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Urgent care for facial swelling or fever.","restrictions":["Don't skip wear or force ill-fitting aligners on","Keep the previous set until assessed"]}],"rehabilitation_days":{"min":0,"max":3,"unit":"days","qualifier":"Ordinary adaptation to speech and discomfort with the first aligners; no formal rehabilitation."},"result_longevity":"Results are generally stable long term only with consistent retainer wear; teeth can shift over time without retention.","revision_rate_pct":{"min":30,"max":60,"unit":"percent","qualifier":"Adults needing at least one refinement aligner series during or just after the initial course; excludes retainer replacement."},"scars":"Treatment is non-surgical, so there are no scars; the only marks are small tooth-coloured attachments bonded to the teeth, which are removed at the end of treatment.","sessions_or_stages":{"sessions":{"min":5,"max":15,"unit":"visits","qualifier":"Planned in-person visits only, with reviews every 6-12 weeks; fewer if remote. Refinement and retention checks add visits."},"stages":[{"code":"records_planning","label":"Exam, scans/photos, digital plan approval; any cavity or gum treatment first","after":{"min":0,"max":14,"unit":"days","qualifier":"After first consultation; aligner manufacturing may add 2-4 weeks before the fit."}},{"code":"initial_fit","label":"Initial fit: attachments, any planned interproximal reduction, first aligner sets and instructions (0.5-1.5 h)","after":{"min":14,"max":42,"unit":"days","qualifier":"After scan or plan approval, once aligners are manufactured."}},{"code":"progress_checks","label":"Home aligner changes every 1-2 weeks; progress checks every 6-12 weeks (in person or remote) with new sets dispensed","after":{"min":42,"max":90,"unit":"days","qualifier":"First check after the initial fit; later checks repeat at similar intervals."}},{"code":"refinement_if_needed","label":"Conditional refinement: new scan and additional aligner sets if tracking or final alignment is incomplete","after":{"min":150,"max":540,"unit":"days","qualifier":"After the initial fit, when planned sets are nearly complete; not needed in all cases."}},{"code":"finish_retention","label":"Finish: remove attachments, fit retainers, schedule retention checks","after":{"min":180,"max":730,"unit":"days","qualifier":"After the initial fit; retention is a separate long-term phase."}}],"qualifier":"Adult mild-moderate course of about 6-24 months; aligners changed every 1-2 weeks. Sets (about 10-40 per arch) differ from visits."},"success":{"metric":"Patients reaching planned alignment of main treated teeth","value":60,"unit":"percent","horizon":"End of initial aligner course, about 6-24 months","population":"Adults with mild-moderate crowding or spacing treated with clear aligners","evidence_status":"limited"},"techniques":[{"name":"Standard clear aligner therapy with attachments","suits_whom":"Adults with mild-moderate crowding, spacing or bite issues.","recovery":"No downtime; soreness for 2-3 days with each new set."},{"name":"Limited-treatment clear aligners (Lite/Express)","suits_whom":"Minor alignment corrections or mild relapse.","recovery":"No downtime; usually a shorter course with fewer sets and visits."},{"name":"Clear aligners with refinements or auxiliaries (elastics, extra sets)","suits_whom":"More complex cases or incomplete tracking.","recovery":"No downtime; a longer course with added visits and sets."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per fitting appointment (attachments, first aligners); scanning and planning visit similar or shorter. Excludes months of wear."},"initial_assessment_documents":["Front, side and bite photos of teeth","Photos of upper and lower arches","Panoramic dental X-ray (OPG)","Intraoral scan or dental impressions (if available)","Previous orthodontic treatment records (if available)"],"travel_trips":{"min":2,"max":5,"one_trip_possible":false,"qualifier":"Initial fit trip plus 1-4 return trips for checks, refinement, retainers; 2-4 days each. Remote reviews reduce trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check who will carry out the procedure and the facility where it takes place","scope":"treatment_abroad","source":{"url":"https://www.orthoinfo.org/en/treatment/what-to-know-about-medical-tourism","host":"orthoinfo.org","quote":"Research the clinician and facility who will be doing the procedures.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check whether follow-up care is scheduled 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":"C3","text":"Check the qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the dentist obtains, maintains, and reviews your current health history","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"The dentist is ultimately responsible for obtaining, maintaining, and reviewing current health histories.","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":"Pressure to make a quick decision before booking is a warning sign","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-12","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 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x-rays","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"A dentist has the ethical obligation on request of either the patient or the patient's new dentist to furnish in accordance with applicable law, either gratuitously or for nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-12","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 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teeth.","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":"standard-clear-aligner","name":"Standard clear aligner therapy with attachments","how_it_works":{"text":"Custom clear plastic devices reposition crowded or crooked teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/clear-aligners","host":"my.clevelandclinic.org","quote":"Clear aligners are clear, custom-made plastic devices that fix crowded or crooked teeth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"limited-treatment-clear","name":"Limited-treatment clear aligners (Lite/Express)","how_it_works":{"text":"Aligners treat some types of mild to moderate bite 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