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"},"1182":{"operation":{"name":"Брекеты для открытого прикуса","alias":"brekety-dlya-otkrytogo-prikusa","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":7500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1500,"max_amount":3000,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"PL":{"amount":930,"max_amount":3600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"PL":true},"description":"Эта терапия исправляет смещение зубов и линии челюсти путем корректировки положения зубов, улучшая общую эстетику и функции зубов.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Стоматология","alias":"stomatologiya"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Most adults resume normal work right after bonding; mild soreness may be felt for a few days."},"complication_rate_pct":{"min":10,"max":60,"unit":"percent","qualifier":"White-spot enamel lesions during fixed braces, strongly dependent on hygiene and fluoride use; excludes minor ulcers, broken brackets."},"contraindications":["Active untreated tooth decay or gum disease (treat first)","Poor oral hygiene or unwillingness to maintain it","Severe skeletal discrepancy needing jaw surgery (relative)","Allergy to nickel or appliance materials (relative)","Uncontrolled systemic disease or bone metabolism disorders (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental treatment; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Normal activity can resume promptly; contact sports require a mouthguard to protect teeth and appliance."},"final_result_months":{"min":12,"max":30,"unit":"months","qualifier":"Typical active treatment duration for an adult with fixed braces; varies with complexity. Retention follows."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"Outpatient bonding with no air-travel restrictions; only mild soreness. Fix any broken bracket or poking wire before flying."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment; further adjustments every 4-8 weeks during active treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, finishing review and debonding at end of the 12-30 month active course."}},{"purpose":"assessment","requirement":"conditional","after":{"min":393,"max":984,"unit":"days","qualifier":"After bonding; retainer check 4-12 weeks after debonding if retention is prescribed."}}],"indications":["Crowded or crooked teeth","Spacing between teeth","Overbite, overjet, underbite or crossbite","Open bite","Misaligned bite (malocclusion)","Space closure or tooth positioning before restorative or implant treatment"],"main_risks":["Enamel demineralization (white spots) and tooth decay with poor hygiene","Gum inflammation","Soreness and mouth ulcers from brackets and wires","Root resorption (usually mild)","Relapse if retainers are not worn","Broken brackets or wires requiring extra visits"],"pain":"Mild to moderate soreness or pressure for 2-5 days after bonding and after adjustments; cheek or lip irritation is common early on. 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Exercise allowed, with mouthguard for contact sports.","restrictions":["Avoid hard, sticky and chewy foods","Meticulous brushing and cleaning around brackets","Mouthguard for contact sports"]},{"phase":"Debonding and retention","description":"Braces removed, retainer provided; retention is separate from active treatment and continues long term.","restrictions":["Wear retainers long term"]},{"phase":"At any time","description":"Seek prompt dental review for broken brackets, poking wires or persistent ulcers; urgent care for facial swelling, fever, severe pain or breathing trouble.","restrictions":["Fix a poking wire or broken bracket before travelling"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Time to adapt to eating and speaking after initial bonding."},"result_longevity":"Alignment is generally lasting if retainers are worn as prescribed; without retention, teeth tend to shift over time.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Retreatment or refinement after completed fixed braces, mostly from relapse or poor retainer wear, within about 5 years."},"scars":"Braces involve no incisions and leave no scars; the only possible lasting marks are enamel white-spot lesions if oral hygiene is poor.","sessions_or_stages":{"sessions":{"min":8,"max":30,"unit":"visits","qualifier":"Bonding, adjustment and debonding visits over 12-30 months at 4-8 week intervals; retention checks excluded."},"stages":[{"code":"records_and_prep","label":"Records, planning and dental clearance (decay/gum treatment, cleaning, extractions or spacers if planned)","after":{"min":0,"max":0,"unit":"days","qualifier":"Precedes bonding; no post-bonding offset applies, lead time varies with preparatory care."}},{"code":"bonding","label":"Bonding of brackets and first archwires","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 reference event."}},{"code":"adjustments","label":"Adjustment visits with wire changes, elastics or space closure as needed","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment, then every 4-8 weeks until goals are met."}},{"code":"finishing_debonding","label":"Finishing, debonding and retainer delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, once planned occlusion is achieved; matches 12-30 month active course."}}],"qualifier":"Metal brackets on both arches; adjustments every 4-8 weeks over 12-30 months. Day 0 is bonding."},"success":{"metric":"Substantial improvement in occlusion (PAR score reduction of about 70-80%) at end of active treatment","value":75,"unit":"percent","horizon":"End of active treatment, about 12-30 months","population":"Adolescents and adults with fixed metal brackets and good compliance","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most patients, including teens and adults; durable.","recovery":"Standard adaptation of a few days; visible appliance."},{"name":"Ceramic brackets","suits_whom":"Adults preferring a less visible appliance.","recovery":"Similar adaptation; more prone to staining and bracket fracture."},{"name":"Self-ligating brackets","suits_whom":"Patients wanting easier cleaning and slightly longer visit intervals.","recovery":"Similar adaptation; adjustment visits spaced further apart."},{"name":"Lingual braces","suits_whom":"Patients wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for braces on both dental arches; adjustment visits are shorter (about 20-30 minutes)."},"initial_assessment_documents":["Panoramic dental X-ray","Side skull X-ray (if available)","Front and side facial photos","Intraoral photos of bite and both arches","Dental scans or impressions (if available)"],"travel_trips":{"min":3,"max":10,"one_trip_possible":false,"qualifier":"Trips cover bonding, adjustment blocks and debonding over 12-30 months; adjustments every 4-8 weeks. Each stay is 1-5 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the orthodontic experience of the dentist treating you, since the treatment approach depends on it","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/en/az-topics/b/braces","host":"mouthhealthy.org","quote":"It will depend on the orthodontic experience of your dentist and the severity of your case.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating 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":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the 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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":"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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that doesn't go away with 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