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had.","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":"surgery","fields":{"anesthesia":["local","local_sedation","general"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Dental ridge graft; desk work sooner, physical work later; swelling and extent of grafting move it."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Any complication within 3 months, mostly minor swelling, membrane exposure or infection; serious ones under 3%."},"contraindications":["Active infection at the graft or donor site","Uncontrolled diabetes or other conditions that markedly impair healing","Active smoking or nicotine use (relative; strongly impairs graft integration)","Severe systemic illness making anesthesia or surgery unsafe","Ongoing radiotherapy or osteoradionecrosis history (relative, site-dependent)","High-dose IV bisphosphonates or antiresorptives (relative; medical review)","Poor soft-tissue coverage or blood supply at recipient site"],"days_in_clinic":{"min":7,"max":10,"unit":"nights","qualifier":"Nights in destination until first wound check; no overnight clinic admission."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise avoided until early wound healing; graft size and surgeon clearance move it."},"final_result_months":{"min":4,"max":9,"unit":"months","qualifier":"Time for graft integration before implant placement; depends on graft material and defect size."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After first wound check; depends on swelling, sinus involvement and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":5,"max":7,"unit":"days","qualifier":"Early check of wound and swelling before flight home."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":7,"max":10,"unit":"days","qualifier":"Removal of non-resorbable sutures if used, before flight home."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":90,"max":120,"unit":"days","qualifier":"Imaging to assess graft integration."},"requirement":"routine"},{"purpose":"result_review","after":{"min":120,"max":270,"unit":"days","qualifier":"CBCT review before implant placement."},"requirement":"routine"}],"indications":["Bone defects or loss from trauma, tumor resection or infection","Fracture nonunion or delayed union","Alveolar ridge deficiency before dental implant placement","Periodontal bone defects or sinus floor augmentation","Spinal fusion","Joint reconstruction or arthrodesis requiring bone stock"],"main_risks":["Infection","Graft resorption, failure or non-integration","Bleeding or hematoma","Donor-site pain, numbness or morbidity when autograft is used","Nerve or adjacent structure injury","Wound dehiscence or delayed healing","Need for repeat surgery","Anesthesia-related risks"],"pain":"Usually moderate in the first days after surgery and controlled with standard analgesics; autograft donor sites such as the iliac crest can be more painful and for longer than the recipient site.","preparation":["Exam and imaging (X-ray, CT or CBCT) for graft planning","Medical history and fitness review","Stop smoking before and after surgery","Fasting if general or sedation anesthesia is planned","Discuss graft material choice (autograft, allograft, xenograft or synthetic)","Arrange transport home and aftercare"],"recovery_timeline":[{"phase":"Days 1-3","description":"Swelling, mild bruising and moderate pain controlled with standard analgesics.","restrictions":["Soft cold diet","No brushing at graft site","No smoking"]},{"phase":"Days 4-14","description":"Swelling subsides and gum begins to heal; sutures are removed or resorb.","restrictions":["Avoid 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gum.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One grafting surgery for a single site."},"stages":[{"code":"graft_surgery","label":"Bone graft surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}},{"code":"integration_review","label":"Imaging review of graft integration","after":{"min":120,"max":270,"unit":"days","qualifier":"Depends on graft material and defect size."}}],"qualifier":"Single grafting surgery, followed by a healing period before implant placement."},"success":{"metric":"Graft integration allowing successful implant placement","value":90,"unit":"percent","horizon":"4-9 months after grafting","population":"Adults with dental ridge deficiency grafted before implant placement","evidence_status":"limited"},"techniques":[{"name":"Autograft (patient's own bone)","suits_whom":"Larger or critical defects, or nonunions, where the best biological healing is needed.","recovery":"Adds donor-site recovery and 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travel."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether follow-up care will be 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}},{"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 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swelling","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus or drainage around the surgery site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Infection signs like skin discoloration, pus, drainage or a feeling of warmth around your surgery site","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21727-dental-bone-graft","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees Fahrenheit (38.3 degrees Celsius) or higher.","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":"Tells the home doctor how pain and complication risk are 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stolen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Bring prescription medication into Dominican Republic in its original labeled packaging","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Take your prescription medication in the original labeled packaging.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"all","volatile":false,"text":"Carry a copy of your doctor's prescription when traveling to Dominican Republic with medication","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Bring a copy of your doctor’s 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