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weeks.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Implant placement, then abutment and crown after healing."},"stages":[{"code":"implant_placement","label":"Implant placement surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit."}},{"code":"crown_fitting","label":"Abutment and final crown fitting","after":{"min":90,"max":180,"unit":"days","qualifier":"After osseointegration."}}],"qualifier":"Standard two-stage protocol for one implant."},"success":{"metric":"Implant survival","value":95,"unit":"percent","horizon":"10 years","population":"Healthy adults with adequate bone receiving a single implant","evidence_status":"proven"},"techniques":[{"name":"Two-stage endosteal implant","suits_whom":"Most patients, especially with limited bone or need for grafting.","recovery":"Healing 3-6 months before crown."},{"name":"Single-stage (immediate loading) implant","suits_whom":"Patients with good bone and stable implant placement.","recovery":"Temporary crown placed at once; final crown after 3-4 months."},{"name":"Immediate implant after extraction","suits_whom":"Intact socket without active infection.","recovery":"Similar to standard; fewer surgeries."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"For one implant placement."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","3D dental CBCT scan (if available)","Photos of the gap and neighboring teeth","List of blood thinners and bisphosphonates","HbA1c result for diabetes (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two-stage protocol: placement trip of 2-4 days, then crown trip of 3-5 days after 3-6 months."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the provider who fits the implant is a qualified dentist","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"Qualified dentists fit your dental implant.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask which consultant is responsible for your care, since more than one dentist may treat you","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"A consultant is responsible for your care, but more than 1 dentist might treat you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Ask whether the team explains any risk that is higher than normal for you","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"The dental team tells you if they think that the risk is higher than normal for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm your remaining teeth and gums are assessed and healthy before implant treatment","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/dental-implants-service/appointments","host":"guysandstthomas.nhs.uk","quote":"Your dentist will also need to confirm that your remaining teeth and gums are healthy and do not need treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Ensure the consultation discusses your condition and treatment options","scope":"procedure","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":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Be wary of an implant offer made without a consultation about your condition and options","scope":"procedure","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":"2026-11-14","http_status":200}},{"id":"F2","text":"Be wary of an implant plan that skips the pre-operative assessment step","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"Having a dental implant usually involves 3 or 4 stages: A pre-operative assessment","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Be wary of an offer that gives every patient the same implant plan","scope":"procedure","source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-implants","host":"guysandstthomas.nhs.uk","quote":"The treatment options are different for each person.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"A loose or wobbly implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"A loose or wobbly implant","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Pus (infection) around the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Pus (infection) around the implant","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Bleeding gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"If you have a dental implant, call your dentist any time you notice: A loose or wobbly implant Bleeding gums","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Swollen gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"If you have a dental implant, call your dentist any time you notice: A loose or wobbly implant Bleeding gums Fever Pus (infection) around the implant Swollen gums","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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}},{"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":"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":"T4","text":"Home doctor needs the dates for required blood tests and follow-up 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}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You accept shaving down neighboring teeth for a bridge","name":"Dental bridge","source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"To replace one missing tooth with a tooth-supported bridge, your dentist must shave down at least one tooth on either side of the gap.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer dentures that rest on your gums","name":"Traditional dentures","source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Dental implants usually last longer than alternatives that replace lost teeth (like traditional dentures that rest on your gums).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"two-stage-endosteal-implant","name":"Two-stage endosteal implant","how_it_works":{"text":"The implant heals first, then the abutment and crown are added","source":{"url":"https://my.clevelandclinic.org/health/treatments/10903-dental-implants","host":"my.clevelandclinic.org","quote":"Once your implant heals, your dentist can attach the abutment (small connector post) and your final restoration (crown, bridge or denture).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"single-stage-implant","name":"Single-stage (immediate loading) 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