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with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check that you have two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C7","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"No explanation of possible complications and side effects offered before you book","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":"2026-11-12","http_status":200}},{"id":"F2","text":"Only one consultation with the treating surgeon is offered before surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or website selling surgery as part of a holiday is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Being asked to pay for a hospital you have never seen is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"do not pay for a hospital you have never seen","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that will not 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":"2026-11-12","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":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that does not improve with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24749-gingivectomy","host":"my.clevelandclinic.org","quote":"Pain that doesn't get better with medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","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 Celsius)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lets your home doctor continue the medicines started abroad","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":"2026-11-12","http_status":200}},{"id":"T2","text":"Lets your home dentist see the treated area and continue care","document":"scan and x-ray 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":"2026-11-12","http_status":200}},{"id":"T3","text":"Tells your home dentist what aftercare you were told to follow","document":"aftercare instructions","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/periodontal-gum-surgery","host":"guysandstthomas.nhs.uk","quote":"You can go home after the surgery, but you will need to follow the aftercare instructions given to you by the dentist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your provider recommends laser therapy as an alternative to surgery","name":"Laser periodontal therapy","source":{"url":"https://my.clevelandclinic.org/health/articles/treating-gum-disease","host":"my.clevelandclinic.org","quote":"In some cases, providers recommend laser therapy as an alternative to traditional gum surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your gum disease is mild","name":"Scaling and root planing","source":{"url":"https://www.healthline.com/health/osseous-surgery","host":"healthline.com","quote":"However, root planing and scaling may be recommended in cases of mild gum disease.","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":"flap-surgery","name":"Flap surgery (pocket reduction)","how_it_works":{"text":"Gums are repositioned and sutured into 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(gingiva).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"crown-lengthening","name":"Crown lengthening","how_it_works":{"text":"Crown lengthening reduces gum tissue and sometimes shaves down bone","source":{"url":"https://www.healthline.com/health/crown-lengthening","host":"healthline.com","quote":"Crown lengthening reduces gum tissue and shaves down bone when necessary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"gingival-graft","name":"Gingival graft for recession","how_it_works":{"text":"Tissue from the roof of the mouth moves to the receding area","source":{"url":"https://my.clevelandclinic.org/health/treatments/23504-gum-graft-surgery","host":"my.clevelandclinic.org","quote":"Periodontists commonly take tissue from your palate (the roof of your mouth) and move it to the area of 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