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technique."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Periodontal re-evaluation of pocket depths and bleeding."}}],"indications":["Residual shallow-to-moderate pockets, inflamed lining after scaling and root planing","Localized gingival inflammation with pocket epithelium requiring removal","Adjunct to non-surgical periodontal therapy in selected cases"],"main_risks":["Post-procedure bleeding and gum soreness","Temporary tooth sensitivity","Gingival recession","Infection or abscess formation (uncommon)","Persistent or recurrent pockets if plaque control is inadequate","Reaction to local anesthetic"],"pain":"Procedure is done under local anesthesia with little pain; mild to moderate gum soreness for 1-3 days, usually controlled with over-the-counter analgesics.","preparation":["Periodontal examination and radiographs","Review of medical history, allergies and medications with the dentist","Initial scaling and oral hygiene instruction","Eat normally beforehand unless advised otherwise"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Numbness wears off; mild soreness and light oozing possible.","restrictions":["Avoid hot, hard or spicy foods","Avoid vigorous rinsing and strenuous exercise"]},{"phase":"Days 3-14","description":"Gum tissue heals; discomfort subsides and gentle brushing resumes.","restrictions":["Gentle brushing near treated area","Use prescribed antiseptic rinse if advised"]},{"phase":"Weeks 4-12","description":"Tissue maturation and re-evaluation of pocket depths.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional recovery with return to normal eating and brushing after a single-quadrant treatment."},"result_longevity":"Depends on ongoing plaque control, smoking status and regular periodontal maintenance; pockets can recur without it.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Sites needing repeat curettage or surgical therapy for persistent pockets within 1 year; depends on plaque control."},"scars":"No incisions or sutures are typically used, so no visible scarring; gingival recession is possible.","sessions_or_stages":{"sessions":{"min":1,"max":4,"unit":"visits","qualifier":"Usually one visit per quadrant or area treated; a single localized area needs one visit."},"stages":[{"code":"curettage_visit","label":"Subgingival curettage of the treated quadrant or area","after":{"min":0,"max":7,"unit":"days","qualifier":"First visit at day 0; remaining quadrants, if any, within about 1 week."}}],"qualifier":"Follow-up checks are not counted as treatment sessions."},"success":{"metric":"Probing pocket depth reduction at treated sites","value":1,"unit":"mm","horizon":"3 months","population":"Adults with residual shallow to moderate periodontal pockets after scaling and root planing","evidence_status":"limited"},"techniques":[{"name":"Manual subgingival curettage with Gracey curettes","suits_whom":"Patients with inflamed shallow to moderate pockets after scaling and root planing.","recovery":"Mild soreness for 1-3 days; gingival healing in about 1-2 weeks."},{"name":"Ultrasonic or laser-assisted curettage","suits_whom":"Selected patients where the clinician prefers instrument-assisted removal of pocket lining.","recovery":"Similar to manual curettage; soreness for a few days."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per quadrant or localized area of periodontal curettage, including anesthesia."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of affected teeth","Periodontal chart with pocket depths","Intraoral photos of gums","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers all quadrants over up to 1 week; optional re-check later."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the facility has rigorous infection-control practices","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Facilities may not maintain provider licensure, track patient outcome data, have rigorous infection control, provide adequate follow-up care, or maintain medical record privacy or security policies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Check whether the facility provides adequate follow-up care","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Facilities may not maintain provider licensure, track patient outcome data, have rigorous infection control, provide adequate follow-up care, or maintain medical record privacy or security policies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Check whether the facility maintains medical-record privacy or security policies","scope":"treatment_abroad","source":{"url":"https://stacks.cdc.gov/view/cdc/115458/cdc_115458_DS2.xml","host":"stacks.cdc.gov","quote":"Facilities may not maintain provider licensure, track patient outcome data, have rigorous infection control, provide adequate follow-up care, or maintain medical record privacy or security policies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","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":"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":"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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your gum disease may suit antibiotics as a stand-alone treatment","name":"Antibiotics for gum disease","source":{"url":"https://my.clevelandclinic.org/health/articles/treating-gum-disease","host":"my.clevelandclinic.org","quote":"Your periodontist may use antibiotics — either as a stand-alone treatment or in combination with other procedures.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"manual-subgingival-curettage","name":"Manual subgingival curettage with Gracey curettes","how_it_works":{"text":"Hand curettes are used for cleaning below the 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teeth.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=gruziya/city=tbilisi/procedure=kuretaz/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":1},"manualSeo":[],"updatedAt":"2026-11-12T22:52:24.000Z","activeCountries":["GE","TR","UA","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}