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with standard analgesics; procedure itself painless under local anesthesia.","preparation":["Clinical and radiographic assessment of tooth, bone, root length","Periodontal therapy and oral hygiene optimization beforehand","Review of medical history and current medications with the surgeon","Provisional restoration planning or diagnostic wax-up in esthetic cases","Informed consent and discussion of expected gingival changes"],"recovery_timeline":[{"phase":"First 3 days","description":"Swelling and soreness; periodontal dressing may be placed.","restrictions":["Soft cool diet","Avoid brushing the surgical site","Avoid strenuous activity"]},{"phase":"Days 7-14","description":"Suture removal if needed and early soft tissue healing.","restrictions":["Gentle chlorhexidine rinses as directed","Avoid hard or sharp foods near site"]},{"phase":"Weeks 6-12","description":"Gingival margin stabilizes; definitive restoration can usually proceed, with longer wait in esthetic zone.","restrictions":["Delay final margins/impressions until tissue stable"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Return to ordinary eating and oral hygiene for one to a few teeth; tissue maturation continues longer."},"result_longevity":"Generally long-lasting when oral hygiene and periodontal maintenance are good; lifetime not guaranteed and depends on restoration and periodontal health.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Teeth needing repeat surgery or extraction due to relapse or inadequate exposure within 2 years."},"scars":"Intraoral incisions heal without visible scarring; may leave minor gingival contour changes or recession.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical visit for one to a few adjacent teeth."},"stages":[{"code":"surgery","label":"Crown lengthening surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of procedure."}}],"qualifier":"Final restoration is a separate restorative treatment, not counted here."},"success":{"metric":"Adequate tooth structure exposed for restoration, stable margins","value":90,"unit":"percent of treated teeth","horizon":"6-12 months","population":"Adults with healthy periodontium needing crown lengthening before restoration","evidence_status":"limited"},"techniques":[{"name":"Gingivectomy (soft tissue crown lengthening)","suits_whom":"Adequate keratinized gingiva and enough distance from bone crest to margin; no bone removal needed.","recovery":"Healing by secondary intention over a few weeks; mild discomfort."},{"name":"Apically positioned flap with osseous recontouring","suits_whom":"Cases where biologic width requires bone removal to expose more tooth structure.","recovery":"Sutured flap; wait about 6-12 weeks, longer in esthetic zone, before final restoration."},{"name":"Orthodontic extrusion with or without fiberotomy","suits_whom":"Select cases such as esthetic zone where bone removal would harm adjacent teeth.","recovery":"Orthodontic phase takes weeks and retention is needed."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Per procedure for one tooth to a small group of adjacent teeth; excludes subsequent restoration."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","Close-up intraoral photos of the affected teeth","Full smile photos showing the gum line","Dentist's restoration treatment plan (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single surgical visit; stay 1-3 days. Local dentist can handle suture removal; second trip only for clinic follow-up."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a complete medical and dental history is taken before any treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"Maintaining a complete, accurate medical and dental health history is essential before diagnosing or treating any patient.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the dentist, not only staff, reviews the current health history","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"While staff can assist patients with completing or updating their forms, the dentist is ultimately responsible for obtaining, maintaining, and reviewing current health histories.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","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}},{"id":"C4","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic does not collect or update a health history before treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/medical-dental-health-history","host":"ada.org","quote":"Failure to gather or update health histories can create risks for both the patient and the practice.","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":"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 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