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Grafting extends the timeline."},"hospital_nights":{"status":"not_applicable"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"From surgery day: functional recovery on a soft diet with prosthesis adaptation; full osseointegration takes months."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"From surgery day, once bleeding and swelling are controlled and the dentist clears you. Later after grafting, extractions or complications."},"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"From surgery day, for desk or light work. Longer with same-day extractions, grafting or physically demanding work."},"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Counted from surgery day, for strenuous exercise once swelling settles. Light activity is fine early; contact sports may wait."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"From surgery day to osseointegration and definitive fixed prosthesis. Longer if grafting is needed."},"result_longevity":"Implants often last 10 years or more with good hygiene, no smoking and regular maintenance; no lifespan is guaranteed. Prosthesis screws, acrylic and parts need periodic checks and repair.","main_risks":["Infection or peri-implantitis","Implant failure or lack of osseointegration","Bleeding, swelling and bruising","Temporary or rare persistent lip or chin numbness (mandible)","Prosthesis fracture or chipping","Screw loosening or fracture","Marginal bone loss around implants"],"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication needing extra care in year one, e.g. infection, mucositis, screw loosening, transient numbness."},"revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned reoperation, implant removal or replacement, or prosthesis remake within about 5 years; routine maintenance excluded."},"success":{"metric":"Implant survival","value":92,"horizon":"5 years after implant placement","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"No visible external scars. Small intraoral gum healing marks at the implant sites are possible.","pain":"Under local anesthesia the procedure is usually painless apart from pressure. Mild to moderate soreness and swelling for several days is typical and usually managed with ordinary analgesics as advised by the dentist.","preparation":["Clinical examination with panoramic X-ray or CBCT","Impressions and treatment planning, including implant positions and prosthesis design","Treatment of infection, decayed teeth or periodontal disease before surgery","Medical and medication review; coordinate with physician if needed","Assessment of ridge height, width and grafting need","Planning of immediate loading and provisional fixed prosthesis","Fasting usually unnecessary under local anesthesia; follow clinic instructions","Stop smoking before and after surgery where possible"],"recovery_timeline":[{"phase":"First days (days 0-3)","description":"Outpatient recovery at home. Swelling, mild to moderate soreness, bruising and minor oozing settle gradually. Light daily activity is usually fine.","restrictions":["Soft or liquid diet","Gentle oral hygiene and any rinses as advised","Avoid pressure on the surgical site","Follow the dentist's instructions on wearing the temporary prosthesis","Avoid smoking","Avoid strenuous exercise"]},{"phase":"Weeks 1-2","description":"Soft tissue heals and you adapt to the provisional prosthesis. Light work usually resumes earlier; strenuous exercise may resume late in this period.","restrictions":["Avoid hard or sticky foods","Avoid heavy lifting and intense exercise until cleared","Keep the implant area clean"]},{"phase":"Weeks 2-12","description":"Diet gradually progresses while implants integrate, with prosthesis adjustments as needed.","restrictions":["Stay on a softer diet as advised","Avoid biting hard foods on the implant-supported prosthesis"]},{"phase":"Months 3-6","description":"Osseointegration is confirmed, then the definitive fixed prosthesis is fitted. Longer with grafting or delayed loading.","restrictions":["Gradual return to a normal diet as advised","Keep up hygiene and maintenance visits"]},{"phase":"At any time","description":"Seek prompt dental or medical assessment for warning symptoms, without waiting for a scheduled visit.","restrictions":["Heavy or persistent bleeding","Increasing swelling, fever, pus or bad taste","Severe pain not eased by the advised analgesics","Numbness of the lip or chin that persists or worsens","Loose implant, loose screw or broken prosthesis","Breathing or swallowing difficulty, or spreading facial swelling (emergency)"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Reference event: surgery day. Check of healing and suture removal if non-resorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Reference event: surgery day. Bite and prosthesis check, with adjustments as needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Reference event: surgery day. Planned review of osseointegration before the definitive fixed prosthesis is fitted."