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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 same or next day after the final cementation of a single crown."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Single crown; final function and aesthetics are usually achieved at cementation, with a short adaptation period to the bite."},"fly_home_after_days":{"min":0,"max":21,"unit":"days","qualifier":"0-21 days: same-day milled crown flies after numbness fades; lab-made crown after cementation, 7-21 days."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":7,"max":28,"unit":"days","qualifier":"Optional check of bite and gum comfort after the permanent crown is cemented; timing varies by clinic."}}],"indications":["Failing, fractured, loose or decayed existing crown","Recurrent decay at the crown margin","Worn, chipped porcelain or poorly fitting old crown","Replacement after root canal or build-up if tooth restorable"],"main_risks":["Temporary tooth sensitivity to hot and cold","Bite discomfort or high spot needing adjustment","Gum irritation or inflammation at the margin","Temporary crown loosening or fracture between visits","Pulp inflammation or need for root canal treatment","Recurrent decay under the new crown","Crown loosening, chipping or fracture over time","Damage to underlying tooth during old crown removal"],"pain":"Little or no pain during the procedure under local anesthetic. Mild sensitivity or soreness for a few days afterwards is common and usually responds to simple over-the-counter analgesia.","preparation":["Clinical examination and dental X-ray of the tooth","Assessment of old crown, tooth structure and gum health","Treatment of decay, infection or gum disease first if needed","Discussion of crown material and shade","Inform the dentist about allergies and medical conditions"],"recovery_timeline":[{"phase":"Day of crown removal and preparation","description":"Old crown removed, tooth prepared, temporary crown placed. Numbness fades after a few hours.","restrictions":["Avoid sticky or hard foods on the temporary crown","Avoid chewing on the treated side until numbness resolves"]},{"phase":"Temporary period (about 1-3 weeks)","description":"Wait for the laboratory-made crown. Mild sensitivity is possible.","restrictions":["Gentle brushing and careful flossing around the temporary crown"]},{"phase":"After cementation of the permanent crown","description":"Normal eating usually resumes within a day, with a short bite adaptation period.","restrictions":["Avoid very hard or sticky foods for the first day"]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Ordinary functional adaptation after the final crown is cemented on a single tooth."},"result_longevity":"Variable. Many crowns last roughly 10-15 years or more with good oral hygiene and regular dental checks, but longevity depends on material, tooth condition, bite forces and hygiene.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Crowns removed or remade within 5 years, matching 92-97% survival at that horizon."},"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Conventional laboratory-made single crown: one preparation visit and one cementation visit. Same-day chairside milled crowns may need only one visit."},"stages":[{"code":"remove_old_crown_prepare_temporary","label":"Remove old crown, prepare tooth, take impression or scan and place temporary crown","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit."}},{"code":"cement_permanent_crown","label":"Remove temporary crown and cement permanent crown","after":{"min":7,"max":21,"unit":"days","qualifier":"After laboratory fabrication, counted from the first visit."}}],"qualifier":"Counts treatment appointments for one tooth only; follow-up checks are excluded."},"success":{"metric":"Pooled 5-year survival of tooth-supported single crowns (crown still in function)","value":96,"unit":"percent","horizon":"5 years","evidence_status":"limited","population":"Adults with tooth-supported single crowns (metal-ceramic, zirconia, lithium-disilicate)."},"techniques":[{"name":"Conventional laboratory-made crown (porcelain-fused-to-metal, zirconia or all-ceramic)","suits_whom":"Most patients with a restorable tooth needing a replacement crown.","recovery":"Temporary crown for 1-3 weeks, then permanent cementation with minimal downtime."},{"name":"Same-day chairside CAD/CAM ceramic crown","suits_whom":"Suitable teeth in clinics with in-office milling equipment.","recovery":"Completed in one longer visit; minimal downtime."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"First visit for one tooth: removal, preparation, impression or scan, temporary crown. Cementation visit adds about 0.5-1 hour."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the crowned tooth","Photos of the crown and neighboring teeth","Previous treatment records for the crowned tooth","Dental CBCT scan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Two visits 7-21 days apart can fit one stay of up to three weeks; same-day milled crown needs one visit."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Choose a clinic that records the treatment plan, risks, benefits and alternatives","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Recaps of conversations about the nature of any proposed treatment, the potential benefits and risks associated with that treatment, any alternatives to the treatment proposed, and the potential risks and benefits of alternative treatment, including no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","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}},{"id":"C4","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","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 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offers.","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Cracks or chips in your crown","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Cracks or chips in your crown","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp edges that bother your tongue or gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Sharp edges that bother your tongue or gums","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bad breath or a bad taste","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10923-dental-crowns","host":"my.clevelandclinic.org","quote":"Bad breath or a bad taste","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":"The home dentist needs medication types, doses, directions and refills","document":"medication list","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Medication prescriptions, including types, dose, amount, directions for use and number of refills","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home dentist needs the post-procedure instructions given to the patient","document":"aftercare instructions","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Postoperative or home instructions, or a notation about any pamphlets or reference materials provided","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","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 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direct restorations are generally placed directly onto tooth structure and do not require laboratory preparation.","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":"conventional-laboratory-made","name":"Conventional laboratory-made crown (porcelain-fused-to-metal, zirconia or all-ceramic)","how_it_works":{"text":"Laboratory restorations are made from tooth impressions and placed after several visits","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Direct restoratives may generally be completed within one visit, while indirect restorations are fabricated in a laboratory based on impressions from a patient’s tooth, and usually require several visits to mold, fabricate, and finally place the 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