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Fix any broken bracket or poking wire before flying."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment; further adjustments every 4-8 weeks during active treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, finishing review and debonding at end of the 12-30 month active course."}},{"purpose":"assessment","requirement":"conditional","after":{"min":393,"max":984,"unit":"days","qualifier":"After bonding; retainer check 4-12 weeks after debonding if retention is prescribed."}}],"indications":["Crowded or crooked teeth","Spacing between teeth","Overbite, overjet, underbite or crossbite","Open bite","Misaligned bite (malocclusion)","Space closure or tooth positioning before restorative or implant treatment"],"main_risks":["Enamel demineralization (white spots) and tooth decay with poor hygiene","Gum inflammation","Soreness and mouth ulcers from brackets and wires","Root resorption (usually mild)","Relapse if retainers are not worn","Broken brackets or wires requiring extra visits"],"pain":"Mild to moderate soreness or pressure for 2-5 days after bonding and after adjustments; cheek or lip irritation is common early on. Usually controlled with simple over-the-counter analgesics and orthodontic wax.","preparation":["Orthodontic exam with X-rays, photographs and digital scans or impressions","Treatment of decay and gum disease before bonding","Professional cleaning","Extractions or spacers if the treatment plan requires","Instruction on oral hygiene and diet during treatment"],"recovery_timeline":[{"phase":"First days after bonding","description":"Teeth and mouth feel sore; adaptation to eating and speaking. Normal walking and daily activity can resume right away.","restrictions":["Soft diet","Use orthodontic wax for irritation"]},{"phase":"Active treatment","description":"Periodic adjustments with brief soreness; gradual tooth movement over about 12-30 months. Exercise allowed, with mouthguard for contact sports.","restrictions":["Avoid hard, sticky and chewy foods","Meticulous brushing and cleaning around brackets","Mouthguard for contact sports"]},{"phase":"Debonding and retention","description":"Braces removed, retainer provided; retention is separate from active treatment and continues long term.","restrictions":["Wear retainers long term"]},{"phase":"At any time","description":"Seek prompt dental review for broken brackets, poking wires or persistent ulcers; urgent care for facial swelling, fever, severe pain or breathing trouble.","restrictions":["Fix a poking wire or broken bracket before travelling"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Time to adapt to eating and speaking after initial bonding."},"result_longevity":"Alignment is generally lasting if retainers are worn as prescribed; without retention, teeth tend to shift over time.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Retreatment or refinement after completed fixed braces, mostly from relapse or poor retainer wear, within about 5 years."},"scars":"Braces involve no incisions and leave no scars; the only possible lasting marks are enamel white-spot lesions if oral hygiene is poor.","sessions_or_stages":{"sessions":{"min":8,"max":30,"unit":"visits","qualifier":"Bonding, adjustment and debonding visits over 12-30 months at 4-8 week intervals; retention checks excluded."},"stages":[{"code":"records_and_prep","label":"Records, planning and dental clearance (decay/gum treatment, cleaning, extractions or spacers if planned)","after":{"min":0,"max":0,"unit":"days","qualifier":"Precedes bonding; no post-bonding offset applies, lead time varies with preparatory care."}},{"code":"bonding","label":"Bonding of brackets and first archwires","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 reference event."}},{"code":"adjustments","label":"Adjustment visits with wire changes, elastics or space closure as needed","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment, then every 4-8 weeks until goals are met."}},{"code":"finishing_debonding","label":"Finishing, debonding and retainer delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, once planned occlusion is achieved; matches 12-30 month active course."}}],"qualifier":"Metal brackets on both arches; adjustments every 4-8 weeks over 12-30 months. Day 0 is bonding."},"success":{"metric":"Substantial improvement in occlusion (PAR score reduction of about 70-80%) at end of active treatment","value":75,"unit":"percent","horizon":"End of active treatment, about 12-30 months","population":"Adolescents and adults with fixed metal brackets and good compliance","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most patients, including teens and adults; durable.","recovery":"Standard adaptation of a few days; visible appliance."},{"name":"Ceramic brackets","suits_whom":"Adults preferring a less visible appliance.","recovery":"Similar adaptation; more prone to staining and bracket fracture."},{"name":"Self-ligating brackets","suits_whom":"Patients wanting easier cleaning and slightly longer visit intervals.","recovery":"Similar adaptation; adjustment visits spaced further apart."},{"name":"Lingual braces","suits_whom":"Patients wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for braces on both dental arches; adjustment visits are shorter (about 20-30 minutes)."},"initial_assessment_documents":["Panoramic dental X-ray","Side skull X-ray (if available)","Front and side facial photos","Intraoral photos of bite and both arches","Dental scans or impressions (if available)"],"travel_trips":{"min":3,"max":10,"one_trip_possible":false,"qualifier":"Trips cover bonding, adjustment blocks and debonding over 12-30 months; adjustments every 4-8 weeks. Each stay is 1-5 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the orthodontic experience of the dentist treating you, since the treatment approach depends on it","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/en/az-topics/b/braces","host":"mouthhealthy.org","quote":"It will depend on the orthodontic experience of your dentist and the severity of your case.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team treating 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":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","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":"2026-11-11","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you go","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision is a warning sign","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":"2026-11-11","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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that doesn't go away with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Pain that doesn't go away with medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Broken wires or brackets","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Broken wires or brackets.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding or infection in your gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Bleeding or infection in your gums.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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 treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","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":"T3","text":"Home doctor needs overseas records, x-rays and scans to continue care","document":"overseas medical records and scans","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your teeth are crooked or crowded","name":"Clear aligners","source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Clear aligners, also known as invisible braces or tooth aligners, are an option for treating crooked or crowded teeth.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":1173}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"metal-brackets","name":"Metal brackets","how_it_works":{"text":"Stainless steel bands, brackets and wires gently shift teeth over time","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Metal braces use stainless steel bands, brackets and wires to gently shift your teeth over time.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ceramic-brackets","name":"Ceramic brackets","how_it_works":{"text":"Tooth-colored brackets and wires blend in with the smile","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"The key difference is that the brackets, wires and ligatures are tooth-colored, so they blend in with your smile.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"self-ligating-brackets","name":"Self-ligating brackets","how_it_works":{"text":"A built-in system holds the archwire in place without elastic ties","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Self-ligating braces use a built-in system to hold the archwire in place,","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lingual-braces","name":"Lingual braces","how_it_works":{"text":"Brackets go on the back surfaces of the teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Lingual braces are similar to traditional braces. But they go on the back surfaces of your teeth instead of the front.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=costa-rica/procedure=breket-sistema/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"country_filter":[{"id":125,"name":"Bulgarie","alias":"bulgaria","iso_code":"BG"},{"id":40,"name":"Mexique","alias":"mexico","iso_code":"MX"},{"id":36,"name":"République de Corée","alias":"republic-of-korea","iso_code":"KR"},{"id":46,"name":"Turquie","alias":"turkey","iso_code":"TR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53920},"manualSeo":[],"updatedAt":"2026-11-12T11:15:32.000Z","activeCountries":["CR","TR","PL","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}