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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}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":3,"unit":"days","qualifier":"Flap surgery or gingivectomy of a few sextants; office work resumes within days, longer if extensive."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any postoperative complication (bleeding, infection, marked sensitivity, delayed healing) within 4 weeks; serious ones rare."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes, severe cardiovascular disease)","Recent myocardial infarction or stroke (elective surgery usually deferred)","Active acute oral infection (usually treated first)","Bleeding disorders or anticoagulation not medically managed (relative)","Pregnancy (elective surgery usually deferred)","Prior head and neck radiotherapy or bisphosphonate therapy (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient dental procedure; 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 usually avoided for several days to a week after periodontal flap surgery."},"final_result_months":{"min":1,"max":6,"unit":"months","qualifier":"Gingival healing and tissue maturation after periodontal flap surgery or gingivectomy; varies by extent and technique."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Flying usually allowed once bleeding settles; longer after extensive surgery, grafting or suture check."},"follow_up_visits":[{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"After surgery, if non-resorbable sutures or dressing were used."}},{"purpose":"wound_check","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Healing and hygiene review after surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Periodontal reassessment and maintenance planning."}}],"indications":["Periodontitis with residual deep pockets after non-surgical therapy","Gingival overgrowth or enlargement","Need for crown lengthening","Gum recession requiring grafting","Excessive gingival display (gummy smile)"],"main_risks":["Postoperative pain and swelling","Bleeding","Infection","Tooth sensitivity","Gingival recession or root exposure","Incomplete healing or recurrence of disease","Tooth mobility temporarily"],"pain":"Little pain during the procedure under local anesthesia; mild to moderate soreness for 2-5 days, usually controlled with over-the-counter analgesics.","preparation":["Dental examination, periodontal charting and radiographs","Initial scaling, root planing and oral hygiene instruction","Review of medical history and current medications with the dentist","Stop smoking if possible","Eat before the visit unless advised otherwise"],"recovery_timeline":[{"phase":"First 48 hours","description":"Numbness wears off; swelling, mild bleeding and soreness are common.","restrictions":["Soft cool foods","No vigorous rinsing or spitting","Avoid brushing the surgical site"]},{"phase":"Days 3-14","description":"Swelling subsides; sutures or dressing removed at about 1-2 weeks; gentle chlorhexidine rinse often used.","restrictions":["Avoid hard or crunchy foods on the surgical side","No smoking","Avoid strenuous exercise for about one week"]},{"phase":"Weeks 2-6","description":"Gum tissue matures and normal brushing is gradually resumed.","restrictions":["Use soft brush and gentle technique near site"]},{"phase":"Months 1-6","description":"Final tissue remodeling and stable gum contour.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":5,"unit":"days","qualifier":"Soreness lasts 2–5 days; avoid strenuous exercise and hard or hot foods longer. Palate graft site: about a week."},"result_longevity":"Depends on oral hygiene, smoking status and regular periodontal maintenance; results can be maintained long term with good care, but disease may recur without it.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Retreatment of persistent or recurrent pockets at treated sites within 5 years, depending on hygiene and smoking."},"scars":"No external scars; intraoral healing may leave minor gum contour changes or slight recession.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One surgical visit per treated area; a full mouth is often split into sections treated at separate visits."},"stages":[{"code":"gum_surgery","label":"Gum surgery (e.g., flap surgery or gingivectomy) under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at first surgical visit."}}],"qualifier":"Based on a typical surgery of one or a few areas; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Mean probing pocket depth reduction at treated deep sites","value":2.5,"unit":"mm","horizon":"6-12 months after surgery","population":"Adults with periodontitis and residual deep pockets after non-surgical therapy","evidence_status":"limited"},"techniques":[{"name":"Flap surgery (pocket reduction)","suits_whom":"Periodontitis with persistent deep pockets","recovery":"Soreness for several days; sutures removed at 1-2 weeks."},{"name":"Gingivectomy / gingivoplasty","suits_whom":"Gingival overgrowth or cosmetic reshaping","recovery":"Open wound heals in 1-2 weeks, often with a dressing."},{"name":"Crown lengthening","suits_whom":"Insufficient tooth structure for restoration or excessive gum display","recovery":"Healing about 4-8 weeks before final restoration."},{"name":"Gingival graft for recession","suits_whom":"Gum recession with root exposure","recovery":"Longer recovery of 2-4 weeks, with donor site discomfort if palatal graft."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per surgical visit for one or a few areas (e.g., one quadrant or sextant); varies by extent."