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Expect a comprehensive examination by a dentist before treatment options are discussed","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"In all settings, patients should expect to first be comprehensively examined by a dentist and then have a conversation about the range of treatment options available based on the dentist’s diagnosis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask questions about the treatment options and alternatives that may be available","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Seek a second opinion if uncomfortable with what is being recommended","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm who is responsible for your diagnosis, treatment planning and care","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Regardless of practice ownership, dentists are ultimately responsible for their patients’ diagnoses, treatment planning and care.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check that the dentist explains proposed treatment and reasonable alternatives so you can join decisions","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check that the dentist will provide records to you or another dentist on request","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic proposes implants without first giving you a comprehensive dental examination","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"In all settings, patients should expect to first be comprehensively examined by a dentist and then have a conversation about the range of treatment options available based on the dentist’s diagnosis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Clinic discourages questions or a second opinion about the recommended treatment","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Financing is raised before the treatment options have been discussed with the dentist","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Any discussion regarding the financing of complex dental procedures, such as implants or full arch implants, should take place only after patients have discussed the range of treatment options with their dentists.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Treatment is proposed without the reasonable alternatives being explained","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"If you’ve had dental implants placed, call your dentist if you notice: Severe bleeding","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Pain that doesn't improve with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Pus or infection near your implants","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pus or infection near your implants.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"A fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"A fever of 101 degrees Fahrenheit (38.22 degrees Celsius) or higher.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home dentist needs X-ray copies to plan future treatment","document":"dental x-ray copies","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"A dentist has the ethical obligation on request of either the patient or the patient's new dentist to furnish in accordance with applicable law, either gratuitously or for nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"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":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"From surgery day, for desk or light work. Longer with same-day extractions, grafting or physically demanding work."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any complication needing extra care in year one, e.g. infection, mucositis, screw loosening, transient numbness."},"contraindications":["Uncontrolled diabetes or other uncontrolled systemic disease","Active oral infection or untreated periodontal disease (until treated)","Insufficient anterior mandibular bone without grafting or revised plan (relative)","IV bisphosphonate, denosumab or jaw radiotherapy (risk-dependent)","Heavy smoking or poor oral hygiene (relative)","Severe bruxism (relative)","Pregnancy (elective surgery usually deferred)","Anticoagulants or bleeding disorder without physician coordination (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Adult two-implant fixed hybrid under local anesthesia, outpatient. No overnight stay in uncomplicated cases."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Counted from surgery day, for strenuous exercise once swelling settles. Light activity is fine early; contact sports may wait."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"From surgery day to osseointegration and definitive fixed prosthesis. Longer if grafting is needed."},"fly_home_after_days":{"min":2,"max":7,"unit":"days","qualifier":"From surgery day, once bleeding and swelling are controlled and the dentist clears you. Later after grafting, extractions or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Reference event: surgery day. Check of healing and suture removal if non-resorbable sutures were used."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":30,"unit":"days","qualifier":"Reference event: surgery day. Bite and prosthesis check, with adjustments as needed."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Reference event: surgery day. Planned review of osseointegration before the definitive fixed prosthesis is fitted."