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to osseointegration and placement of the definitive fixed prosthesis; the immediate provisional prosthesis gives function earlier."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After general anesthesia surgery and a pre-departure check with the provisional prosthesis; depends on swelling, bleeding, and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Suture and wound check before flight home"}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":60,"unit":"days","qualifier":"From surgery day; prosthesis and soft-tissue review"}},{"purpose":"result_review","requirement":"routine","after":{"min":120,"max":180,"unit":"days","qualifier":"From surgery day; before definitive prosthesis"}}],"indications":["Severely atrophic edentulous maxilla where conventional implants need extensive grafting","Failed previous maxillary implants or grafts with insufficient bone","Maxillary defects after resection or trauma"],"main_risks":["Sinusitis or oroantral communication","Infection or implant failure","Soft-tissue dehiscence or prosthesis-related complications","Periorbital swelling or bruising, rarely orbital injury","Nerve sensation changes","Bleeding and swelling","General anesthesia risks"],"pain":"Moderate postoperative pain, swelling and bruising for several days, usually controlled with prescribed analgesics.","preparation":["CBCT or CT imaging and treatment planning","Medical and dental assessment including sinus evaluation","Treatment of active oral infection and periodontal disease","Smoking cessation advised","Pre-anesthesia assessment and fasting as instructed","Discuss current medications with surgeon and anesthesiologist"],"recovery_timeline":[{"phase":"First 1-3 days","description":"Swelling, bruising and mild bleeding; immediate provisional fixed prosthesis usually fitted.","restrictions":["Soft or liquid diet","Avoid blowing nose or pressure on the sinus area","Rest with head elevated"]},{"phase":"Weeks 1-2","description":"Swelling subsides; sutures reviewed or removed.","restrictions":["Soft diet","Careful oral hygiene","Avoid strenuous activity"]},{"phase":"Months 1-6","description":"Osseointegration with provisional prosthesis.","restrictions":["Avoid hard foods","Avoid contact sports"]},{"phase":"After 4-6 months","description":"Definitive prosthesis fabricated and fitted.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery from surgery on one arch, with a soft diet."},"result_longevity":"Implants and fixed prosthesis commonly last 10-15+ years with good hygiene, regular maintenance and non-smoking; the prosthesis may need refurbishment or replacement sooner due to wear.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Implant failure or removal requiring replacement or further surgery within 5 years."},"scars":"No external scars; intraoral gum incisions heal inside the mouth.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Surgery with immediate provisional prosthesis, then definitive prosthesis delivery."},"stages":[{"code":"surgery_provisional","label":"Zygomatic and anterior implant placement with immediate provisional prosthesis","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}},{"code":"definitive_prosthesis","label":"Definitive fixed prosthesis delivery","after":{"min":120,"max":180,"unit":"days","qualifier":"After healing"}}],"qualifier":"One arch; immediate-loading protocol for suitable cases."},"success":{"metric":"Zygomatic implant survival","value":95,"unit":"percent","horizon":"5 years","population":"Adults with severely atrophic edentulous maxilla, one arch, immediate-loading protocol","evidence_status":"limited"},"techniques":[{"name":"Quad zygoma (four zygomatic implants)","suits_whom":"Severe maxillary atrophy with minimal posterior and anterior bone","recovery":"Similar to the base course; immediate provisional prosthesis if stability is adequate."},{"name":"Hybrid: two zygomatic plus two anterior conventional implants","suits_whom":"Severe posterior atrophy with sufficient anterior bone","recovery":"Similar to the base course; immediate provisional prosthesis if stability is adequate."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Surgery for one upper arch with zygomatic implants, typically with provisional prosthesis fitting."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the upper jaw","Front and smile photos with and without dentures","Intraoral photos of the upper arch","List of blood thinners and bisphosphonates","Previous sinus surgery or sinusitis reports (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Surgery trip with immediate provisional teeth, 5-7 days; second trip after 4-6 months of healing for definitive prosthesis, 5-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","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":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the team questions about your 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":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be treated","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be provided when you return home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"You'll need to be aware of how your aftercare will be provided when you return home and understand the conditions under which you'll be treated abroad.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Make sure you understand the possible complications and side effects of the 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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision before booking treatment abroad","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"You cannot ask the provider questions about your treatment before booking","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":"2026-11-13","http_status":200}},{"id":"F3","text":"No mention of aftercare offered before booking","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The consultation leaves you unsure who will treat you or what facilities are available","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"whether you know enough about the people who'll treat you and the facilities available","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"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 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