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Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"School/daily activities usually continue the same or next day after bonding; mild soreness may occur after bonding and after adjustments."},"complication_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Any complication during treatment, mainly white-spot lesions, gingivitis and ulcers; serious ones such as marked root resorption are rare."},"contraindications":["Active untreated tooth decay or gum disease (treat first, relative)","Poor oral hygiene or unwillingness to maintain it (relative)","Too early in dental development for treatment (relative)","Allergy to brace materials such as nickel","Uncontrolled systemic conditions affecting bone or healing (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient orthodontic appointments; no overnight 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fitting at the end of active treatment, followed by retention checks."}}],"indications":["Crowding or spacing of teeth in adolescents","Malocclusion such as overbite, overjet, underbite or crossbite","Open bite or deep bite","Malpositioned or impacted teeth needing alignment","Jaw-relationship discrepancies, e.g. Class II or Class III malocclusion"],"main_risks":["Enamel demineralisation or white-spot lesions and caries with poor hygiene","Gingivitis","Soreness and mouth ulcers from brackets or wires","Root resorption","Bracket breakage or loosening prolonging treatment","Relapse without retainer wear","Treatment longer than planned"],"pain":"Mild to moderate soreness and pressure for about 2-5 days after bonding and after wire adjustments; usually managed with simple analgesia and soft diet.","preparation":["Orthodontic examination, photographs, X-rays and impressions or digital scans","Treatment of cavities and gum problems before bonding","Professional cleaning","Oral hygiene, diet 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common.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Need for extended treatment, re-bonding of multiple brackets or later re-treatment for relapse or unsatisfactory result."},"scars":"None; no incisions or surgical wounds.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Bonding appointment(s) only; routine adjustments are follow-up visits, not counted here."},"stages":[{"code":"bonding","label":"Bonding of brackets and archwire placement","after":{"min":0,"max":14,"unit":"days","qualifier":"Typically on the first day, or split into two arch visits."}}],"qualifier":"Fixed metal or ceramic braces; adjustments and debonding are follow-up care."},"success":{"metric":"Improvement in occlusion (PAR score reduction)","value":80,"unit":"percent","horizon":"At end of active treatment, 12-30 months","population":"Adolescents with fixed braces completing full orthodontic treatment","evidence_status":"limited"},"techniques":[{"name":"Metal 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