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"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":5,"rehabilitation_days":7,"satisfied_percent":78,"treatment_duration_hours":2},"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"],"back_to_work_days":{"min":0,"max":2,"unit":"days","qualifier":"For limited gingivectomy (few teeth or one sextant); desk work often resumes same or next day."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any minor complication (bleeding, sensitivity, delayed healing, infection) within 4 weeks; serious ones under 1%."},"contraindications":["Insufficient attached gingiva; removal would compromise remaining tissue","Pockets with infrabony defects needing flap or regenerative surgery","Uncontrolled bleeding disorders or uncoordinated anticoagulation","Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Active acute gingival or periodontal infection"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental procedure with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise is usually avoided for several days to about a week to limit bleeding."},"final_result_months":{"min":1,"max":2,"unit":"months","qualifier":"Gingival contour and tissue maturation after secondary-intention healing; varies with extent."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Flying is usually allowed after bleeding settles and a first check; extent of surgery and any dressing affect timing."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"Early check of bleeding and dressing before flying, if needed."}},{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Dressing or pack removal if used, and healing check."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, contour and plaque control."}}],"indications":["Gingival enlargement or overgrowth (e.g., drug-induced, inflammatory, or fibrous)","Suprabony pockets with adequate attached gingiva, no bone defect","Excess gingival tissue interfering with hygiene or access","Gingival contour correction, including gummy smile, with appropriate bone position","Exposing tooth structure for restorative access (selected cases)"],"main_risks":["Postoperative bleeding","Pain and tooth sensitivity","Infection or delayed healing","Gingival recession or loss of attached gingiva","Recurrence of overgrowth, especially with persistent plaque or causative drugs","Unsatisfactory contour"],"pain":"Mild to moderate discomfort for a few days, since the wound heals by secondary intention. Usually controlled with standard over-the-counter analgesics.","preparation":["Periodontal exam and radiographs confirming no bone defect, adequate gingiva","Prior scaling and oral hygiene instruction if needed","Review of medical history and medications with the dentist","Eat normally unless sedation is planned; follow clinic instructions"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Mild bleeding and soreness; periodontal dressing may be placed.","restrictions":["Avoid hot, hard or spicy foods","No vigorous rinsing","Avoid strenuous activity"]},{"phase":"Days 3-14","description":"Surface re-epithelialization with decreasing discomfort; gentle cleaning resumes with antimicrobial rinse as advised.","restrictions":["Avoid brushing the surgical area until advised","Soft diet","Avoid strenuous exercise"]},{"phase":"Weeks 3-8","description":"Tissue maturation and final contour stabilize.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":14,"unit":"days","qualifier":"Return to comfortable eating and normal oral hygiene for a limited gingivectomy; complete tissue maturation takes longer."},"result_longevity":"Can be long-lasting with good plaque control and periodontal maintenance; recurrence is possible if the cause (plaque, medication) persists.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat gingival surgery for recurrence or inadequate contour within 1-2 years; higher with persistent plaque or drugs."},"scars":"No visible external scar; the intraoral wound heals by secondary intention with typically inconspicuous gingival contour.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one surgical visit; a second may be used for other quadrants or sextants."},"stages":[{"code":"gingivectomy","label":"Gingivectomy procedure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial surgical visit."}}],"qualifier":"Treatment appointments only; follow-up checks are listed separately."},"success":{"metric":"Pocket reduction or contour correction maintained without recurrence","value":85,"unit":"percent of patients","horizon":"12 months","population":"Adults with suprabony pockets or fibrous enlargement, adequate attached gingiva, good plaque control","evidence_status":"limited"},"techniques":[{"name":"Scalpel (blade) gingivectomy with external bevel incision","suits_whom":"Suprabony pockets or fibrous enlargement with adequate attached gingiva","recovery":"Healing by secondary intention over about 2-4 weeks; dressing is optional."},{"name":"Laser gingivectomy (soft-tissue laser)","suits_whom":"Limited tissue reshaping or contouring, with less bleeding","recovery":"Similar healing; often less intraoperative bleeding, but with tissue-thermal effect risk."},{"name":"Electrosurgical gingivectomy","suits_whom":"Selected contouring cases away from bone","recovery":"Similar healing; care is needed to avoid heat damage to tissue and bone."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per visit for a limited area (a few teeth to one sextant); larger areas take longer."},"initial_assessment_documents":["Close-up photos of the gums, front and side","Periapical X-rays of affected teeth","Panoramic dental X-ray (OPG)","Periodontal pocket chart (if available)","List of blood thinners and gum-enlarging medications"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single surgical visit; stay 3-5 days covers the procedure and early check. 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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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that won't stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24749-gingivectomy","host":"my.clevelandclinic.org","quote":"Bleeding that won't stop","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pus or drainage from the surgical site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24749-gingivectomy","host":"my.clevelandclinic.org","quote":"Pus or drainage coming out of the surgical site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever higher than 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24749-gingivectomy","host":"my.clevelandclinic.org","quote":"A fever higher than 101 degrees Fahrenheit (38.3 degrees 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