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Long-term wear is needed to limit relapse.","restrictions":["Wear retainers as instructed"]},{"phase":"At any time","description":"See a dentist promptly for loose tooth, swelling, pus, severe pain, bleeding gums, or damaged, lost or detached aligners or attachments.","restrictions":["Urgent care for facial swelling, fever, swallowing or breathing trouble","Do not force aligners that do not seat"]}],"rehabilitation_days":{"min":0,"max":0,"unit":"days","qualifier":"No rehabilitation period; normal activities continue. Mild soreness can occur with each new set."},"result_longevity":"Results are generally stable with consistent long-term retainer wear; relapse can occur without retention.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Patients needing refinement aligners or additional scan after initial series; varies with case complexity and compliance."},"scars":"No incisions and no scars. 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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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 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that works as well as metal","name":"Clear braces","source":{"url":"https://my.clevelandclinic.org/health/treatments/23568-clear-braces","host":"my.clevelandclinic.org","quote":"Clear braces are just as effective as traditional metal braces.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your teeth are crooked, gapped, rotated or crowded","name":"Traditional metal braces","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Braces can correct a wide range of dental issues, including crooked, gapped, rotated or crowded teeth.","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":"digitally-planned-clear","name":"Digitally planned clear aligner series","how_it_works":{"text":"A series of custom-made 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