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infection or untreated periodontal disease","Insufficient zygomatic bone volume"],"days_in_clinic":{"min":5,"max":7,"unit":"nights","qualifier":"Stay in clinic city until wound and provisional check before flying."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity first; avoid strenuous exercise and bending until swelling and wound tension settle."},"final_result_months":{"min":4,"max":8,"unit":"months","qualifier":"Final fixed prosthesis after healing and osseointegration; immediate provisional fitted at surgery."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After surgeon check of wounds, swelling and bite of the provisional; sinus precautions apply."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":7,"unit":"days","qualifier":"Wound and provisional bridge check before flying home."},"requirement":"routine"},{"purpose":"assessment","after":{"min":90,"max":150,"unit":"days","qualifier":"Healing assessment before final prosthesis, may be done locally."},"requirement":"conditional"},{"purpose":"result_review","after":{"min":120,"max":240,"unit":"days","qualifier":"Fitting and review of final bridge."},"requirement":"routine"}],"indications":["Severely atrophic edentulous upper jaw","Failed conventional upper implants or grafts","Upper jaw bone loss unsuitable for bone grafting","Hopeless upper teeth needing full-arch replacement with insufficient posterior bone"],"main_risks":["Sinusitis or oroantral communication","Implant failure or loss of integration","Infection","Prosthesis fracture or screw loosening","Soft-tissue recession or peri-implantitis","Orbital or nerve injury (rare)"],"pain":"Moderate for 3-5 days, controlled with prescribed analgesics; swelling and bruising peak at 2-3 days.","preparation":["CBCT scan and clinical assessment of zygomatic bone and sinuses","Treatment of oral infections and extraction planning","Stop smoking before and after surgery","Pre-operative blood tests and anesthesia assessment","Digital planning of implant positions and provisional bridge"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, bruising and mild nasal bleeding; provisional fixed bridge in place.","restrictions":["Soft or liquid diet","No nose blowing","Rest with head elevated"]},{"phase":"Days 4-14","description":"Swelling subsides; wound check before flying home, sutures dissolve or are removed by the surgeon or home dentist.","restrictions":["Soft diet","Sneeze with mouth open","Gentle hygiene only"]},{"phase":"Weeks 2-12","description":"Osseointegration under provisional bridge.","restrictions":["Avoid hard or chewy foods","Avoid strenuous exercise early"]},{"phase":"Months 4-8","description":"Final prosthesis fitted after healing is confirmed.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to ordinary daily function on a soft diet."},"result_longevity":"Implants can last many years with good hygiene and maintenance; the prosthesis usually needs periodic repair or replacement.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant removal or replacement, or surgical re-intervention, within 5 years; prosthetic repairs not counted."},"scars":"No visible facial scars; intraoral incisions heal inside the mouth.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgery with immediate provisional, then final prosthesis fitting."},"stages":[{"code":"surgery_provisional","label":"Zygomatic implant surgery with immediate provisional bridge","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"final_prosthesis","label":"Final fixed prosthesis","after":{"min":120,"max":240,"unit":"days","qualifier":"After osseointegration and healing."}}],"qualifier":"Two visits: immediate-load surgery, then final prosthesis after healing."},"success":{"metric":"Zygomatic implant survival","value":95,"unit":"percent","horizon":"5 years","population":"Adults with severely atrophic maxilla receiving two zygomatic implants with immediate fixed bridge","evidence_status":"limited"},"techniques":[{"name":"Zygomatic implants with extra-sinus path","suits_whom":"Marked lateral maxillary concavity, preference to avoid sinus passage","recovery":"Similar recovery; less sinus irritation risk."},{"name":"Quad zygoma (four zygomatic implants)","suits_whom":"Very severe maxillary atrophy with no anterior bone","recovery":"Slightly longer swelling and surgery time."},{"name":"Zygomatic with two anterior conventional implants","suits_whom":"Sufficient anterior bone","recovery":"Similar recovery to All-on-2."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Surgery plus immediate provisional bridge fitting."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of upper jaw (if available)","Front and side facial photos","Smile and intraoral photos","Records of sinus problems or prior sinus surgery","List of blood thinners"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery trip with immediate bridge, stay 5-7 days; second trip months later for final prosthesis."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Get a doctor's second opinion on whether the treatment is necessary and which options exist","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":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","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":"C3","text":"Check that you can ask the treating 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":"C4","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"C5","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":"C6","text":"Check how your aftercare will be coordinated after 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abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision about treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The surgeon says the procedure is no more complicated than conventional dental implant placement","scope":"procedure","source":{"url":"https://www.cuh.nhs.uk/patient-information/sinus-lift-procedures/","host":"cuh.nhs.uk","quote":"The surgery is more complicated compared with conventional dental implant placement and not all surgeons can provide it.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The offer does not provide an opportunity to discuss treatment with a dentist or clinician before 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