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dentaire","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Most patients return to work right after the visit once numbness wears off."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any biological or technical complication (sensitivity, loosening, marginal decay) within 5 years; serious ones are uncommon."},"contraindications":["Allergy to the crown metal alloy (e.g. nickel)","Insufficient remaining tooth structure to hold a crown","Active untreated decay, infection or gum disease around the tooth"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental visits; no overnight 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decayed or broken posterior tooth","Tooth after root canal treatment needing protection","Large filling that can no longer support the tooth","Worn or cracked molar"],"main_risks":["Tooth sensitivity to hot and cold","Crown loosening or loss of cement","Decay at the crown margin","Gum irritation or recession","Nerve inflammation requiring root canal treatment","Metal allergy or taste change (rare)"],"pain":"Minimal during the procedure under local anesthesia; mild tooth and gum soreness for 2-3 days, controlled with simple painkillers.","preparation":["Dental exam and X-ray of the tooth","Treat active decay, infection or gum problems first","Root canal treatment first if the nerve is damaged","Tell the dentist about metal allergies"],"recovery_timeline":[{"phase":"Day 1: tooth preparation","description":"Tooth is reshaped, impression or scan taken and a temporary crown placed; numbness lasts a few hours.","restrictions":["Avoid sticky and hard foods","Do not chew on the temporary crown 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and cementation visit."},"stages":[{"code":"preparation","label":"Tooth preparation, impression or scan, temporary crown","after":{"min":0,"max":0,"unit":"days","qualifier":"First visit."}},{"code":"cementation","label":"Fitting and cementing the metal crown","after":{"min":5,"max":14,"unit":"days","qualifier":"After lab fabrication."}}],"qualifier":"Standard two-visit protocol for one tooth; same-day milling is uncommon for metal."},"success":{"metric":"Crown survival (still in place and functional)","value":90,"unit":"percent","horizon":"10 years","population":"Adults with a single metal crown on a posterior tooth","evidence_status":"limited"},"techniques":[{"name":"Gold alloy crown","suits_whom":"Molars needing maximum durability and gentle wear on opposing teeth","recovery":"Same as standard crown; 1-3 days of mild soreness."},{"name":"Base metal alloy crown (nickel-chromium or cobalt-chromium)","suits_whom":"Patients wanting a strong, lower-cost metal crown; choose cobalt-chromium if nickel-allergic","recovery":"Same as standard crown; 1-3 days of mild soreness."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Preparation visit about 1-1.5 hours; cementation visit about 30-45 minutes."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the tooth","Photos of the affected tooth","Report of previous root canal treatment (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Two visits 5-14 days apart; stay about 5-14 days until the crown is cemented."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether the materials used are documented and comply with applicable dental and international standards","scope":"procedure","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1010&context=professionalproductreview","host":"commons.ada.org","quote":"Will you provide me with documentation that the materials used in the work you outsource are FDA approved and compliant with all American National Standards Institute/ADA and International Organization for Standardization (ISO) standards?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Ask whether the laboratory will follow the detailed prescription and disclose substituted materials in advance","scope":"procedure","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1010&context=professionalproductreview","host":"commons.ada.org","quote":"Labs should fill dental prescriptions exactly as written, and inform you in advance of any substituted materials.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery 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exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","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":"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":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","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":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Persistent bleeding after crown placement","urgency":"contact_clinic","general":false,"source":{"url":"https://commons.ada.org/nysdj/vol89/iss4/4/","host":"commons.ada.org","quote":"Mild bleeding following dental procedures or tooth exfoliation is not an unusual occurrence; however, persistent bleeding is an uncommon event for patients.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Allergic reaction to crown metals","urgency":"contact_clinic","general":false,"source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Cobalt and chromium are also known to have allergic responses in approximately 8% of the general population; other metals including copper, tin, mercury, and zinc, even gold, palladium, and titanium have reported allergic reactions but prevalence is not clear.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"It identifies whether the crown materials meet applicable dental and international standards","document":"material documentation","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1010&context=professionalproductreview","host":"commons.ada.org","quote":"Will you provide me with documentation that the materials used in the work you outsource are FDA approved and compliant with all American National Standards Institute/ADA and International Organization for Standardization (ISO) standards?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"They tell the home dentist what postoperative instructions were provided","document":"aftercare instructions","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/ADA-org/home/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"follow-up and periodic visit records\n- postoperative or home instructions, or a notation about any pamphlets or reference materials provided","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 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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an alternative to a full metal restoration","name":"Zirconia crown","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Framework zirconia and Full-contour zirconia are viable alternatives to PFM and full metal restorations, with high flexural strength (1000-1400 MPa).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want an alternative with similar properties and indications","name":"Lithium silicate crown","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Lithium silicate (LS) and zirconia-reinforced lithium silicate (ZRS) are available alternatives with similar properties and indications.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A3","text":"You are a pediatric patient needing an alternative to a metal crown","name":"Glass ionomer restoration","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-direct-restorations","host":"ada.org","quote":"These resin-modified glass ionomers can be used as reasonably successful alternatives to preformed metal crowns in pediatric patients.","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":"gold-alloy-crown","name":"Gold alloy crown","how_it_works":{"text":"Metal is shaped into a durable indirect restoration","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/materials-for-indirect-restorations","host":"ada.org","quote":"Metals had been common in indirect restorations throughout history due to their durability and strength, but the desire for tooth-colored materials has led to a proliferation of ceramic options.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"base-metal-alloy-crown","name":"Base metal alloy crown (nickel-chromium or cobalt-chromium)","how_it_works":{"text":"Base metal alloys are used to make 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