue sits over a normal bone level","name":"Gingivectomy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"Type IA is characterized by soft tissue excess with a normal osseous crest to CEJ relationship (adequate keratinized gingiva ≥2 mm, and CEJ-bone is ≥2 mm), requiring only a gingivectomy or gingivoplasty for correction.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":918}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"full-thickness-apically","name":"Full-thickness apically repositioned 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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=turkey/city=marmaris/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":53947},"manualSeo":[],"updatedAt":"2026-11-09T00:02:49.000Z","activeCountries":["TR","GB","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}