{"key":"op_1233_DO","page":{"url":"https://ua.bookimed.com/clinics/country=dominican-republic/procedure=zygomatic-implant/","procedure":{"id":1233,"slug":"zygomatic-implant","name":"Зубний імплант Zygomatic","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"dental","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"dentistry","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":185,"iso":"DO","name":"Домініканська республіка"},"currency":"USD","data_date":"2026-09-26"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=dominican-republic/procedure=zygomatic-implant/","cost_url":"https://ua.bookimed.com/clinics/country=dominican-republic/procedure=zygomatic-implant/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":2000,"to":11500,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":18000,"to":30000},"uk":{"from":12500,"to":21000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Санто-Домінго","from":2000}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":4500,"to":8000},{"country_iso":"FR","from":9500,"to":15500},{"country_iso":"GB","from":12500,"to":21000},{"country_iso":"US","from":18000,"to":30000},{"country_iso":"IL","from":9500,"to":15500},{"country_iso":"TR","from":2300,"to":3200},{"country_iso":"MX","from":3800,"to":15500},{"country_iso":"DE","from":9500,"to":18000},{"country_iso":"CA","from":14000,"to":23000},{"country_iso":"AE","from":7500,"to":14000},{"country_iso":"TH","from":2000,"to":3500},{"country_iso":"PL","from":6500,"to":11000},{"country_iso":"KR","from":7500,"to":13000},{"country_iso":"CZ","from":9500,"to":15500},{"country_iso":"AT","from":12500,"to":20000},{"country_iso":"ES","from":3900,"to":15000},{"country_iso":"IT","from":9500,"to":17000},{"country_iso":"CN","from":6500,"to":11000},{"country_iso":"AU","from":15000,"to":26000},{"country_iso":"IN","from":5500,"to":8500},{"country_iso":"MY","from":6500,"to":10500},{"country_iso":"VN","from":6500,"to":12000},{"country_iso":"BR","from":16000,"to":18300},{"country_iso":"AL","from":2000,"to":10500},{"country_iso":"CO","from":16500,"to":{"status":"missing","reason":"not_collected"}},{"country_iso":"EG","from":1800,"to":7500},{"country_iso":"HU","from":1800,"to":13500}],"base_country":"US","base_is_fallback":false},"savings":{"pct":89,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":5978,"name":"Almont Dental Clinic","city":"Santo Domingo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["World Dental Federation (FDI)","Straumann® Dental Implant System Official Provider"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":3116,"name":"Dra Zoila Fernández's Private Practice (Centro de Salud Bucal Dra Zoila Fernández)","city":"Santo Domingo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Sociedad Española de Periodoncia y Osteointegración","American Dental Association","Straumann® Dental Implant System Official Provider"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":9769,"name":"Dr. Juan Castillo – Handmade Smile®","city":"Santo Domingo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":7324,"name":"Padilla clinic Dental (clinic Dental Dr. Padilla)","city":"República Dominicana","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Best Quality Dental Centers"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":2,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2524,"slug":"santo-domingo","name":"Санто-Домінго","clinics_count":1,"price_from":2000,"profile":{"city_type":"Capital of Dominican Republic","access":["Las Américas Airport (SDQ), 20 km east of city center"],"sources":["https://en.wikipedia.org/wiki/Santo_Domingo","https://en.wikipedia.org/wiki/Las_Américas_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Severely atrophic upper jaw unsuitable for conventional implants without grafting","Maxillary defects after tumor resection or trauma","Failed previous implants or bone grafts in the posterior maxilla"],"contraindications":["Active sinus infection or untreated maxillary sinus pathology","Uncontrolled systemic disease (e.g., diabetes)","Recent or ongoing jaw radiotherapy (relative, specialist assessment needed)","Current IV bisphosphonate or antiresorptive therapy for cancer (relative)","Heavy uncontrolled smoking or substance abuse (relative)","Unfitness for general anesthesia","Insufficient zygomatic bone volume","Active infection at the surgical site","Pregnancy (elective surgery deferred)"],"operation_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Per surgery for a typical unilateral-to-bilateral zygomatic implant placement session; varies with number of implants."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgical placement visit and definitive prosthesis fitting; follow-up checks excluded."},"stages":[{"code":"surgery","label":"Zygomatic implant placement with immediate provisional prosthesis where feasible","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"final_prosthesis","label":"Definitive fixed prosthesis fitting","after":{"min":90,"max":180,"unit":"days","qualifier":"After osseointegration and soft tissue healing."}}],"qualifier":"Typical staged protocol with provisional then definitive prosthesis."},"hospital_nights":{"status":"not_applicable"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to comfortable soft-diet eating and normal daily activity."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After general anesthesia surgery and early check; depends on swelling, sinus symptoms and surgeon clearance for air travel."},"back_to_work_days":{"min":5,"max":14,"unit":"days","qualifier":"Office-type work after typical zygomatic implant surgery under general anesthesia; depends on swelling and extent (unilateral/bilateral)."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Return to light-to-moderate exercise; strenuous activity and contact sports later as advised by the surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical time to osseointegration and definitive prosthesis; immediate provisional prosthesis is often fitted earlier, with final prosthesis after healing."},"result_longevity":"Well-integrated zygomatic implants commonly function for 10-15 years or longer, with reported survival above 90% at 10 years. Longevity depends on oral hygiene, smoking, prosthesis maintenance and regular reviews.","main_risks":["Sinusitis or oroantral communication","Infection","Implant failure or loosening","Swelling, bruising and bleeding","Soft tissue dehiscence or exposed implant","Orbital or cheek-related injury (rare)","Nerve irritation or numbness","Prosthetic complications"],"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within first year, mainly sinusitis, soft tissue problems and infection; serious ones are uncommon."