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"},"1244":{"operation":{"name":"Наклонный имплант","alias":"naklonnyy-implant","use_for_listing":true},"country_price":{"US":{"amount":2800,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":700,"max_amount":1300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":350,"max_amount":2900,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":1500,"max_amount":2400,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"EG":{"amount":550,"max_amount":1000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":true,"PL":false,"EG":true},"description":"Эта терапия размещает зубные имплантаты под углом в челюстную кость, улучшая контакт кости с имплантатом и эффективность жевания.
"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":3,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Стоматология","alias":"stomatologiya"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local","local_sedation"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Desk-based work after one-arch same-day surgery with immediate provisional prosthesis; depends on swelling and whether extractions were needed."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or prosthetic complication within 5 years; mostly minor, such as prosthesis chipping or mucositis."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Recent IV bisphosphonates, antiresorptives, or head-neck radiotherapy (osteonecrosis risk)","Active untreated oral infection or acute surgical-site inflammation","Insufficient bone not manageable by tilted, zygomatic implants or grafting","Heavy smoking or severe bruxism (relative contraindications)","Pregnancy (elective surgery usually deferred)","Medical unfitness for surgery or for the chosen anesthesia"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day outpatient surgery for one arch with local anesthesia; patient goes home the same day."},"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":"Light activity after several days; avoid strenuous exercise for about 1-2 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to osseointegration before the definitive fixed prosthesis is fitted; the immediate provisional prosthesis is used in the meantime."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After the first post-operative check, once swelling and bleeding are controlled and the surgeon clears travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Early check of surgical sites and provisional prosthesis."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":5,"max":7,"unit":"days","qualifier":"Only if non-resorbable sutures were used; done before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of osseointegration before the definitive prosthesis."}}],"indications":["Edentulous jaw (upper or lower) needing a fixed full-arch restoration","Hopeless teeth (advanced periodontitis, failing dentition) needing full-arch replacement","Denture-intolerant patients with limited posterior bone, avoiding extensive grafting"],"main_risks":["Swelling, bruising and bleeding","Infection or peri-implantitis","Implant failure or loss of osseointegration","Fracture or loosening of the provisional or definitive prosthesis","Nerve injury (numbness or altered sensation) or sinus perforation","Speech and hygiene difficulties; need for lifelong maintenance","Need for reoperation or conversion to additional implants"],"pain":"Painless under local anesthesia; mild to moderate soreness and swelling for the first 2-4 days, usually controlled with standard analgesics.","preparation":["Examination with panoramic X-ray and CBCT for implant planning","Digital or conventional impressions and surgical-guide planning","Medical history review; treat active dental or gum infection","Smoking reduction or cessation advice","Fasting or sedation instructions if clinic requires","Arrangement of a soft-food diet and post-operative care"],"recovery_timeline":[{"phase":"First 72 hours","description":"Swelling, bruising and mild oozing peak; patient wears the fixed provisional prosthesis.","restrictions":["Soft or liquid diet","Avoid rinsing vigorously and touching the surgical area","Rest with head elevated"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures are removed if non-resorbable; return to normal daily routine.","restrictions":["Soft diet","No heavy exercise","Careful hygiene around the prosthesis"]},{"phase":"Weeks 2-12","description":"Gradual osseointegration with the provisional prosthesis in place.","restrictions":["Avoid hard or chewy foods","Avoid biting forces on the prosthesis"]},{"phase":"Months 3-6","description":"Definitive fixed prosthesis fabricated and fitted after confirmed osseointegration.","restrictions":["Follow maintenance and hygiene regimen"]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Ordinary functional recovery after one-arch surgery to comfortable daily routine on a soft diet; osseointegration continues for months."},"result_longevity":"Implants commonly last 15-20 years or longer with good hygiene and maintenance. The acrylic provisional and definitive prosthesis may need repair or replacement after 5-10 years.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Implant loss needing removal or replacement within 5 years; prosthesis repairs not counted."},"scars":"No visible external scars; small intraoral healing marks only, usually not noticeable.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgery with immediate provisional prosthesis, then fitting of the definitive prosthesis; planning and follow-up checks are not counted."},"stages":[{"code":"surgery_provisional","label":"Extractions if needed, placement of four implants and immediate fixed provisional prosthesis","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"definitive_prosthesis","label":"Fitting of the definitive fixed prosthesis after osseointegration","after":{"min":90,"max":180,"unit":"days","qualifier":"From the day of surgery."}}],"qualifier":"Typical one-arch protocol; the definitive prosthesis fabrication includes try-in visits not counted separately."},"success":{"metric":"Implant survival rate","value":95,"unit":"percent","horizon":"5 years","population":"Adults with one edentulous or hopeless-dentition arch, non-heavy smokers","evidence_status":"proven"},"techniques":[{"name":"All-on-4 with two straight anterior and two tilted posterior implants and immediate provisional bridge","suits_whom":"Edentulous or hopeless-dentition patients with sufficient anterior bone and good primary stability.","recovery":"Fixed provisional teeth the same day; soft diet for about 3-6 months until the definitive prosthesis."},{"name":"Guided (computer-planned) surgery","suits_whom":"Patients where precise planning with CBCT helps placement and prosthesis pre-fabrication.","recovery":"Similar to conventional; may involve less swelling due to minimally invasive approach."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":3,"max":5,"unit":"hours","qualifier":"One arch: any extractions, placement of four implants and fitting of the immediate provisional prosthesis on the same day."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT 3D scan of the jaws","Photos of smile and current teeth","List of blood thinners and bisphosphonates","Medical history: diabetes and smoking status"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Trip 1: surgery with same-day provisional teeth, 5-7 days. Trip 2: definitive prosthesis after 3-6 months, 5-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm who is responsible for your care because more than one dentist might treat you","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"A consultant is responsible for your care, but more than 1 dentist might treat you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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}},{"id":"C3","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","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":"F2","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}},{"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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Loss of at least one implant","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/28512551/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The most frequent biological complication is the loss of at least one implant, while the second most frequent complication is the development of peri-implantitis and mucositis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W2","text":"Inflamed tissue around implants","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/28512551/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The most frequent biological complication is the loss of at least one implant, while the second most frequent complication is the development of peri-implantitis and mucositis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W3","text":"Fractured provisional prosthesis","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/28512551/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Prosthetic complications occur as a result of fractures of the provisional acrylic prostheses.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},{"id":"W4","text":"Loose retaining screw","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/25331394/","host":"pubmed.ncbi.nlm.nih.gov","quote":"During the follow-up period,mechanical complications as fracture of the provisional prostheses, loose of the retain screw, or crack of the artificial teeth were found in 20 prostheses.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a removable option for replacing a full arch","name":"Complete dentures","source":{"url":"https://my.clevelandclinic.org/health/articles/dentures","host":"my.clevelandclinic.org","quote":"Dentures are removable oral appliances that replace missing teeth in your upper jaw, lower jaw or both.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"all-on-4","name":"All-on-4 with two straight anterior and two tilted posterior implants and immediate provisional bridge","how_it_works":{"text":"Four implants support immediate loading and the final full-arch prosthesis","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/28512551/","host":"pubmed.ncbi.nlm.nih.gov","quote":"In the treatment of atrophy for full-arch implant supported restorations it is considered that four implants suffice for immediate loading and the final prosthesis, even when there is available bone between the mental foramina or maxillary 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