}}],"indications":["Edentulous arch, usually mandible, with loose complete denture","Resorbed mandibular ridge where conventional denture stability is poor","Poor chewing or restricted diet from an unstable denture","Edentulous arch needing a fixed implant-supported restoration"],"main_risks":["Infection or peri-implantitis","Implant failure or lack of osseointegration","Bleeding, swelling and bruising","Temporary or rare persistent lip or chin numbness (mandible)","Prosthesis fracture or chipping","Screw loosening or fracture","Marginal bone loss around implants"],"pain":"Under local anesthesia the procedure is usually painless apart from pressure. Mild to moderate soreness and swelling for several days is typical and usually managed with ordinary analgesics as advised by the dentist.","preparation":["Clinical examination with panoramic X-ray or CBCT","Impressions and treatment planning, including implant positions and prosthesis design","Treatment of infection, decayed teeth or periodontal disease before surgery","Medical and medication review; coordinate with physician if needed","Assessment of ridge height, width and grafting need","Planning of immediate loading and provisional fixed prosthesis","Fasting usually unnecessary under local anesthesia; follow clinic instructions","Stop smoking before and after surgery where possible"],"recovery_timeline":[{"phase":"First days (days 0-3)","description":"Outpatient recovery at home. Swelling, mild to moderate soreness, bruising and minor oozing settle gradually. Light daily activity is usually fine.","restrictions":["Soft or liquid diet","Gentle oral hygiene and any rinses as advised","Avoid pressure on the surgical site","Follow the dentist's instructions on wearing the temporary prosthesis","Avoid smoking","Avoid strenuous exercise"]},{"phase":"Weeks 1-2","description":"Soft tissue heals and you adapt to the provisional prosthesis. Light work usually resumes earlier; strenuous exercise may resume late in this period.","restrictions":["Avoid hard or sticky foods","Avoid heavy lifting and intense exercise until cleared","Keep the implant area clean"]},{"phase":"Weeks 2-12","description":"Diet gradually progresses while implants integrate, with prosthesis adjustments as needed.","restrictions":["Stay on a softer diet as advised","Avoid biting hard foods on the implant-supported prosthesis"]},{"phase":"Months 3-6","description":"Osseointegration is confirmed, then the definitive fixed prosthesis is fitted. Longer with grafting or delayed loading.","restrictions":["Gradual return to a normal diet as advised","Keep up hygiene and maintenance visits"]},{"phase":"At any time","description":"Seek prompt dental or medical assessment for warning symptoms, without waiting for a scheduled visit.","restrictions":["Heavy or persistent bleeding","Increasing swelling, fever, pus or bad taste","Severe pain not eased by the advised analgesics","Numbness of the lip or chin that persists or worsens","Loose implant, loose screw or broken prosthesis","Breathing or swallowing difficulty, or spreading facial swelling (emergency)"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"From surgery day: functional recovery on a soft diet with prosthesis adaptation; full osseointegration takes months."},"result_longevity":"Implants often last 10 years or more with good hygiene, no smoking and regular maintenance; no lifespan is guaranteed. Prosthesis screws, acrylic and parts need periodic checks and repair.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Unplanned reoperation, implant removal or replacement, or prosthesis remake within about 5 years; routine maintenance excluded."},"scars":"No visible external scars. Small intraoral gum healing marks at the implant sites are possible.","sessions_or_stages":{"sessions":{"min":3,"max":5,"unit":"visits","qualifier":"Treatment appointments for one arch (planning, surgery, prosthetic stages), excluding routine follow-up checks."},"stages":[{"code":"planning","label":"Examination, imaging and planning","after":{"min":0,"max":0,"unit":"days","qualifier":"Reference event: initial visit."}},{"code":"implant_placement","label":"Placement of two implants with same-day provisional fixed hybrid","after":{"min":7,"max":30,"unit":"days","qualifier":"After planning and any preparatory treatment, such as treating infection."}},{"code":"definitive_prosthesis","label":"Impressions and fitting of definitive fixed hybrid prosthesis","after":{"min":90,"max":180,"unit":"days","qualifier":"After implant placement, once osseointegration is adequate; counted from the surgery day."}}],"qualifier":"One mandibular arch, two implants, screw-retained fixed hybrid prosthesis, outpatient. Grafting extends the timeline."},"success":{"metric":"Implant survival","value":92,"unit":"percent","horizon":"5 years after implant placement","population":"Adults with two-implant fixed hybrid, adequate bone, good hygiene.","evidence_status":"limited"},"techniques":[{"name":"Primary protocol: two-implant fixed hybrid with immediate loading","suits_whom":"Edentulous adults with enough anterior mandibular bone and adequate primary implant stability.","recovery":"Soft diet for several weeks, then normal diet after osseointegration. Prosthesis adjustments may be needed."},{"name":"Two-implant fixed hybrid with delayed loading","suits_whom":"Patients with lower primary stability or who need grafting or a longer healing period.","recovery":"Longer healing period of about 3-6 months before functional loading."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Surgical visit for two mandibular implants with provisional fixed connection; excludes planning, impressions and later visits."