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anesthesia","evidence_status":"limited"},"techniques":[{"name":"Flap-based surgical extraction with bone removal","suits_whom":"Impacted, ankylosed or badly broken-down teeth requiring access to the root.","recovery":"Typically 5-10 days of swelling and discomfort."},{"name":"Tooth sectioning (odontectomy) without a flap","suits_whom":"Multi-rooted or divergent-root teeth that can be reached without raising a flap.","recovery":"Typically a few days of mild to moderate discomfort."},{"name":"Retained root fragment removal","suits_whom":"Broken roots or root tips left after fracture or earlier extraction.","recovery":"Usually similar to or shorter than a standard extraction."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Single tooth or root, including anesthesia; more complex impactions may take longer."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","3D CBCT scan (if available)","Photos of the tooth and surrounding gums","List of blood thinners and bisphosphonates"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit extraction under local anesthesia; stay 7-14 days if suture removal and wound check are done before departure."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","http_status":200}},{"id":"C4","text":"Check that you are clear about how your aftercare will be coordinated","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":"2026-11-13","http_status":200}},{"id":"C5","text":"Ask the treating team questions about your 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell is a warning sign before booking treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Continuous bleeding that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.wchc.nhs.uk/resources/advice-after-tooth-extractions/","host":"wchc.nhs.uk","quote":"There is continuous bleeding not stopped by the advice in this leaflet.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Pain not improving after 3 days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.wchc.nhs.uk/resources/advice-after-tooth-extractions/","host":"wchc.nhs.uk","quote":"The pain is not improving/getting worse after 3 days.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Dry socket a few days after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3563-oral-surgery-leaflet-removal-of-mandibular-wisdom-teeth","host":"ashfordstpeters.nhs.uk","quote":"Dry socket, which causes increasing pain a few days after surgery","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs aftercare details to continue care","document":"written aftercare instructions","source":{"url":"https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/advice-for-patients-having-a-tooth-removed/","host":"gloshospitals.nhs.uk","quote":"Full details for aftercare will be given following the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"T3","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":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You are willing to keep the tooth in place untreated","name":"Leaving the tooth untreated","source":{"url":"https://oxfordhealth.nhs.uk/leaflets/title/oxfordshire-community-dental-service-removal-of-teeth/","host":"oxfordhealth.nhs.uk","quote":"The alternative to surgery is to leave the tooth/teeth in place with no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"The roots of your tooth are very close to a nerve","name":"Coronectomy","source":{"url":"https://www.ashfordstpeters.nhs.uk/leaflets/3563-oral-surgery-leaflet-removal-of-mandibular-wisdom-teeth","host":"ashfordstpeters.nhs.uk","quote":"pain relief such as paracetamol or ibuprofen, antibiotics and mouth rinses for short-term treatment of infection, removal of the gum flap over the tooth (operculectomy), removal of the crown only (coronectomy) if the roots are very close to a nerve.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"flap-based-surgical","name":"Flap-based surgical extraction with bone removal","how_it_works":{"text":"Gum is raised back to reveal the tooth and bone","source":{"url":"https://www.newcastle-hospitals.nhs.uk/resources/surgical-removal-of-teeth/","host":"newcastle-hospitals.nhs.uk","quote":"The gum is then raised up and pushed back like the blind of a window in order to reveal the underlying tooth and bone.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.nhs.uk/tests-and-treatments/wisdom-tooth-removal/","host":"nhs.uk","quote":"You can usually go back to your normal activities the day after having wisdom teeth removed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"tooth-sectioning-without","name":"Tooth sectioning (odontectomy) without a flap","how_it_works":{"text":"The tooth is divided into smaller sections for removal","source":{"url":"https://oxfordhealth.nhs.uk/leaflets/title/oxfordshire-community-dental-service-removal-of-teeth/","host":"oxfordhealth.nhs.uk","quote":"The tooth might be divided into smaller sections to make it easier to remove.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"retained-root-fragment","name":"Retained root fragment 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