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assessment","Prior jaw radiotherapy (relative, specialist assessment)","Insufficient uncorrectable bone at planned implant sites","Active oral infection or untreated periodontal disease","Heavy smoking or poor oral hygiene (relative)","Severe bruxism, especially fixed on two implants (relative)","Pregnancy or medical unfitness for oral surgery (typically deferred)"],"days_in_clinic":{"min":3,"max":5,"unit":"nights","qualifier":"Typically 3-5 nights for surgery and wound check before flying home."},"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 first; strenuous exercise once swelling and bleeding risk have resolved."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to osseointegration and definitive attachments; mandible is usually faster than maxilla and depends on bone quality."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After wound check; depends on swelling, bleeding control and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":3,"max":5,"unit":"days","qualifier":"Before departure; checks swelling, bleeding and denture fit."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-dissolvable sutures used; can be done locally."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":90,"max":180,"unit":"days","qualifier":"Osseointegration check before attachments, usually at second trip."},"requirement":"routine"},{"purpose":"result_review","after":{"min":180,"max":365,"unit":"days","qualifier":"Review of attachments, denture fit and hygiene after loading."},"requirement":"routine"}],"indications":["Edentulous arch or hopeless teeth needing full-arch replacement","Unstable conventional denture in an edentulous jaw"],"main_risks":["Bleeding, swelling, bruising and post-operative pain","Infection or peri-implantitis","Failure of osseointegration and implant loss","Two-implant overload: attachment wear, denture fracture, screw loosening","Nerve injury (mandibular region) causing numbness or altered sensation","Sinus involvement if the maxilla is treated","Need for further prosthetic adjustment or relining over time"],"pain":"Done under local anesthesia, so no pain during surgery. Mild to moderate soreness, swelling and bruising for several days, controlled with standard analgesics.","preparation":["Clinical exam with panoramic imaging and usually CBCT","Planning prosthetic design: removable overdenture or fixed bridge","Treatment of active dental or periodontal disease","Medical history review and optimization of chronic conditions","Smoking cessation advised","Clinic instructions on eating and medication beforehand"],"recovery_timeline":[{"phase":"First days after surgery","description":"Swelling, mild discomfort and minor oozing are common. Soft diet and careful oral hygiene.","restrictions":["Avoid chewing on the surgical area","Avoid strenuous exertion","Follow clinic instructions on denture wear"]},{"phase":"Healing and osseointegration","description":"Implants integrate with bone over a period that depends on the loading protocol and the bone. Prosthesis timing and type depend on the chosen design.","restrictions":["Follow clinic-specified diet and denture or prosthesis instructions"]},{"phase":"Final prosthesis and maintenance","description":"Definitive prosthesis is delivered according to the design, followed by regular hygiene and maintenance reviews.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to normal eating and function on soft diet; depends on swelling and denture adaptation."},"result_longevity":"Implants often last 10-20 years or more with good hygiene and maintenance. Overdenture attachments typically need replacement every 1-2 years, and the denture may need relining.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant loss or surgical re-intervention within 5 years; excludes routine attachment replacement and relining"},"scars":"No visible external scars. Small gum incisions or punctures heal intraorally, and minor gingival scarring is possible.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Surgery visit plus one or two prosthetic visits for attachments or final denture."},"stages":[{"code":"implant_placement","label":"Two-implant placement under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"First procedure day."}},{"code":"healing_osseointegration","label":"Healing and osseointegration period","after":{"min":0,"max":0,"unit":"days","qualifier":"Begins right after surgery; runs until attachment delivery."}},{"code":"attachment_prosthesis_delivery","label":"Attachment connection and final prosthesis delivery","after":{"min":90,"max":180,"unit":"days","qualifier":"Second trip after osseointegration is confirmed."}}],"qualifier":"Two-trip protocol: surgery, healing at home, then prosthetic completion."},"success":{"metric":"Implant survival with mandibular two-implant overdenture","value":95,"unit":"percent","horizon":"5 years","population":"Edentulous adults with adequate mandibular bone, removable overdenture design","evidence_status":"limited"},"techniques":[{"name":"Two-implant removable overdenture (e.g., mandibular, on ball or locator attachments)","suits_whom":"Edentulous patients, especially mandibular, seeking better retention than a conventional denture.","recovery":"Removable prosthesis; attachments connected after 3-6 months of healing."},{"name":"Fixed full-arch bridge supported by two implants","suits_whom":"Carefully selected patients with good bone and low occlusal load, with limited supporting evidence. Not a routine alternative to four or more implants.","recovery":"Immediate provisional loading is not routine. The protocol and healing period are determined by the treating team."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Surgical placement of two implants; attachment visit is shorter."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of upper or lower jaw","Intraoral photos of both arches","Photos of smile and face profile","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two trips: surgery with healing, then attachments or bridge delivery. Each stay about 4-6 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus or infection near the 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leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are missing an entire arch of teeth","name":"Full dentures","source":{"url":"https://my.clevelandclinic.org/health/diseases/tooth-loss&rut=11bae3d6a2ad85d7dfb25c2cb36d050266a0726e4713475ece209056cd116030","host":"my.clevelandclinic.org","quote":"Full dentures replace an entire arch of 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