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the lower jaw (if available)","Photos of the mouth and gums","Photos of current dentures (if available)","List of blood thinners and bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery trip of about 3-7 days, then return after 3-6 months of healing for definitive fixed prosthesis."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Expect a comprehensive examination by a dentist before treatment options are discussed","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"In all settings, patients should expect to first be comprehensively examined by a dentist and then have a conversation about the range of treatment options available based on the dentist’s diagnosis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Ask questions about the treatment options and alternatives that may be available","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Seek a second opinion if uncomfortable with what is being recommended","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm who is responsible for your diagnosis, treatment planning and care","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Regardless of practice ownership, dentists are ultimately responsible for their patients’ diagnoses, treatment planning and care.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check that the dentist explains proposed treatment and reasonable alternatives so you can join decisions","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check that the dentist will provide records to you or another dentist on request","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"Upon request of a patient or another dental practitioner, dentists shall provide any information in accordance with applicable law that will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Clinic proposes implants without first giving you a comprehensive dental examination","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"In all settings, patients should expect to first be comprehensively examined by a dentist and then have a conversation about the range of treatment options available based on the dentist’s diagnosis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Clinic discourages questions or a second opinion about the recommended treatment","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Patients are encouraged to ask questions about their treatment options and alternatives that may be available – if they are uncomfortable with what is being recommended, they should feel free to seek a second opinion.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"Financing is raised before the treatment options have been discussed with the dentist","scope":"procedure","source":{"url":"https://www.ada.org/about/press-releases/statement-on-dental-implant-practices-in-the-news/","host":"ada.org","quote":"Any discussion regarding the financing of complex dental procedures, such as implants or full arch implants, should take place only after patients have discussed the range of treatment options with their dentists.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"Treatment is proposed without the reasonable alternatives being explained","scope":"treatment_type","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"The dentist should inform the patient of the proposed treatment, and any reasonable alternatives, in a manner that allows the patient to become involved in treatment decisions.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"If you’ve had dental implants placed, call your dentist if you notice: Severe bleeding","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Pain that doesn't improve with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pain that doesn’t improve with medication.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Pus or infection near your implants","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Pus or infection near your implants.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"A fever of 101 degrees Fahrenheit or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"A fever of 101 degrees Fahrenheit (38.22 degrees Celsius) or higher.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home dentist needs X-ray copies to plan future treatment","document":"dental x-ray copies","source":{"url":"https://www.ada.org/about/principles/code-of-ethics/patient-autonomy","host":"ada.org","quote":"A dentist has the ethical obligation on request of either the patient or the patient's new dentist to furnish in accordance with applicable law, either gratuitously or for nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You still have several healthy teeth","name":"Dental bridges","source":{"url":"https://my.clevelandclinic.org/health/treatments/10900-dentures","host":"my.clevelandclinic.org","quote":"Dental bridges are an effective alternative if you still have several healthy teeth.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"primary-protocol","name":"Primary protocol: two-implant fixed hybrid with immediate loading","how_it_works":{"text":"Implants support a fixed denture while the jaw heals","source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Following dental implant placement, most people feel normal within one week.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"two-implant-fixed-hybrid","name":"Two-implant fixed hybrid with delayed loading","how_it_works":{"text":"A healing denture is worn while the implants integrate","source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"You’ll wear your healing denture while you wait for your implants to integrate.