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implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Pus (infection) around the implant","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pain that doesn't improve with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Swollen lymph nodes in your neck","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Swollen lymph nodes in your neck (along with one or more of the above symptoms)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"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":"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}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"After implant surgery for a 2-implant bridge; desk work often resumes in 1-3 days. Fitting visits need no downtime."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 5 years, such as peri-implant mucositis or screw loosening; serious ones are rare."},"contraindications":["Uncontrolled diabetes or other uncontrolled systemic disease affecting healing","Insufficient bone volume that has not been augmented","Active periodontal disease or untreated oral infection","Recent or planned head and neck radiotherapy to the jaw","IV bisphosphonate or antiresorptive therapy (relative; specialist assessment)","Heavy smoking or poor oral hygiene (relative)","Severe bruxism not controlled (relative)","Pregnancy (elective treatment usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Implant placement and prosthetic stages are done as outpatient visits."},"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 after implant placement surgery, as guided by the surgeon."},"final_result_months":{"min":3,"max":8,"unit":"months","qualifier":"From implant placement to final bridge, with 3-6 months osseointegration and no grafting; immediate loading or grafting changes this."},"fly_home_after_days":{"min":5,"max":10,"unit":"days","qualifier":"After implant placement surgery; usual stay allows a wound check and suture removal. Depends on healing, swelling and bleeding."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After implant placement"}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Osseointegration check before the prosthetic stage"}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":270,"unit":"days","qualifier":"Review after final bridge delivery"}}],"indications":["Replacement of several adjacent missing teeth","Missing teeth when a removable denture is unsuitable","Edentulous span with adequate or augmentable bone"],"main_risks":["Postoperative swelling, bruising and bleeding","Infection or peri-implantitis","Failure of osseointegration","Nerve injury or sinus perforation depending on the site","Prosthetic complications such as screw loosening, porcelain chipping or fracture","Bone loss around implants"],"pain":"Surgery is painless under local anesthesia; mild to moderate soreness and swelling for a few days, usually managed with standard analgesics. Prosthetic stages are usually painless.","preparation":["Clinical exam and 3D imaging (panoramic or CBCT) with planning","Treatment of caries and gum disease before surgery","Medical history review and optimization of chronic conditions","Stopping smoking recommended"],"recovery_timeline":[{"phase":"First days after implant surgery","description":"Swelling, mild discomfort and minor oozing; soft diet.","restrictions":["Avoid chewing on the surgical site","Avoid vigorous rinsing and smoking","Avoid strenuous exercise"]},{"phase":"Weeks 1-2","description":"Soft tissue heals; sutures are removed or dissolve.","restrictions":["Gentle brushing near the site","Soft diet"]},{"phase":"Months 3-6","description":"Osseointegration; the implants are uncovered if needed and impressions taken for the bridge.","restrictions":["Follow the surgeon's guidance on any temporary restoration"]},{"phase":"Bridge delivery","description":"Final bridge fitted and bite adjusted; normal function resumes.","restrictions":["Careful hygiene under the bridge with interdental tools","Avoid very hard foods initially"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery after implant placement; comfortable daily activity and soft diet for about two weeks."},"result_longevity":"Implants often last many years to decades with good hygiene and regular checkups; the bridge itself may need repair or replacement sooner, depending on wear and patient factors.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Implant removal or replacement or bridge remake within 5 years; minor prosthetic repairs not counted."},"scars":"No visible external scars; small internal gum healing marks may occur at the surgical site.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Delayed-loading bridge on two implants, no grafting: planning/scan, implant surgery, optional uncovering, impressions, bridge fitting."},"stages":[{"code":"planning","label":"Examination, imaging and treatment planning","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit"}},{"code":"implant_placement","label":"Surgical placement of implants","after":{"min":7,"max":21,"unit":"days","qualifier":"From first visit"}},{"code":"impressions","label":"Impressions or scan after osseointegration","after":{"min":100,"max":200,"unit":"days","qualifier":"From first visit"}},{"code":"bridge_fitting","label":"Fitting of final implant-supported bridge","after":{"min":115,"max":230,"unit":"days","qualifier":"From first visit"}}],"qualifier":"Delayed loading, no grafting; immediate loading or grafting changes the schedule."},"success":{"metric":"Implant survival","value":95,"unit":"percent","horizon":"5 years","population":"Healthy adults with adequate bone receiving a 2-implant-supported bridge","evidence_status":"proven"},"techniques":[{"name":"Delayed-loading implant-supported bridge","suits_whom":"Most patients with adequate bone and healthy gums.","recovery":"Wait several months for osseointegration before the final bridge."},{"name":"Immediate-loading (provisional) implant bridge","suits_whom":"Patients with good primary implant stability and bone quality.","recovery":"A temporary bridge is placed soon after surgery; the final bridge follows later."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Surgical visit for placing two implants to support a bridge; prosthetic visits are shorter."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the missing-tooth area","Photos of smile and missing-teeth area","Previous dental records and X-rays (if available)","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two trips: implant surgery, then return after 3-6 months for the bridge."},"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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the team questions about your treatment","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 been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the treatment","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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you are clear about how your aftercare will be 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lymph nodes in your neck","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Swollen lymph nodes in your neck (along with one or more of the above symptoms)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge 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denture).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"immediate-loading-implant","name":"Immediate-loading (provisional) implant bridge","how_it_works":{"text":"A temporary tooth is worn while the implant heals","source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"If your implant is near the front of your mouth, your dentist will make a temporary tooth for you to wear until you heal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"delayed-loading-implant","name":"Delayed-loading implant-supported bridge","how_it_works":{"id":"H1","text":"The final bridge is attached once the implants have 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days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 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 packaging","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Take your prescription medication in the original labeled packaging.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"all","volatile":false,"text":"Carry a copy of your doctor's prescription when traveling to Dominican Republic with medication","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Bring a copy of your doctor’s 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