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Followed by retention."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"No flight restriction after bonding; travel usually possible the same or next day, depending on tongue soreness."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"First adjustment/wire change after bonding; subsequent adjustments continue about every 4-8 weeks throughout treatment."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent visit for debonded bracket, sharp wire or tongue ulceration if it occurs."}}],"indications":["Dental crowding","Spacing between teeth","Mild-to-moderate malocclusion","Deep bite or overjet correction"],"main_risks":["Tongue irritation, ulceration and soreness","Temporary speech changes (lisp)","Poor hygiene causing white-spot lesions, caries or gingivitis","Root resorption","Bracket debonding and wire breakage"],"pain":"Mild to moderate 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debonding","description":"Brackets removed and retainers fitted to maintain alignment.","restrictions":["Wear retainers as instructed"]}],"rehabilitation_days":{"min":7,"max":28,"unit":"days","qualifier":"Time for tongue adaptation and speech and eating to return to comfortable function after bonding."},"result_longevity":"Alignment is generally lasting only with long-term retention; relapse can occur if retainers are not worn as advised.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Needing extended treatment, rebonding or refinement beyond the planned protocol; varies with case complexity."},"scars":"None; no incisions or surgical wounds involved.","sessions_or_stages":{"sessions":{"min":10,"max":25,"unit":"visits","qualifier":"Bonding plus adjustment visits every 4-8 weeks and debonding; number varies with case complexity and treatment length."},"stages":[{"code":"planning_records","label":"Examination, X-rays, scans and treatment planning","after":{"min":0,"max":0,"unit":"days","qualifier":"Before bonding; records taken at initial consultation."}},{"code":"bonding","label":"Lingual bracket bonding and first archwire","after":{"min":0,"max":0,"unit":"days","qualifier":"Bonding appointment; timing depends on bracket fabrication, especially for customized brackets."}},{"code":"adjustments","label":"Periodic wire changes and adjustments","after":{"min":28,"max":900,"unit":"days","qualifier":"Every 4-8 weeks throughout active tooth movement of 12-30 months."}},{"code":"debonding_retention","label":"Bracket removal and retainer fitting","after":{"min":365,"max":900,"unit":"days","qualifier":"At completion of active treatment; varies with case complexity."}}],"qualifier":"Multi-stage orthodontic treatment with frequent adjustments; stages are sequential over 1-2.5 years."},"success":{"metric":"Achieved acceptable occlusal alignment at debonding","value":85,"unit":"percent of patients","horizon":"At end of active treatment, 12-30 months","population":"Adults with mild-to-moderate crowding or spacing and good oral hygiene","evidence_status":"limited"},"techniques":[{"name":"Customized (CAD/CAM) lingual brackets","suits_whom":"Adults with good crown height wanting precise fit and fewer chairside adjustments.","recovery":"Usual tongue irritation and speech adaptation over a few weeks."},{"name":"Standard prefabricated lingual brackets","suits_whom":"Adults with mild to moderate alignment needs.","recovery":"Similar adaptation period; may need more wire bending adjustments."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"One arch about 1-2 hours; both arches up to 3 hours per visit; treatment continues over months."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray","Front and side face photos","Photos of teeth in bite, both sides","Upper and lower arch photos","Digital intraoral scan (if available)"],"travel_trips":{"min":3,"max":6,"one_trip_possible":false,"qualifier":"Records, bonding and debonding trips; extra trips for fittings or problems; most adjustments local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Determine in advance how you will communicate with your clinician and others caring for you","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","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}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit 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":"2026-11-13","next_check_at":"2027-11-13","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 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