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естественной реставрации.</p>"},"1316":{"operation":{"name":"Металлокерамическая коронка","alias":"metallokeramicheskaya-koronka","use_for_listing":false},"country_price":{"GB":{"amount":550,"max_amount":1300,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":1000,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":100,"max_amount":200,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":200,"max_amount":550,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"PL":{"amount":350,"max_amount":700,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"GB":true,"US":false,"TR":true,"TH":true,"PL":false},"description":"<p>Это стоматологическая операция, в ходе которой прочный металл и эстетически приятная керамика используется для восстановления поврежденных зубов с целью улучшения их функциональности и внешнего вида.</p>"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":2,"days_in_country":8,"rehabilitation_days":1,"satisfied_percent":78,"treatment_conditions":"outpatient","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":1,"unit":"days","qualifier":"Single-tooth crown; most people resume work the same or next day once the anesthesia wears off."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any biological or technical complication within about 5 years: sensitivity, chipping, debonding, caries or pulp problems; serious ones are rarer."},"contraindications":["Insufficient tooth structure for a core build-up (relative)","Untreated decay, infection or periodontal disease (treat first)","Allergy to crown material or anesthetic (relative; alternatives exist)","Severe untreated bruxism (relative; fracture risk, may need protective measures)","Uncontrolled oral hygiene problems or unstable bite (relative until addressed)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental procedure for one tooth; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":0,"unit":"weeks","qualifier":"Normal exercise can usually resume the next day as comfort allows."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Result is evident once the permanent crown is cemented and the bite adjusted; gum tissue settles over a few weeks."},"fly_home_after_days":{"min":0,"max":2,"unit":"days","qualifier":"Same-day flying is usually possible; waiting 1–2 days allows a bite check. Delay after extraction, infection or pain."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Optional check of bite, comfort and gum health after cementation; timing varies by clinic."}}],"indications":["Heavily decayed tooth with insufficient structure for a filling","Cracked or fractured tooth","Tooth after root canal treatment needing coverage","Worn, discolored or malformed tooth needing restoration with aesthetic demands","Replacement of a failing old crown or large filling","Covering a dental implant (implant-supported crown)"],"main_risks":["Tooth sensitivity after preparation","Need for root canal treatment if the pulp is irritated","Chipping or fracture of the porcelain","Crown loosening or debonding","Gum irritation or recession at the margin","Secondary decay under the crown margin","Bite discomfort needing adjustment"],"pain":"Little or no pain during treatment under local anesthesia; mild soreness and temperature sensitivity for a few days afterward, usually managed with simple analgesics.","preparation":["Dental examination and X-rays to assess the tooth and roots","Treat active decay, infection or gum disease beforehand","Discuss shade and material choice","Maintain good oral hygiene before the visit","Inform the dentist about allergies, medications and medical conditions","Discuss procedure, visits, cost and temporary crown care"],"recovery_timeline":[{"phase":"Day of tooth preparation","description":"Tooth is shaped under local anesthesia, impression or digital scan taken and a temporary crown placed.","restrictions":["Avoid chewing until numbness resolves","Avoid sticky or hard foods on the temporary crown"]},{"phase":"Interim period","description":"Laboratory or in-house fabrication of the porcelain crown while the temporary crown protects the tooth.","restrictions":["Avoid sticky or hard foods","Careful flossing around the temporary"]},{"phase":"Cementation visit and first days","description":"Permanent crown is tried in, adjusted and cemented; mild sensitivity may persist for a few days.","restrictions":["Avoid very hard foods briefly if sensitive"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery after the cementation visit for one tooth; mild sensitivity may last a little longer."},"result_longevity":"Porcelain crowns commonly last many years, often a decade or more, depending on oral hygiene, bite forces, grinding habits and the underlying tooth.","revision_rate_pct":{"min":5,"max":7,"unit":"percent","qualifier":"About 5–7% of single all-ceramic crowns need replacement within 5 years; rate rises with longer follow-up."},"scars":"No scars: the procedure is done on the tooth with no skin incision, and the crown margin sits at or near the gum line, where it is not visible as a scar.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"One tooth, conventional workflow: preparation visit and cementation visit; single-visit chairside milling is a variant."},"stages":[{"code":"preparation","label":"Tooth preparation, impression or scan, temporary crown","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit"}},{"code":"cementation","label":"Try-in, adjustment and cementation of the permanent porcelain crown","after":{"min":7,"max":21,"unit":"days","qualifier":"After fabrication in the laboratory"}}],"qualifier":"Describes treatment appointments for one tooth only."},"success":{"metric":"Crown survival (crown still in service, no replacement)","value":93,"unit":"percent","horizon":"5 years","evidence_status":"proven","population":"Adults with single tooth-supported all-ceramic crowns."},"techniques":[{"name":"Conventional crown with laboratory fabrication","suits_whom":"Most patients needing a crown on one tooth","recovery":"Two visits with a temporary crown in between; minimal downtime."},{"name":"Same-day chairside milled (CAD/CAM) ceramic crown","suits_whom":"Patients whose clinic offers in-office milling and who prefer a single visit","recovery":"Single longer visit; similar minimal downtime."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per appointment for one tooth; the preparation visit is typically longer than the cementation visit."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","Clear photos of the affected tooth and bite","Previous dental treatment records for the tooth (if available)","Intraoral scan or dental impression (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Lab crown needs two visits 7-21 days apart; same-day milled crown needs one trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the dentist takes a complete, accurate medical and dental history before treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"Maintaining a complete, accurate medical and dental health history is essential before diagnosing or treating any patient.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the dentist personally reviews your current health history, not only the staff","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"While staff can assist patients with completing or updating their forms, the dentist is ultimately responsible for obtaining, maintaining, and reviewing current health histories.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the person who performs your treatment documents it in your record","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Whomever performs the treatment should document it in the record.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you have signed off on your treatment plan and on any changes to it","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Audits allow you to confirm that patients have signed off on treatment plans and confirm that any changes in care from the original plan were discussed and approved.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the dentist explains the proposed treatment and reasonable alternatives so you can participate in decisions","scope":"treatment_type","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1001&context=codeethics","host":"commons.ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic plans treatment without taking your medical and dental history first","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"Maintaining a complete, accurate medical and dental health history is essential before diagnosing or treating any patient.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"You are not given a treatment plan to sign off on before treatment starts","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Audits allow you to confirm that patients have signed off on treatment plans and confirm that any changes in care from the original plan were discussed and approved.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A consultation does not explain reasonable alternatives to the proposed crown treatment","scope":"procedure","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1001&context=codeethics","host":"commons.ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"F4","text":"The dentist cannot provide treatment records or copies that would benefit future treatment","scope":"treatment_type","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1001&context=codeethics","host":"commons.ada.org","quote":"Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chipping or fracture of the ceramic crown","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Ceramics, however, have a susceptibility to fracture and chipping, but bonded to metal provide durability and strength.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Crown debonding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Chipping was the most frequent reported complication, with a rate of 4%; while debonding, discoloration, and endodontic shared a complication rate of 2%.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Sudden difficulty breathing or chest pain","urgency":"emergency","general":true,"source":{"url":"https://www.nhs.uk/conditions/pulmonary-embolism/","host":"nhs.uk","quote":"difficulty breathing that comes on suddenly, chest pain that's worse when you breathe 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