},"revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Implant removal or reoperation for failure, persistent sinusitis or soft tissue dehiscence over 5-10 years."},"success":{"metric":"Zygomatic implant survival","value":95,"horizon":"5-10 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No visible external scars; intraoral incisions heal inside the mouth.","pain":"Moderate postoperative pain and swelling for the first several days, usually controlled with prescribed analgesics.","preparation":["CBCT/CT imaging and prosthetic planning","Medical evaluation and fitness for general anesthesia","Dental and sinus examination","Treat oral infections beforehand","Fasting before general anesthesia","Stop smoking if possible","Review medications with the surgeon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild nasal bleeding and discomfort; soft diet.","restrictions":["Avoid nose blowing","Avoid strenuous activity"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures removed or dissolve; return to light work.","restrictions":["Soft diet","Avoid pressure on provisional prosthesis"]},{"phase":"Weeks 3-12","description":"Gradual diet progression and osseointegration.","restrictions":["Avoid hard foods"]},{"phase":"Months 3-6","description":"Definitive prosthesis fitting after healing.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check of wound, sinus symptoms and provisional prosthesis."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Healing and occlusion assessment."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review before definitive prosthesis."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how complications will be addressed with the treating and home healthcare professionals","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","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":"C3","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":"C4","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":"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":"The offer does not identify a plan for addressing complications","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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 offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sinusitis after zygomatic implant placement","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10497463/","host":"pmc.ncbi.nlm.nih.gov","quote":"Sinusitis presented with a total prevalence of 14.2% [95% CI 8.8; 22.0] over a mean 65.4 months follow-up, representing the most common complication which may lead to zygomatic implant loss.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Infection of soft tissue around the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"However, complications, the most common of which were sinusitis and peri-implant soft tissue infection, may be underestimated due to the heterogeneity of the studies included.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Double vision","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"The latter documented the spectrum of complications associated with ZIs, ranging from minor morbidities such as sinusitis, hematoma, and soft tissue complications up to severe adverse events such as orbital penetration and diplopia.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs treatment details for subsequent follow-up","document":"medical records","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","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}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":14,"unit":"days","qualifier":"Office-type work after typical zygomatic implant surgery under general anesthesia; depends on swelling and extent (unilateral/bilateral)."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within first year, mainly sinusitis, soft tissue problems and infection; serious ones are uncommon."},"contraindications":["Active sinus infection or untreated maxillary sinus pathology","Uncontrolled systemic disease (e.g., diabetes)","Recent or ongoing jaw radiotherapy (relative, specialist assessment needed)","Current IV bisphosphonate or antiresorptive therapy for cancer (relative)","Heavy uncontrolled smoking or substance abuse (relative)","Unfitness for general anesthesia","Insufficient zygomatic bone volume","Active infection at the surgical site","Pregnancy (elective surgery deferred)"],"days_in_clinic":{"min":5,"max":7,"unit":"nights","qualifier":"Nights in destination for surgery, early check and fitness to fly."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Return to light-to-moderate exercise; strenuous activity and contact sports later as advised by the surgeon."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical time to osseointegration and definitive prosthesis; immediate provisional prosthesis is often fitted earlier, with final prosthesis after healing."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After general anesthesia surgery and early check; depends on swelling, sinus symptoms and surgeon clearance for air travel."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Early check of wound, sinus symptoms and provisional prosthesis."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"Healing and occlusion assessment."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Review before definitive prosthesis."