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efficiency.</p>"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":2,"days_in_country":5,"rehabilitation_days":3,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Dental Treatment","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":2,"max":4,"unit":"days","qualifier":"Desk work after swelling settles; depends on swelling, discomfort and whether a temporary denture is worn."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 1-2 years; attachment wear and denture adjustments most common; serious ones under 5%"},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes) impairing healing","IV bisphosphonate/antiresorptive therapy; relative, specialist 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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. 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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 implants","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pus or infection near your implants.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pain that does not improve with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Mouth injury","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Injury to your 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