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"primary-protocol","name":"Primary protocol: two-implant fixed hybrid with immediate loading","how_it_works":{"id":"H1","text":"Implants support a fixed denture while the jaw heals","source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"Following dental implant placement, most people feel normal within one week.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Edentulous adults with enough anterior mandibular bone and adequate primary implant stability.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Soft diet for several weeks, then normal diet after osseointegration. Prosthesis adjustments may be needed."},{"id":"two-implant-fixed-hybrid","name":"Two-implant fixed hybrid with delayed loading","how_it_works":{"id":"H1","text":"A healing denture is worn while the implants integrate","source":{"url":"https://my.clevelandclinic.org/health/treatments/24303-implant-supported-dentures","host":"my.clevelandclinic.org","quote":"You’ll wear your healing denture while you wait for your implants to integrate.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients with lower primary stability or who need grafting or a longer healing period.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Longer healing period of about 3-6 months before functional loading."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You still have several healthy teeth","name":"Dental bridges","source":{"url":"https://my.clevelandclinic.org/health/treatments/10900-dentures","host":"my.clevelandclinic.org","quote":"Dental bridges are an effective alternative if you still have several healthy teeth.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"ok","items":[{"id":"Y1","text":"Turkey's Ministry of Health publishes lists of authorized healthcare providers and facilitators holding authorization certificates","specialties":[],"source":{"url":"https://shgmturizmdb.saglik.gov.tr/EN-69410/announcements.html","host":"shgmturizmdb.saglik.gov.tr","quote":"Updated lists of healthcare providers and facilitators that have been granted authorization certificates by the Ministry","tier":"government","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-05-11","version":1},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK citizen passport holders can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"You can visit Turkey without a visa for up to 90 days in any 180-day period, for business or tourism.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"US ordinary passport holders are exempt from a visa for up to 90 days in any 180-day period in Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Ordinary passport holders are exempted from visa up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 150 days after arrival in Turkey and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/entry-requirements","host":"gov.uk","quote":"To enter Turkey, your passport must have an ‘expiry date’ at least 150 days after the date you arrive and at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport must be valid for six months beyond the entry date into Turkey","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Turkey.html","host":"travel.state.gov","quote":"Passports must be valid for six months beyond your entry date.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"uk","volatile":false,"text":"British prescriptions are not accepted in pharmacies in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"British prescriptions are not accepted in pharmacies in Turkey.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance in Turkey","source":{"url":"https://www.gov.uk/foreign-travel-advice/turkey/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","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","bulgaria","china","colombia","czech-republic","dominican-republic","egypt","india","jordan","mexico","republic-of-korea","romania","singapore","spain","thailand","united-states","vietnam"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.64,"count":706,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Hybrid All-on-2 implant denture in Turkey typically costs from _op_1154_price_from_ to _op_1154_price_to_. The final price depends on the chosen implant brand, prosthetic material like zirconia or acrylic, and the city. In the US, the average price for this procedure is _price_compare_US_average_. Patients save approximately _price_percent_discount_% by traveling to Turkish medical hubs like Istanbul, Antalya, Ankara, and Izmir. Packages usually include 3D CT scans, temporary prosthetics, VIP transfers, and 4-5 star hotel accommodation.</p>\n\n<ul>\n<li><strong>Implant manufacturer:</strong> Premium Swiss or German systems like Straumann add significant costs over local brands.</li>\n<li><strong>Prosthetic material:</strong> Choosing high-durability zirconia over traditional acrylic or porcelain increases the total investment.</li>\n<li><strong>Pre-surgical procedures:</strong> Costs increase if the patient requires tooth extractions, bone grafting, or sinus lifts.</li>\n<li><strong>Location:</strong> High clinic density in Istanbul and Antalya keeps package pricing highly competitive.