Padilla Clinic Dental est un centre dentaire situé à Saint-Domingue, en République dominicaine. Il se concentre sur l'implantologie, la réhabilitation esthétique et l'orthodontie. La clinique dispose d'un accès exclusif au système Lightouch Láser dans le pays. Cette technologie permet un traitement non chirurgical du ronflement sans incisions ni anesthésie. Elle prend également en charge la thérapie gingivale et l'apicoectomie laser avancée.
La clinique existe depuis plus de 40 ans. Le Dr John Padilla l'a fondée et possède environ 30 ans d'expérience clinique. Il occupe des postes de direction au sein de la Sociedad Dominicana de Implantología Oral. L'équipe médicale a réalisé plus de 15 000 traitements. Les médecins ont été formés aux États-Unis, au Chili et au Brésil. L'établissement utilise la conception numérique du sourire et le scanner intra-oral pour une planification précise.
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load"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery for a single implant; swelling and soreness settle, while chewing on the site stays limited during healing."},"result_longevity":"Well-maintained implants often function for many years, even decades, but longevity depends on oral hygiene, smoking, periodontal health, bite forces and follow-up care.","revision_rate_pct":{"min":2,"max":7,"unit":"percent","qualifier":"Implant failure or re-intervention requiring removal, replacement or further grafting within about 5 years."},"scars":"No visible external scar; small intraoral gingival changes may occur, with possible recession.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Treatment appointments for one implant: placement with immediate provisional crown, then definitive crown; follow-up checks are listed separately."},"stages":[{"code":"placement_provisional","label":"Implant placement (with extraction if needed) and immediate provisional restoration","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure"}},{"code":"definitive_crown","label":"Definitive crown after osseointegration","after":{"min":90,"max":180,"unit":"days","qualifier":"From implant placement"}}],"qualifier":"Typical single-implant protocol; full-arch immediate loading follows a different schedule."},"success":{"metric":"Implant survival with immediate provisional loading","value":95,"unit":"percent","horizon":"5 years","population":"Adults with good bone and adequate primary stability, single implant","evidence_status":"limited"},"techniques":[{"name":"Single implant with immediate provisional crown","suits_whom":"Patients with good bone and primary stability, often in the aesthetic zone, with the provisional kept out of occlusal contact.","recovery":"Soft diet for the first weeks; definitive crown after osseointegration."},{"name":"Immediate placement into extraction socket with immediate loading","suits_whom":"Selected sites without acute infection and with an intact socket wall.","recovery":"Similar to standard single-implant recovery, with closer monitoring of the gum tissue."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"One implant placement with immediate provisional crown; extraction or grafting may add time."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the implant site","Intraoral photos of the missing tooth area","Photos of full smile","List of blood thinners and bisphosphonates","Periodontal or gum treatment report (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Implant and provisional crown placed on trip one (stay 3-7 days); definitive crown on second trip after 3-6 months."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Receive a comprehensive examination before treatment and discuss the available treatment 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protocols.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The offer presents immediate loading without discussing different surgical and loading protocols","scope":"procedure","source":{"url":"https://pages.ada.org/jada-specialty-scan/osseointegration/osseointegration-september-28-2018","host":"pages.ada.org","quote":"No generic implant exists, and there are numerous implant designs with different surface characteristics, as well as different surgical and loading protocols.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The consultation does not include a comprehensive examination before recommending treatment","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news","host":"ada.org","quote":"In all settings, patients should expect to first be comprehensively examined by a dentist and then have a conversation about the range of treatment options available based on the dentist’s diagnosis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The offer discusses financing before discussing treatment options","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news","host":"ada.org","quote":"Any discussion regarding the financing of complex dental procedures, such as implants or full arch implants, should take place only after patients have discussed the range of treatment options with their dentists.","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":"Loose provisional prosthesis screws","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/20711144/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The prosthetic complications in turn comprised loosening of the provisional prosthesis screws, prosthesis tooth fracture, and a lack of passive fit of the immediate prosthesis.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W2","text":"Broken temporary 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appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You still have several 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