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through active treatment."}},{"code":"debonding_retainers","label":"Bracket removal, polishing and retainer fitting or delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"Counted from initial bonding, matching the 12-30 month active treatment estimate."}},{"code":"retention_review","label":"Planned retention reviews after debonding","after":{"min":30,"max":365,"unit":"days","qualifier":"Counted from debonding; timing varies with retainer type and clinician protocol."}}],"qualifier":"Applies to conventional ceramic brackets only; self-ligating brackets are not assumed to shorten treatment or reduce visits."},"success":{"metric":"Clinically acceptable alignment of crowding or spacing at debonding","value":85,"unit":"percent","horizon":"At end of active treatment, about 12-30 months","population":"Compliant adults with mild to moderate malocclusion treated with conventional ceramic fixed braces","evidence_status":"limited"},"techniques":[{"name":"Conventional ceramic brackets with elastic or metal ligatures","suits_whom":"Adults and teens wanting a tooth-colored fixed appliance for comprehensive alignment.","recovery":"Mild soreness for about 2-5 days after bonding and each adjustment; elastic ties can stain."},{"name":"Self-ligating ceramic brackets","suits_whom":"Patients preferring fewer ligatures or easier hygiene around ties.","recovery":"Similar mild soreness to conventional brackets."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Initial bonding appointment for brackets on one or both arches; not total treatment time."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray (if available)","Front and side face photos","Photos of teeth in bite and each side","Digital dental scans or impressions (if available)"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Bonding and debonding trips; adjustments by a local 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specializes in the diagnosis, prevention and treatment of dental and facial irregularities.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask which orthodontic treatment options are available and appropriate for you","scope":"treatment_type","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"The kind of orthodontic treatment you have will depend on your preference and the options provided by your dentist or orthodontist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Confirm that the clinic documents the treatment plan and care delivered","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Among other things, they contain information about the patient’s treatment plan and care that has been delivered.","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":"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":"Broken wires or brackets","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Broken wires or brackets.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pain that does not go away with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Pain that doesn’t go away with medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding or infection in your 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