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Choosing university-affiliated centers like Istinye Dental Hospital or Medipol University Ankara provides unique value. These institutions often integrate their own dental laboratories. YEG Clinic in Istanbul even offers full smile design within only four days. Patients benefit from high volumes, such as the 35,000 annual patients at Medipol. This scale ensures surgeons like Dr. Ufuk Zeren maintain mastery over computer-guided implant technology.</p>","faq":[{"q":"Is the Hybrid All-on-2 implant denture procedure safe, and how are potential complications managed in Turkey?","a":"<p>Hybrid All-on-2 implant dentures in Turkey are highly safe, boasting success rates between 93% and 100% for full-arch prostheses. Turkish clinics minimize risks by using digital 3-D imaging and computer-guided surgery. JCI-accredited facilities follow strict sterilization protocols to prevent infection and ensure long-term stability.</p> <ul> <li><strong>Success rates:</strong> General dental implant survival in Turkey averages approximately 97.79%.</li> <li><strong>Advanced diagnostics:</strong> Clinics like İstinye Dental Hospital use digital tools for precise placement.</li> <li><strong>Safety standards:</strong> Many facilities hold JCI or ISO certifications ensuring international quality.</li> <li><strong>Complication management:</strong> Top clinics provide lifetime warranties on implant screws and free revisions.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Data shows university-affiliated centers like İstinye Dental Hospital offer higher safety tiers due to large specialist teams. While many clinics provide 1-year warranties, those with on-site laboratories, like YEG Clinic, can manage prosthetic fractures or adjustments in just 4 days. This significantly reduces the risk of needing expensive return flights for mechanical repairs.</p> <p><strong>Patient Consensus:</strong> Patients report that while All-on-2 is a reliable, lower-cost option, requesting a post-op CBCT scan is vital for peace of mind. Successful outcomes depend heavily on staying for the full 2-week monitoring period to catch early loading issues.</p>"},{"q":"Am I a suitable candidate for Hybrid All-on-2, and what medical tests are required before surgery?","a":"<p>You are a suitable candidate for Hybrid All-on-2 if you have significant tooth loss but retain sufficient bone density in the front of your jaw. This procedure requires good systemic health, controlled blood sugar levels, and a commitment to tobacco cessation to ensure successful implant fusion.</p> <ul> <li><strong>Bone density:</strong> Requires adequate jawbone volume confirmed via 3D CBCT scans before surgery.</li> <li><strong>Health markers:</strong> Patients with diabetes must maintain HbA1c levels below 7% for healing.</li> <li><strong>Tobacco use:</strong> Clinics often require stopping smoking 3 months prior to protect osseointegration.</li> <li><strong>Diagnostic imaging:</strong> Mandatory 3D CBCT and digital X-rays map nerves and sinus cavities.</li> <li><strong>Blood panel:</strong> Standard tests include CBC, glucose, clotting, and HIV or hepatitis screening.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many believe All-on-2 is a budget compromise, data shows it is a strategic choice for patients with localized bone loss. Clinics like Medipol University Ankara Dental Hospital serve 23,500 patients annually, often utilizing this approach for elderly patients who require stable yet removable prosthetics. Selecting a university-affiliated hospital ensures access to advanced maxillofacial expertise for these specific hybrid cases.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that securing a cardiac clearance and EKG is vital if you are over 50. Most focus on the necessity of local dental check-ups to verify bone readiness before traveling to Turkey.</p>"},{"q":"What is the step-by-step surgical workflow for the Hybrid All-on-2 procedure?","a":"<p>The Hybrid All-on-2 surgical workflow in Turkey begins with 3D CBCT imaging to map bone density. Surgeons then perform extractions and place two titanium implants, often using a tilted approach or computer-guided flapless surgery. Patients receive a temporary reinforced acrylic bridge for immediate function while osseointegration occurs over 3 to 6 months.</p> <ul> <li><strong>Digital diagnostics:</strong> CBCT scans and intraoral models create a 3D virtual treatment plan.</li> <li><strong>Minimally invasive surgery:</strong> Surgeons place two implants per arch under sedation in 1 to 2 hours.</li> <li><strong>Immediate loading:</strong> A titanium-reinforced temporary hybrid bridge is attached during the same-day appointment.</li> <li><strong>Final restoration:</strong> After 3 to 6 months, a permanent porcelain-fused-to-metal hybrid bridge is fitted.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics offer standard All-on-4, the All-on-2 approach is a specialized solution focused on the lower jaw where bone density is higher. Data from top centers like Bahçeşehir University Dental Hospital shows that utilizing university-affiliated surgeons ensures access to the latest digital workflows, which is critical for the precise tilting required when only using two implants.