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fillings","Small diastemas or minor tooth shape irregularities","Non-carious cervical lesions"],"main_risks":["Post-operative sensitivity","Marginal staining or leakage with secondary caries over time","Chipping, fracture or wear of filling","Discoloration over time","Bite high spot needing adjustment","Rarely pulpal irritation requiring further treatment","Rare allergy to resin components"],"pain":"Minimal; injection discomfort briefly, then painless. Mild temporary sensitivity may follow.","preparation":["Dental examination and radiograph as needed","Shade selection before the tooth dries","Tell dentist about allergies","Cleaning of the tooth surface"],"recovery_timeline":[{"phase":"Same day","description":"Numbness lasts a few hours; filling is fully set immediately after light curing.","restrictions":["Avoid chewing on numb side until sensation returns"]},{"phase":"First days","description":"Mild temperature or bite sensitivity may occur and usually settles.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Ordinary functional recovery; mild sensitivity may last a few days."},"result_longevity":"Often several years to a decade or more, depending on size, location, bite forces, oral hygiene and habits.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repair or replacement of restoration within 5 years due to fracture, secondary caries or wear."},"scars":"None; no incision or scarring.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Direct composite restoration of one tooth in a single visit."},"stages":[{"code":"direct_restoration","label":"Preparation, bonding, layering, curing, finishing and polishing","after":{"min":0,"max":0,"unit":"days","qualifier":"Completed in the same visit."}}],"qualifier":"Scope is one tooth with direct technique."},"success":{"metric":"Restoration survival without replacement","value":90,"unit":"percent","horizon":"5 years","population":"Adults with small to moderate direct composite restorations in one tooth","evidence_status":"limited"},"techniques":[{"name":"Direct layered composite restoration","suits_whom":"Small to moderate cavities, chips and cosmetic corrections in one tooth.","recovery":"Immediate use; mild transient sensitivity possible."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"For one tooth, direct technique, single visit."},"initial_assessment_documents":["Close-up photos of the affected tooth","Smile photo showing front teeth","Periapical or bitewing dental X-ray","Panoramic dental X-ray (OPG)","Shade reference photo in daylight (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit direct restoration; stay 1 day, no healing period needed before returning home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"C2","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety checklist?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Decide before you travel where check-ups after the operation will take place, because follow-up abroad may be missing or weaker","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You need to think about where check-ups will take place.","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":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/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":"2026-11-11","http_status":200}},{"id":"T4","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":"When a safe, effective restorative option is acceptable instead","name":"Amalgam filling","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/amalgam","host":"ada.org","quote":"Amalgam remains a safe, effective, and inexpensive dental restorative option.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"direct-layered-composite","name":"Direct layered composite restoration","how_it_works":{"text":"Direct restorations are placed directly onto tooth structure without laboratory preparation","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-direct-restorations?","host":"ada.org","quote":"Unlike indirect restorations, direct restorations are generally placed directly onto tooth structure and do not require laboratory 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