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deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Implant placement and prosthesis stages are normally performed as outpatient visits without hospital stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise resumed after initial healing following implant surgery, as comfort allows and the surgeon agrees."},"final_result_months":{"min":4,"max":9,"unit":"months","qualifier":"Final zirconia prosthesis follows osseointegration (3-6 months) and any provisional phase; immediate loading only shortens functional wait."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"After implant surgery; depends on swelling, bleeding control, wound check, suture removal and whether provisional teeth were fitted."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After implant surgery, with suture removal if non-resorbable sutures used."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of osseointegration and soft tissue before final prosthesis."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":330,"unit":"days","qualifier":"From surgery; about 1 month after final delivery, checking fit and bite."}}],"indications":["Complete edentulism in one jaw","Hopeless dentition (periodontitis, extensive caries, failure) needing full-arch replacement"],"main_risks":["Surgical site infection or peri-implantitis","Implant failure or failed osseointegration","Bleeding, swelling, bruising","Nerve injury (inferior alveolar or mental nerve) or sinus complications","Prosthetic complications such as chipping or fracture, screw loosening","Need for prosthetic adjustment or remake"],"pain":"Surgery is done under anesthesia; moderate soreness and swelling for several days is typical, usually managed with ordinary analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT with treatment planning","Impressions or digital scans and bite records","Treatment of existing infection or periodontal disease","Review of medical history and medications with the surgeon","Smoking cessation advised","Extraction of remaining hopeless teeth, possibly at the same visit"],"recovery_timeline":[{"phase":"First days","description":"Swelling, mild bleeding and soreness after implant placement.","restrictions":["Soft diet","Avoid pressure on the surgical area","Careful oral hygiene as instructed"]},{"phase":"Weeks 1-2","description":"Soft tissue healing; sutures removed if needed; provisional prosthesis adjusted if placed.","restrictions":["Soft diet continued","Avoid strenuous exercise initially"]},{"phase":"Months 3-6","description":"Osseointegration; progression to final impressions and fabrication of the monolithic zirconia prosthesis.","restrictions":["Avoid hard foods on provisional prosthesis"]},{"phase":"Final delivery","description":"Final zirconia bridge fitted and bite checked, followed by regular hygiene and maintenance visits.","restrictions":["Night guard advised if bruxism","Avoid chewing hard objects or ice"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery after implant surgery before returning to normal soft diet and routine; full prosthetic function comes later."},"result_longevity":"Implants often last many years with good hygiene and maintenance, while the prosthesis may need repair or replacement over time; durability varies by patient factors.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant loss or prosthesis remake needing additional surgery or replacement within 5 years."},"scars":"No visible external scars; intraoral gum incisions heal with minimal visible marks.","sessions_or_stages":{"sessions":{"min":3,"max":5,"unit":"visits","qualifier":"Treatment appointments for one arch: planning/preparation, surgery, impressions and try-in, final delivery; excludes routine check-ups."},"stages":[{"code":"surgery","label":"Implant placement (8 implants) with extractions if needed, often with provisional prosthesis","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"impressions","label":"Final impressions or scans and try-in after osseointegration","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery."}},{"code":"final_delivery","label":"Delivery of monolithic zirconia prosthesis","after":{"min":120,"max":270,"unit":"days","qualifier":"From surgery."}}],"qualifier":"Typical staged protocol for one arch; immediate-load and delayed-load protocols differ."},"success":{"metric":"Implant survival rate","value":95,"unit":"percent","horizon":"5 years","population":"Adults with complete edentulism receiving full-arch fixed zirconia prostheses on multiple implants","evidence_status":"proven"},"techniques":[{"name":"Immediate-load protocol with provisional prosthesis, then final monolithic zirconia","suits_whom":"Patients with good primary implant stability and adequate bone.","recovery":"Fixed provisional teeth on day of surgery; final prosthesis after healing."},{"name":"Delayed-load protocol","suits_whom":"Patients with limited bone quality, grafting or low implant stability.","recovery":"Longer period with removable or no provisional before final prosthesis."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Surgical visit for one arch placing 8 implants, with or without extractions; prosthetic visits are shorter."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Front and side photos of face and smile","Photos of current teeth or denture","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two trips of 5-7 days each: surgery, then final delivery after 3-6 months osseointegration."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm that the clinic provides a consultation to discuss your condition and treatment options","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/dental-implants-service/appointments","host":"guysandstthomas.nhs.uk","quote":"Your first appointment will be a consultation to discuss your condition and treatment options.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Confirm that the clinic evaluates whether remaining teeth and gums are healthy and need 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pressures you to make a quick decision","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus around an implant","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/37083903/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Observed complications included implant loss, peri-implantitis, mucositis, purulence, sinus tract formation, oroantral communication, implant fracture, titanium base debonding, ceramic chipping, prosthetic screw fracture or loosening, damage to opposing teeth, and clicking sounds.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W2","text":"A loose prosthetic screw","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/37083903/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Observed complications included implant loss, peri-implantitis, mucositis, purulence, sinus tract formation, oroantral communication, implant fracture, titanium base debonding, ceramic chipping, prosthetic screw fracture or loosening, damage to opposing teeth, and clicking sounds.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","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 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