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of affected teeth","Close-up photos of gums, front and sides","Periodontal chart with pocket depths (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One surgical visit for few areas; suture check may need return at 7-14 days. Full-mouth may need second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon's specialist training in periodontics after dental school","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/articles/23461-periodontics-periodontist","host":"my.clevelandclinic.org","quote":"After going to a four-year dental school, they receive three additional years of focused training in periodontics.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that the surgeon routinely performs gum surgeries","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/articles/23461-periodontics-periodontist","host":"my.clevelandclinic.org","quote":"A periodontist routinely performs gum surgeries.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","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":"C4","text":"Check you can put your questions about the treatment to the team","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":"2026-11-12","http_status":200}},{"id":"C5","text":"Check you are satisfied with the facilities and standards at the clinic","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":"2026-11-12","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 recession.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"techniques":[{"id":"flap-surgery","name":"Flap surgery (pocket reduction)","how_it_works":{"id":"H1","text":"Gums are repositioned and sutured into place","source":{"url":"https://my.clevelandclinic.org/health/articles/treating-gum-disease","host":"my.clevelandclinic.org","quote":"Finally, they'll reposition your gums and suture them into place.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.healthline.com/health/dental-and-oral-health/periodontal-surgery","host":"healthline.com","quote":"You should be able to resume many normal activities about a day after your procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Periodontitis with persistent deep pockets","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Soreness for several days; sutures removed at 1-2 weeks."},{"id":"gingivectomy","name":"Gingivectomy / gingivoplasty","how_it_works":{"id":"H1","text":"Surgery removes excess or overgrown gum tissue","source":{"url":"https://my.clevelandclinic.org/health/treatments/24749-gingivectomy","host":"my.clevelandclinic.org","quote":"Gingivectomy is surgery to remove excess or overgrown gum tissue (gingiva).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Gingival overgrowth or cosmetic reshaping","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Open wound heals in 1-2 weeks, often with a dressing."},{"id":"crown-lengthening","name":"Crown lengthening","how_it_works":{"id":"H1","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"},"suits_whom":"Insufficient tooth structure for restoration or excessive gum display","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Healing about 4-8 weeks before final restoration."},{"id":"gingival-graft","name":"Gingival graft for recession","how_it_works":{"id":"H1","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 recession.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Gum recession with root exposure","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer recovery of 2-4 weeks, with donor site discomfort if palatal graft."}],"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 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immigration officer on arrival.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"U.S. citizens do not need a Colombian visa for tourism or business if staying for 90 days or less.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"To enter Colombia, a British citizen's passport must be valid on the day of entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/entry-requirements","host":"gov.uk","quote":"To enter Colombia, your passport must be valid on entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"Non-Colombian citizens must show a valid U.S. passport to enter and leave Colombia","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must show a valid U.S. passport to enter and leave Colombia if you are not a Colombian citizen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medications in original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"You must carry prescription medications in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Hospitals and doctors in Colombia may ask for payment upfront before admission","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Colombia.html","host":"travel.state.gov","quote":"Hospitals and doctors may ask for payment upfront before admission.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 123 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/colombia/health","host":"gov.uk","quote":"Call 123 and ask for an 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pour votre Chirurgie des gencives en Colombie ?","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Chirurgie des gencives en Colombie : 22 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de chirurgie des gencives en Colombie","kind":"content"},{"text":"Obtenez une Évaluation Médicale pour Votre Chirurgie des gencives en Colombie : Consultez Maintenant 24 Médecins Expérimentés","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}