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in-person monitoring helps ensure teeth move safely according to the treatment plan","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2026/october/fda-warns-public-about-unauthorized-directtoconsumer-clear-aligners/","host":"adanews.ada.org","quote":"Periodic in-person visits after treatment begins can also help ensure teeth are moving safely and according to the treatment plan.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The dentist or orthodontist who will treat you cannot be spoken to before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that lasts more than a few days","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Pain that lasts more than a few days","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Gums that bleed or swell","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Gums that bleed or swell","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Tray feels loose or doesn't fit","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"A feeling that the tray is loose or doesn't fit","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Shows the home doctor which medicines were prescribed after treatment","document":"prescription list","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":"2026-11-12","http_status":200}},{"id":"T2","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":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":0,"unit":"days","qualifier":"No downtime; normal work continues, though mild soreness may occur with each new aligner set."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any minor adverse event during treatment (gum irritation, attachment loss, sensitivity); serious complications such as root resorption under 5%."},"contraindications":["Active untreated caries or periodontal disease (treat first)","Severe skeletal discrepancy needing orthognathic surgery","Growing patients or primary dentition (relative)","Allergy to aligner plastic materials (rare)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental treatment with 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":0,"unit":"weeks","qualifier":"No restriction on usual exercise; a mouthguard may be advised for contact sports."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Typical active treatment for mild to moderate crowding or spacing; complex cases take longer. Retention follows."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"Travel is usually possible the same or next day after initial fit. Checks every 6-12 weeks need planning."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"First progress check, commonly every 6-12 weeks, repeated through treatment."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":540,"unit":"days","qualifier":"End-of-treatment review and retainer fitting."}}],"indications":["Mild to moderate crowding","Mild to moderate spacing","Relapse after previous orthodontic treatment","Mild bite problems suitable for aligner movement"],"main_risks":["Temporary soreness and pressure","Gum irritation or attachment-related discomfort","Root resorption (uncommon)","Caries or gingival problems with poor hygiene","Relapse without retention","Temporary lisp"],"pain":"Mild to moderate pressure-type soreness for the first few days of each new aligner set; usually managed without strong analgesia.","preparation":["Dental examination and treatment of caries or gum disease","Professional cleaning","Photos, X-rays and digital scan or impressions","Digital treatment plan reviewed and approved","Discussion of wear time and compliance"],"recovery_timeline":[{"phase":"Initial fit day","description":"Aligners and any attachments are fitted after manufacturing, with wear and cleaning instructions. 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Bonded attachments, if used, are tooth-colored and removed at the end of treatment.","sessions_or_stages":{"sessions":{"min":4,"max":18,"unit":"visits","qualifier":"Conditional in-person visits over a 6-18 month course: planning, fitting, monitoring, retainer. Some checks may be remote; refinement adds visits."},"stages":[{"code":"records_and_plan","label":"Records, scan and digital plan approval","after":{"min":0,"max":14,"unit":"days","qualifier":"After the initial consultation; plan approval precedes manufacturing."}},{"code":"aligner_manufacturing","label":"Aligner manufacturing before the initial fit","after":{"min":14,"max":42,"unit":"days","qualifier":"After plan approval; varies with manufacturer and plan complexity."}},{"code":"initial_fit","label":"Initial fit and instructions, with attachments or interproximal reduction if planned (0.5-1 hour)","after":{"min":14,"max":56,"unit":"days","qualifier":"After the scan; depends on manufacturing."}},{"code":"progress_checks","label":"Progress checks with new aligner sets dispensed","after":{"min":42,"max":84,"unit":"days","qualifier":"After the initial fit, then repeated about every 6-12 weeks during active treatment."}},{"code":"refinement_if_needed","label":"Refinement scan and additional aligners if teeth are not tracking as planned","after":{"min":150,"max":420,"unit":"days","qualifier":"After the initial fit; conditional, not needed in every case."}},{"code":"retention_fit","label":"Attachment removal and retainer fitting; long-term retention follows","after":{"min":180,"max":540,"unit":"days","qualifier":"After the initial fit, at the end of active treatment."}}],"qualifier":"Adult mild-moderate course of about 6-18 months. Aligner sets change at home every 1-2 weeks; clinic visits are conditional."},"success":{"metric":null,"value":null,"unit":null,"horizon":null,"population":"Compliant adults with mild to moderate crowding or spacing; refinements are often needed.","evidence_status":"not_proven"},"techniques":[{"name":"Digitally planned clear aligner series","suits_whom":"Adults with mild to moderate malocclusion and good compliance","recovery":"No downtime; mild soreness with each new set."},{"name":"Clear aligners with bonded attachments or interproximal reduction","suits_whom":"Cases needing rotations, controlled movements or extra space","recovery":"Brief tooth sensitivity may occur after interproximal reduction; same aligner course and monitoring apply."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Aligner fitting visit with attachments, per appointment; total treatment lasts months."},"initial_assessment_documents":["Front and side smile photos","Intraoral photos of bite, front and sides","Panoramic dental X-ray (OPG)","Intraoral 3D scan file (if available)","Previous orthodontic treatment records (if available)"],"travel_trips":{"min":2,"max":5,"one_trip_possible":false,"qualifier":"Course lasts 6-18 months: trips for scan and fit, in-person checks, and final retainer fitting. Stay 1-3 days per trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C2","text":"Confirm how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the 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set."},{"id":"clear-aligners","name":"Clear aligners with bonded attachments or interproximal reduction","how_it_works":{"id":"H1","text":"Tiny attachments on teeth help trays grip and move them","source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Put tiny dental attachments on your teeth to help the aligners move the teeth","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Cases needing rotations, controlled movements or extra space","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Brief tooth sensitivity may occur after interproximal reduction; same aligner course and monitoring apply."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want a less visible option that works as well as metal","name":"Clear 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days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Bring prescription medication into Dominican Republic in its original labeled 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insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Private hospitals need advance payment or proof of internationally-accepted insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 911 and ask for an ambulance in Santo Domingo","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/health","host":"gov.uk","quote":"Call 911 and ask for an ambulance if you’re in Santo 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