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dentaire","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local_sedation"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"Desk work after swelling settles; longer if donor site is the chin or ramus and pain persists."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication (exposure, infection, numbness, partial resorption) within 6 months; serious ones under 5%."},"contraindications":["Uncontrolled diabetes","Heavy smoking without willingness to quit","Active infection at recipient or donor site","Recent head and neck radiotherapy","Current IV bisphosphonate or antiresorptive therapy for cancer","Uncontrolled periodontal disease","Immunosuppression or unstable systemic disease"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed under local anesthesia with sedation; patient goes home same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":3,"max":4,"unit":"weeks","qualifier":"Light activity earlier; avoid strenuous exercise and contact sports until soft tissue has healed."},"final_result_months":{"min":4,"max":6,"unit":"months","qualifier":"Graft integration and bone maturation before implant placement."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After first wound check, once swelling is controlled; air pressure is generally tolerated."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":2,"max":3,"unit":"days","qualifier":"Check swelling, bleeding and flap closure."},"requirement":"routine"},{"purpose":"suture_removal","after":{"min":10,"max":14,"unit":"days","qualifier":"Suture removal and soft tissue check."},"requirement":"routine"},{"purpose":"assessment","after":{"min":120,"max":180,"unit":"days","qualifier":"CBCT to assess graft integration before implant placement or screw removal."},"requirement":"routine"}],"indications":["Severe horizontal alveolar ridge deficiency","Combined horizontal and vertical ridge defect","Insufficient bone width for dental implant","Bone loss after tooth extraction, trauma or infection","Ridge defect where particulate grafting is inadequate"],"main_risks":["Swelling, bruising and pain","Wound dehiscence with graft exposure","Infection","Partial graft resorption or failure","Temporary numbness or nerve injury at donor or recipient site","Sinus membrane perforation if upper jaw involved","Bleeding or hematoma"],"pain":"Moderate for 3-5 days, higher at the donor site; controlled with standard analgesics.","preparation":["CBCT scan and dental examination","Treat gum disease and active dental infection","Stop smoking at least 2-4 weeks before","Review of blood thinners and chronic conditions","Antibiotic and antiseptic rinse plan","Arrange soft diet and transport home"],"recovery_timeline":[{"phase":"Days 1-3","description":"Peak swelling and bruising; cold packs, soft diet.","restrictions":["No brushing at surgical site","No pressure on the graft area","Avoid smoking"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures removed around day 10-14.","restrictions":["Soft diet","No removable denture pressure on graft","No heavy exertion"]},{"phase":"Weeks 3-6","description":"Soft tissue healing completes; normal diet resumes gradually.","restrictions":["Avoid contact sports","Gentle chewing away from the site"]},{"phase":"Months 4-6","description":"Graft integrates; CBCT check, then screw removal and implant placement.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Gradual return to normal eating and routine activity."},"result_longevity":"Integrated graft bone is long-lasting with good hygiene and a maintained implant.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Graft failure or need for repeat grafting before implant placement."},"scars":"Intraoral incisions only; no visible scar. Minor gum scarring may remain at the site.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Graft surgery, then implant surgery after healing; possible separate screw-removal visit."},"stages":[{"code":"graft_surgery","label":"Block graft harvest and fixation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"implant_placement","label":"Screw removal and implant placement","after":{"min":120,"max":180,"unit":"days","qualifier":"After graft integration confirmed on CBCT."}}],"qualifier":"Implant placement is a second stage after the graft heals."},"success":{"metric":"Implant placement achieved in grafted ridge without further grafting","value":90,"unit":"percent of patients","horizon":"4-6 months after graft","population":"Adults with severe horizontal ridge deficiency treated with autogenous block graft","evidence_status":"limited"},"techniques":[{"name":"Autogenous block from chin","suits_whom":"Patients with small to moderate ridge defects needing limited bone.","recovery":"Chin numbness and soreness for days to weeks."},{"name":"Autogenous block from mandibular ramus","suits_whom":"Patients needing larger horizontal augmentation with cortical bone.","recovery":"Temporary cheek swelling, jaw stiffness and pain; less chin numbness risk."},{"name":"Allogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."},{"name":"Xenogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Includes harvest, fixation and flap closure for a single-site defect."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw","Intraoral photos of the defect area","List of blood thinners","Medical history noting diabetes and smoking"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Graft trip with 7-day stay; return 4-6 months later for implant placement after integration."},"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":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards of 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":"2026-11-14","http_status":200}},{"id":"C3","text":"Check 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":"2026-11-14","http_status":200}},{"id":"C4","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":"2026-11-14","http_status":200}},{"id":"C5","text":"Check how many procedures of this type the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check what preoperative and postoperative care is in place","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"You need to look at what kind of preoperative and postoperative care is in place.","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":"The surgeon who will operate is not met before the day of surgery","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"\"If they don't have the opportunity to meet with the surgeon who's actually performing the procedure before the day of surgery, I would say that's a huge, major red flag,\" said Hadeed, adding that oftentimes patients who go to so-called \"plastic surgery factories\" never even meet with a medical provider.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer applies pressure to make a quick decision","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 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