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зубів.</p>"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":1,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Стоматологія","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Most adults resume normal work right after bonding; mild soreness may be felt for a few days."},"complication_rate_pct":{"min":10,"max":60,"unit":"percent","qualifier":"White-spot enamel lesions during fixed braces, strongly dependent on hygiene and fluoride use; excludes minor ulcers, broken brackets."},"contraindications":["Active untreated tooth decay or gum disease (treat first)","Poor oral hygiene or unwillingness to maintain it","Severe skeletal discrepancy needing jaw surgery (relative)","Allergy to nickel or appliance materials (relative)","Uncontrolled systemic disease or bone metabolism disorders (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental treatment; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Normal activity can resume promptly; contact sports require a mouthguard to protect teeth and appliance."},"final_result_months":{"min":12,"max":30,"unit":"months","qualifier":"Typical active treatment duration for an adult with fixed braces; varies with complexity. Retention follows."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"Outpatient bonding with no air-travel restrictions; only mild soreness. Fix any broken bracket or poking wire before flying."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment; further adjustments every 4-8 weeks during active treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, finishing review and debonding at end of the 12-30 month active course."}},{"purpose":"assessment","requirement":"conditional","after":{"min":393,"max":984,"unit":"days","qualifier":"After bonding; retainer check 4-12 weeks after debonding if retention is prescribed."}}],"indications":["Crowded or crooked teeth","Spacing between teeth","Overbite, overjet, underbite or crossbite","Open bite","Misaligned bite (malocclusion)","Space closure or tooth positioning before restorative or implant treatment"],"main_risks":["Enamel demineralization (white spots) and tooth decay with poor hygiene","Gum inflammation","Soreness and mouth ulcers from brackets and wires","Root resorption (usually mild)","Relapse if retainers are not worn","Broken brackets or wires requiring extra visits"],"pain":"Mild to moderate soreness or pressure for 2-5 days after bonding and after adjustments; cheek or lip irritation is common early on. Usually controlled with simple over-the-counter analgesics and orthodontic wax.","preparation":["Orthodontic exam with X-rays, photographs and digital scans or impressions","Treatment of decay and gum disease before bonding","Professional cleaning","Extractions or spacers if the treatment plan requires","Instruction on oral hygiene and diet during treatment"],"recovery_timeline":[{"phase":"First days after bonding","description":"Teeth and mouth feel sore; adaptation to eating and speaking. Normal walking and daily activity can resume right away.","restrictions":["Soft diet","Use orthodontic wax for irritation"]},{"phase":"Active treatment","description":"Periodic adjustments with brief soreness; gradual tooth movement over about 12-30 months. 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Day 0 is bonding."},"success":{"metric":"Substantial improvement in occlusion (PAR score reduction of about 70-80%) at end of active treatment","value":75,"unit":"percent","horizon":"End of active treatment, about 12-30 months","population":"Adolescents and adults with fixed metal brackets and good compliance","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most patients, including teens and adults; durable.","recovery":"Standard adaptation of a few days; visible appliance."},{"name":"Ceramic brackets","suits_whom":"Adults preferring a less visible appliance.","recovery":"Similar adaptation; more prone to staining and bracket fracture."},{"name":"Self-ligating brackets","suits_whom":"Patients wanting easier cleaning and slightly longer visit intervals.","recovery":"Similar adaptation; adjustment visits spaced further apart."},{"name":"Lingual braces","suits_whom":"Patients wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for braces on both dental arches; adjustment visits are shorter (about 20-30 minutes)."},"initial_assessment_documents":["Panoramic dental X-ray","Side skull X-ray (if available)","Front and side facial photos","Intraoral photos of bite and both arches","Dental scans or impressions (if available)"],"travel_trips":{"min":3,"max":10,"one_trip_possible":false,"qualifier":"Trips cover bonding, adjustment blocks and debonding over 12-30 months; adjustments every 4-8 weeks. Each stay is 1-5 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the orthodontic experience of the dentist treating you, since the treatment approach depends on it","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/en/az-topics/b/braces","host":"mouthhealthy.org","quote":"It will depend on the orthodontic experience of your dentist and the severity of your case.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","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":"2026-11-11","http_status":200}},{"id":"C3","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":"2026-11-11","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you go","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":"2026-11-11","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision is a warning sign","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-11","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":"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":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that doesn't 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":"W2","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":"W3","text":"Bleeding or infection in your gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Bleeding or infection in your 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