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diabetes or severe cardiac disease","Active acute infection with spreading swelling until managed (relative)","Bleeding disorders or anticoagulation without prior medical planning (relative)","Prior head-neck radiotherapy or bisphosphonates: specialist assessment needed (relative)","Allergy to local anesthetic agents"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Typical outpatient enucleation of a dental (radicular/dentigerous) cyst under local anesthesia."},"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":"Strenuous exercise usually avoided for about a week or more to limit bleeding and swelling; depends on lesion size."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Soft tissue heals in weeks; bone fill takes several months to a year, depending on cyst 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odontogenic cysts accessible through a mucoperiosteal flap","recovery":"Typically 3-7 days of functional recovery; bone healing over months."},{"name":"Cystectomy with apicoectomy (root-end resection)","suits_whom":"Radicular cysts at the apex of a tooth that is being preserved","recovery":"Similar to enucleation; the tooth is retained."},{"name":"Cyst removal with extraction of the involved tooth","suits_whom":"Cysts associated with non-restorable or impacted teeth","recovery":"Similar to enucleation, with additional extraction-socket healing."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per procedure for one cyst by enucleation under local anesthesia; larger cysts or combined extraction/apicoectomy take longer."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the cyst area","Periapical X-ray of the affected tooth","Previous biopsy or histology report (if available)","List of blood 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instance to plan treatment accordingly and subsequently attend one or more appointments for surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the surgical service explicitly lists management of jaw cysts","scope":"procedure","source":{"url":"https://www.nhstayside.scot.nhs.uk/OurServicesA-Z/Dental/PROD_294365/index.htm","host":"nhstayside.scot.nhs.uk","quote":"These surgical procedures include the removal of impacted wisdom teeth, placement of dental implants, management of jaw cysts and other types of jaw pathology.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether treatment will be under local anesthetic or intravenous sedation","scope":"procedure","source":{"url":"https://www.nhstayside.scot.nhs.uk/OurServicesA-Z/Dental/PROD_294365/index.htm","host":"nhstayside.scot.nhs.uk","quote":"Treatment is delivered mainly under local anaesthetic, however for anxious patients we are able to provide treatment under intravenous sedation where this is deemed appropriate.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check the qualifications of the clinician who will do the procedure","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Treatment is offered with no separate assessment visit first","scope":"procedure","source":{"url":"https://www.kch.nhs.uk/services/services-a-to-z/oral-surgery/","host":"kch.nhs.uk","quote":"You will have any investigations you need, such as x-rays and blood tests, but you will not have any treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic's staff do not speak a language you speak fluently","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.uhsussex.nhs.uk/resources/apicectomy/","host":"uhsussex.nhs.uk","quote":"If the bleeding does not stop please contact your surgeon.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Numbness or altered sensation","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3552-oral-surgery-leaflet-apicectomy-root-end-surgery","host":"ashfordstpeters.nhs.uk","quote":"Injury to nearby structures (e.g., nerves) causing numbness or altered sensation - usually temporary but rarely permanent.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Infection needing further 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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":"Your dentist can re-root treat the tooth","name":"Root canal re-treatment","source":{"url":"https://www.uhsussex.nhs.uk/resources/apicectomy/","host":"uhsussex.nhs.uk","quote":"Apicectomy is a treatment of last resort and in most cases it is better if your dentist tries to re-root treat the tooth or refer you to an endodontist (a specialist in carrying out root 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