}}],"indications":["Severely atrophic upper jaw unsuitable for conventional implants without grafting","Maxillary defects after tumor resection or trauma","Failed previous implants or bone grafts in the posterior maxilla"],"main_risks":["Sinusitis or oroantral communication","Infection","Implant failure or loosening","Swelling, bruising and bleeding","Soft tissue dehiscence or exposed implant","Orbital or cheek-related injury (rare)","Nerve irritation or numbness","Prosthetic complications"],"pain":"Moderate postoperative pain and swelling for the first several days, usually controlled with prescribed analgesics.","preparation":["CBCT/CT imaging and prosthetic planning","Medical evaluation and fitness for general anesthesia","Dental and sinus examination","Treat oral infections beforehand","Fasting before general anesthesia","Stop smoking if possible","Review medications with the surgeon"],"recovery_timeline":[{"phase":"Days 0-3","description":"Peak swelling, mild nasal bleeding and discomfort; soft diet.","restrictions":["Avoid nose blowing","Avoid strenuous activity"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures removed or dissolve; return to light work.","restrictions":["Soft diet","Avoid pressure on provisional prosthesis"]},{"phase":"Weeks 3-12","description":"Gradual diet progression and osseointegration.","restrictions":["Avoid hard foods"]},{"phase":"Months 3-6","description":"Definitive prosthesis fitting after healing.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery to comfortable soft-diet eating and normal daily activity."},"result_longevity":"Well-integrated zygomatic implants commonly function for 10-15 years or longer, with reported survival above 90% at 10 years. Longevity depends on oral hygiene, smoking, prosthesis maintenance and regular reviews.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Implant removal or reoperation for failure, persistent sinusitis or soft tissue dehiscence over 5-10 years."},"scars":"No visible external scars; intraoral incisions heal inside the mouth.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgical placement visit and definitive prosthesis fitting; follow-up checks excluded."},"stages":[{"code":"surgery","label":"Zygomatic implant placement with immediate provisional prosthesis where feasible","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"final_prosthesis","label":"Definitive fixed prosthesis fitting","after":{"min":90,"max":180,"unit":"days","qualifier":"After osseointegration and soft tissue healing."}}],"qualifier":"Typical staged protocol with provisional then definitive prosthesis."},"success":{"metric":"Zygomatic implant survival","value":95,"unit":"percent","horizon":"5-10 years","population":"Adults with severely atrophic maxilla receiving zygomatic implants with fixed prosthesis","evidence_status":"limited"},"techniques":[{"name":"Classic intrasinus zygomatic implant","suits_whom":"Severe posterior maxillary atrophy","recovery":"Similar to other zygomatic approaches; swelling for about a week."},{"name":"Extramaxillary (exteriorized) approach","suits_whom":"Patients with marked maxillary concavity","recovery":"Similar recovery; may reduce sinus involvement."},{"name":"Quad zygoma","suits_whom":"Extreme atrophy of the whole upper jaw","recovery":"Somewhat longer swelling due to four implants."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Per surgery for a typical unilateral-to-bilateral zygomatic implant placement session; varies with number of implants."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Cone-beam CT (CBCT) of upper jaw and sinuses","Intraoral photos of upper arch and bite","Previous failed implant or graft reports","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery trip with immediate provisional teeth, stay about 5-7 days; second trip 3-6 months later for definitive prosthesis."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how complications will be addressed with the treating and home healthcare professionals","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","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":"C3","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":"C4","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":"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":"The offer does not identify a plan for addressing complications","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"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 offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sinusitis after zygomatic implant placement","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10497463/","host":"pmc.ncbi.nlm.nih.gov","quote":"Sinusitis presented with a total prevalence of 14.2% [95% CI 8.8; 22.0] over a mean 65.4 months follow-up, representing the most common complication which may lead to zygomatic implant loss.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Infection of soft tissue around the implant","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"However, complications, the most common of which were sinusitis and peri-implant soft tissue infection, may be underestimated due to the heterogeneity of the studies included.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Double vision","urgency":"emergency","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"The latter documented the spectrum of complications associated with ZIs, ranging from minor morbidities such as sinusitis, hematoma, and soft tissue complications up to severe adverse events such as orbital penetration and diplopia.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs treatment details for subsequent follow-up","document":"medical records","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Remind medical tourists to request copies of their overseas medical records in English and to provide this information to any healthcare professionals they see subsequently for follow-up.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","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}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your atrophic maxilla can be treated with grafting procedures","name":"Bone grafting","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"Several surgical procedures have been advocated to treat the atrophic maxilla including grafting techniques (block, composite, Le Fort I inter-positional and iliac crest, and maxillary sinus grafts), sinus floor elevation, and guided bone regeneration (GBR) [ 3 – 5 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your back upper jaw has enough bone height for short implants","name":"Short implants","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"Although in the posterior atrophic maxilla where the height of residual bone is at least 6–7 mm, and where the width of any residual ridge permits placement of at least 5-mm-diameter implants, short implants can be a safe choice [ 9 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You prefer a less aggressive alternative for an atrophic maxilla","name":"Tilted implants","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"There are also less aggressive alternatives including short implants, tilted implants, and zygomatic implants [6, 7].