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Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":0,"unit":"days","qualifier":"No downtime; normal activity right after fitting."},"complication_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Minor issues like gum irritation, rubbing or plaque with removable grill in first months; serious under 1%"},"contraindications":["Active tooth decay or gum disease until treated","Loose, badly worn or heavily restored teeth","Allergy to gold, nickel or other grill metals","Active oral infection or untreated mouth sores"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental visits; 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":0,"unit":"weeks","qualifier":"No restriction; remove grill for contact sports or use a 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pressure.","preparation":["Dental check and cleaning before impressions","Treat cavities or gum disease first","Choose metal, stones and design","Report metal allergies"],"recovery_timeline":[{"phase":"Day of fitting","description":"Grill is tried on and adjusted; speech may feel slightly altered.","restrictions":["Avoid very hard or sticky foods at first"]},{"phase":"First week","description":"Adapt to wearing; minor rubbing is adjusted at follow-up.","restrictions":["Remove for eating and sleeping","Clean after each use"]}],"rehabilitation_days":{"min":0,"max":3,"unit":"days","qualifier":"Time to get used to speech and feel."},"result_longevity":"Several years with care; depends on metal, stones and wear. 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days for lab fabrication."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the dentist’s education and qualifications for the treatment","scope":"treatment_type","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1040&context=journal-ida","host":"commons.ada.org","quote":"Their questions may include the dentist’s education and qualifications in the treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check that the clinic explains the treatment’s nature, benefits, risks, and alternatives","scope":"treatment_type","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1040&context=journal-ida","host":"commons.ada.org","quote":"This should cover material risks, benefits, and alternatives to the proposed treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check that the dentist personally discusses informed consent for the procedure","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/types-of-consent","host":"ada.org","quote":"Informed consent is required for every procedure performed other than those covered under general consent and the dentist must be the one to have that discussion with the patient.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","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":"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":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The dentist cannot explain the treatment’s material risks, benefits, and alternatives","scope":"treatment_type","source":{"url":"https://commons.ada.org/cgi/viewcontent.cgi?article=1040&context=journal-ida","host":"commons.ada.org","quote":"This should cover material risks, benefits, and alternatives to the proposed treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F2","text":"The dentist does not personally discuss informed 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inflammation","urgency":"contact_clinic","general":false,"source":{"url":"https://adanews.ada.org/huddles/dentists-urge-individuals-to-avoid-oral-fashion-trend/","host":"adanews.ada.org","quote":"The experts cited in the article stressed that the jewelry can attract pathogenic oral bacteria that can result in plaque buildup, gum irritation and inflammation, enamel erosion and tooth decay.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sores inside lips or cheeks","urgency":"contact_clinic","general":false,"source":{"url":"https://adanews.ada.org/huddles/dentists-urge-individuals-to-avoid-oral-fashion-trend/","host":"adanews.ada.org","quote":"Further, the tooth gem itself can chip or scratch opposing teeth as well as irritate the insides of the lips and cheeks, resulting in sores.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Throbbing pain and swelling in one 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