</p> <p><strong>Patient Consensus:</strong> Patients emphasize that while the procedure is fast, the temporary bridge requires a soft-food diet for 3 months to prevent chipping. Most recommend confirming bone density via a home dentist before traveling to ensure local bone volume supports the two-implant limit.</p>"},{"q":"What does recovery look like, and when can I fly home?","a":"<p>Recovery for hybrid All-on-2 implant dentures in Turkey typically allows patients to fly home within 3 to 7 days. While initial swelling peaks at day 3, most functional activities resume within 2 weeks. Full bone integration for the implants generally requires 3 to 6 months of healing.</p> <ul> <li><strong>Travel timeframe:</strong> Most surgeons clear patients to fly 3–7 days after the implant placement.</li> <li><strong>Initial healing:</strong> Expect swelling and bruising to subside significantly within the first 7 days.</li> <li><strong>Dietary restrictions:</strong> A soft food diet is mandatory for 1–3 months to ensure osseointegration.</li> <li><strong>Activity level:</strong> Return to light work and daily routines within 1 week after surgery.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many clinics like YEG Clinic offer rapid smile designs in 4 days, the safest approach involves staying 2 extra days in Turkey. This buffer allows surgeons to monitor the initial 72-hour swelling peak and ensure no bleeding occurs before your flight.</p> <p><strong>Patient Consensus:</strong> Expect noticeable bruising around the eyes by day 3, which is normal. Patients recommend stocking up on protein shakes for the first 2 weeks and using nasal decongestants before flying home.</p>"},{"q":"How long should I plan to stay in Turkey for Hybrid All-on-2 treatment?","a":"<p>A Hybrid All-on-2 treatment in Turkey requires two separate trips. Plan to stay 7 to 10 days for the initial surgical phase and another 5 to 7 days for the final restoration. These visits are typically spaced 3 to 6 months apart to allow for proper bone fusion.</p> <ul> <li><strong>First trip duration:</strong> Stay 7–10 days for implant surgery and temporary prosthetic fitting.</li> <li><strong>Second trip duration:</strong> Stay 5–7 days for permanent bridge attachment and bite adjustments.</li> <li><strong>Healing interval:</strong> Wait 3–6 months between trips for implants to integrate with bone.</li> <li><strong>Extended stays:</strong> Add 3 days if requiring bone grafting or sinus lift procedures.</li> <li><strong>Recovery buffer:</strong> Remain in Turkey 3–4 days post-surgery to monitor initial swelling.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Clinics with in-house laboratories, like YEG Clinic in Istanbul, significantly reduce wait times between impressions and fittings. Choosing a facility with integrated digital labs often saves 2 days during the second restoration trip. This efficiency is vital when coordinating travel for precise hybrid bridge adjustments.</p> <p><strong>Patient Consensus:</strong> Most patients suggest arriving a day early to rest before surgery. Many recommend scheduling a remote follow-up four weeks after returning home to ensure the healing process is on track.</p>"},{"q":"What is included in the treatment package, and what extras should I budget for?","a":"<p>Hybrid All-on-2 treatment packages in Turkey typically include the surgical placement of two dental implants, the final prosthetic denture, and local anesthesia. Patients essentially receive a full-arch restoration for _op_1154_price_from_ to _op_1154_price_to_, which is a significant saving compared to the _price_compare_US_average_ US average.</p> <ul> <li><strong>Medical inclusions:</strong> Covers surgeon fees, two titanium implants, and the final hybrid denture attachment.</li> <li><strong>Diagnostic imaging:</strong> Basic X-rays are usually included, though advanced CBCT scans may cost extra.</li> <li><strong>Clinical facility:</strong> Use of modern surgical suites at JCI-accredited centers like Memorial Bahçelievler Hospital.</li> <li><strong>Follow-up care:</strong> Initial post-operative check-ups and stitch removal are standard in most clinical quotes.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While many think university clinics are just for teaching, Bahçeşehir University Dental Hospital offers massive 15,000 m² facilities. These academic-affiliated centers often house the most advanced digital labs. This allows for faster prosthetic adjustments that generic clinics might outsource, potentially saving you days of hotel costs.</p> <p><strong>Patient Consensus:</strong> Patients recommend budgeting for a cone-beam CT scan, which often costs between €150 and €300. Many suggest confirming if temporary dentures are included, as these can add €200 to €500 during the healing phase.</p>"}],"h2":[{"text":"Як це працює","kind":"content"},{"text":"Яка вартість комбінованого протезування на імплантах All-on-2 в Туреччині?","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з комбінованого протезування на імплантах All-on-2 у Туреччині: 37 перевірених клінік та ціни","kind":"content"},{"text":"Огляд процедури Комбіноване протезування на імплантах All-on-2 в Туреччині","kind":"content"},{"text":"Найкращі фахівці з комбінованого протезування на імплантах All-on-2 в Туреччині — 49 лікарів із відгуками та цінами","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":"FAQ з комбінованого протезування на імплантах all-on-2 в Туреччині","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":[]}