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"classic-intrasinus-zygomatic","name":"Classic intrasinus zygomatic implant","how_it_works":{"text":"An implant in each cheekbone runs through the sinus","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10313639/","host":"pmc.ncbi.nlm.nih.gov","quote":"The original zygomatic Brånemark protocol included one implant on each zygoma, traversing the sinus, and splinted to 2 to 4 conventional implants in the anterior region [ 16 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"extramaxillary-approach","name":"Extramaxillary (exteriorized) approach","how_it_works":{"text":"Implant path sits within the cheekbone beside the sinus wall","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"Subsequently, Malò et al. proposed an extra-maxillary approach, in which the implant trajectory was positioned entirely within the zygomatic bone and along the lateral wall of the maxillary sinus, thereby mitigating the risk of postoperative sinusitis [ 12 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":null},{"id":"quad-zygoma","name":"Quad zygoma","how_it_works":null,"recovery_daily":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"classic-intrasinus-zygomatic","name":"Classic intrasinus zygomatic implant","how_it_works":{"id":"H1","text":"An implant in each cheekbone runs through the sinus","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10313639/","host":"pmc.ncbi.nlm.nih.gov","quote":"The original zygomatic Brånemark protocol included one implant on each zygoma, traversing the sinus, and splinted to 2 to 4 conventional implants in the anterior region [ 16 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Severe posterior maxillary atrophy","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to other zygomatic approaches; swelling for about a week."},{"id":"extramaxillary-approach","name":"Extramaxillary (exteriorized) approach","how_it_works":{"id":"H1","text":"Implant path sits within the cheekbone beside the sinus wall","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13025141/","host":"pmc.ncbi.nlm.nih.gov","quote":"Subsequently, Malò et al. proposed an extra-maxillary approach, in which the implant trajectory was positioned entirely within the zygomatic bone and along the lateral wall of the maxillary sinus, thereby mitigating the risk of postoperative sinusitis [ 12 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Patients with marked maxillary concavity","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar recovery; may reduce sinus involvement."},{"id":"quad-zygoma","name":"Quad zygoma","how_it_works":{"status":"missing","reason":"not_collected"},"recovery_daily":{"status":"missing","reason":"not_collected"},"suits_whom":"Extreme atrophy of the whole upper jaw","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Somewhat longer swelling due to four implants."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your atrophic maxilla can be treated with grafting procedures","name":"Bone grafting","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"Several surgical procedures have been advocated to treat the atrophic maxilla including grafting techniques (block, composite, Le Fort I inter-positional and iliac crest, and maxillary sinus grafts), sinus floor elevation, and guided bone regeneration (GBR) [ 3 – 5 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your back upper jaw has enough bone height for short implants","name":"Short implants","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"Although in the posterior atrophic maxilla where the height of residual bone is at least 6–7 mm, and where the width of any residual ridge permits placement of at least 5-mm-diameter implants, short implants can be a safe choice [ 9 ].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You prefer a less aggressive alternative for an atrophic maxilla","name":"Tilted implants","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7788139/","host":"pmc.ncbi.nlm.nih.gov","quote":"There are also less aggressive alternatives including short implants, tilted implants, and zygomatic implants [6, 7].","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders need no visa for a tourism visit to Dominican Republic of up to 30 days","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You can visit the Dominican Republic for tourism without a visa for 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Bring prescription medication into Dominican Republic in its original labeled packaging","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Take your prescription medication in the original labeled packaging.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"all","volatile":false,"text":"Carry a copy of your doctor's prescription when traveling to Dominican Republic with medication","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Bring a copy of your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Dominican Republic require advance payment or proof of internationally accepted insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Private hospitals need advance payment or proof of internationally-accepted insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 911 and ask for an ambulance in Santo Domingo","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/health","host":"gov.uk","quote":"Call 911 and ask for an ambulance if you’re in Santo Domingo.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","brazil","china","colombia","egypt","hungary","india","mexico","poland","republic-of-korea","spain","thailand","turkey","vietnam"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Яка вартість зубного імпланта Zygomatic в Домініканській Республіці?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з зубного імпланта Zygomatic у Домініканській Республіці: 4 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Зубний імплант Zygomatic в Домініканській Республіці","kind":"content"},{"text":"Отримайте медичну консультацію щодо зубного імпланта Zygomatic в Домініканській Республіці: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"Ключові факти про зубний імплант Zygomatic","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}