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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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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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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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision is a warning sign","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","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":"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 medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Pain that doesn't go away with medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Broken wires or brackets","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Broken wires or brackets.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding or infection in your gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Bleeding or infection in your gums.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"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":"Home doctor needs overseas records, x-rays and scans to continue care","document":"overseas medical records and scans","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your teeth are crooked or crowded","name":"Clear aligners","source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Clear aligners, also known as invisible braces or tooth aligners, are an option for treating crooked or crowded teeth.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":1173}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"metal-brackets","name":"Metal brackets","how_it_works":{"text":"Stainless steel bands, brackets and wires gently shift teeth over time","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Metal braces use stainless steel bands, brackets and wires to gently shift your teeth over time.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ceramic-brackets","name":"Ceramic brackets","how_it_works":{"text":"Tooth-colored brackets and wires blend in with the 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