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Local anesthetic is used only if deeper decay or sensitive teeth are treated.","preparation":["Dental examination and, where needed, X-rays","Shade selection for the composite","Treating active gum disease or decay first","Professional cleaning of the tooth surface","Discussing the planned shape with the dentist"],"recovery_timeline":[{"phase":"Same day","description":"Composite sets fully under light curing; normal eating is usually possible. If anesthetic was used, wait for numbness to resolve.","restrictions":["Avoid chewing until numbness resolves","Avoid biting very hard objects on the tooth"]},{"phase":"First days","description":"Mild cold or biting sensitivity may occur; bite adapts within days. Work, daily activities and exercise are unrestricted.","restrictions":["Limit strongly staining foods and drinks for 1-2 days","Avoid biting hard objects with the tooth"]},{"phase":"Ongoing","description":"Regular hygiene and dental checks maintain the restoration. Minor wear or chips can be polished or repaired.","restrictions":["Avoid nail biting and opening packages with teeth","Wear a night guard for grinding"]},{"phase":"At any time","description":"See a dentist for high bite, lasting sensitivity, chips, loose or lost filling, or throbbing pain. Urgent care for swelling, fever, pus or breathing difficulty.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Ordinary functional recovery for one tooth; usually immediate, with brief sensitivity or bite adaptation."},"result_longevity":"Often several years, commonly around 5-10 years, depending on restoration size, bite forces, habits, and oral hygiene; repair or replacement may be needed.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repair or replacement of the restoration within about 5 years; depends on size, bite load and habits."},"scars":"No incision and no skin or gum scar; bonding is done on the tooth surface. Visible change is only the restoration itself, and margins may become slightly visible over time.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Direct bonding of one tooth is usually completed in a single appointment."},"stages":[{"code":"bonding_visit","label":"Tooth preparation, bonding, shaping and polishing in one visit","after":{"min":0,"max":0,"unit":"days","qualifier":"Same visit as the start of treatment."}}],"qualifier":"Scope is direct composite bonding of one tooth; multiple teeth may need longer or additional visits."},"success":{"metric":"Restoration survival without repair or replacement","value":90,"unit":"percent","horizon":"5 years","population":"Adults with direct composite bonding of one tooth","evidence_status":"limited"},"techniques":[{"name":"Direct composite resin bonding of one tooth","suits_whom":"Small to moderate defects, chips, gaps or cavities in otherwise healthy teeth.","recovery":"Immediate return to normal activities; brief sensitivity possible."},{"name":"Cosmetic bonding with minimal or no enamel preparation","suits_whom":"Cosmetic reshaping of minor defects or edges.","recovery":"Immediate, usually without anesthesia."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per one tooth, chairside direct composite bonding."},"initial_assessment_documents":["Close-up photos of the affected tooth","Front smile photo showing all teeth","Periapical or bitewing dental X-ray of the tooth","Panoramic dental X-ray (OPG) (if available)","Photo of previous fillings or restorations (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit bonding of one tooth; flight home possible the same or next day."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask whether you need other treatment first, such as for tooth decay, before bonding","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"If you have oral health issues, like tooth decay, you may need other treatments before getting dental bonding.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the dentist will design a treatment plan fitted to your needs","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"They can help design a treatment plan to fit your needs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether you can put questions about your treatment to the treating team","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 been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C5","text":"Check how your aftercare will be coordinated before you agree to 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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic where you never meet a medical provider before the procedure","scope":"treatment_abroad","source":{"url":"https://plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"oftentimes patients who go to so-called 'plastic surgery factories' never even meet with a medical provider.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An offer or deal that seems too good to be true","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/blog/why-plastic-surgery-tourism-isnt-necessarily-a-good-deal","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A provider that operates like a sales company","scope":"treatment_abroad","source":{"url":"https://plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"They're kind of like sales companies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The provider is referred to only generally, so you cannot tell who will operate","scope":"treatment_abroad","source":{"url":"https://plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"And then they'll use the word provider, you won't know if it's a plastic surgeon, a gynecologist or a physician's assistant, and you may not know until you show up.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sharp edges on a bonded tooth","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"If you notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, call your dentist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Tooth feels odd when biting down","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"If you notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, call your dentist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bonding material chips or separates from tooth","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/dental-and-oral-health/teeth-bonding","host":"healthline.com","quote":"It’s possible for the material to chip or separate from your real tooth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Copies of X-rays and scans from the procedure, for home follow-up care","document":"x-rays and scans","source":{"url":"https://travel.gc.ca/travelling/health-safety/medical-care-outside-canada","host":"travel.gc.ca","quote":"Get copies of all medical records related to your procedure before departure, including X-rays and scans.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"The home dentist needs postoperative or home instructions to continue care","document":"aftercare instructions","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/ADA-org/home/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"postoperative or home instructions, or a notation about any pamphlets or reference materials provided","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","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":"T4","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":"T5","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":"You need more dramatic changes than small cosmetic fixes","name":"Porcelain veneers","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"For more dramatic changes, you may need other treatments, like porcelain veneers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your tooth needs more than bonding can offer","name":"Dental crowns","source":{"url":"https://www.healthline.com/health/dental-and-oral-health/teeth-bonding","host":"healthline.com","quote":"You may need a veneer or crown instead.","tier":"tier1_medical","fetched_at":"2026-11-12","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":"direct-composite-resin","name":"Direct composite resin bonding of one tooth","how_it_works":{"text":"A curing light hardens composite resin onto the tooth surface","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"Your dentist will use a curing light to harden the composite resin and bond it to the surface of your tooth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"You’ll be able to resume all normal activities once you leave your dentist’s office.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"cosmetic-bonding","name":"Cosmetic bonding with minimal or no enamel preparation","how_it_works":{"text":"Bonding is placed on the tooth without needing enamel removal","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"But dental bonding typically doesn’t require enamel removal.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding","host":"my.clevelandclinic.org","quote":"You’ll be able to resume all normal activities once you leave your dentist’s 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