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Relevant if replacement is planned."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Simple: next day. Surgical or third-molar: 2-3 days. 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Mild to moderate soreness for 2-3 days afterwards, usually controlled with simple analgesics.","preparation":["Dental examination and X-ray to assess tooth and roots","Review of medical history, allergies and medications with the dentist","Eat normally beforehand and keep good oral hygiene","Treat abscess infection first if present","Report blood thinners, bisphosphonates or radiotherapy; don't stop medication unadvised"],"recovery_timeline":[{"phase":"First 24 hours","description":"Blood clot forms in socket; gauze pressure controls oozing; numbness wears off in a few hours.","restrictions":["No rinsing vigorously or spitting","No straws or smoking","Avoid hot food and drinks","Avoid strenuous activity"]},{"phase":"Days 2-7","description":"Swelling and soreness peak early then fade; gentle salt-water rinses after the first day; soft diet.","restrictions":["Avoid smoking and alcohol","Avoid chewing on the extraction site","Avoid heavy exercise"]},{"phase":"Weeks 1-3","description":"Gum tissue closes over the socket; normal eating resumes progressively.","restrictions":[]},{"phase":"Months 1-3","description":"Socket bone remodels and fills in.","restrictions":[]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Return to ordinary eating and function after a simple single-tooth extraction; no formal rehabilitation program."},"result_longevity":"Extraction is permanent; the tooth is removed. The socket heals, but the missing tooth may need replacement to prevent shifting and bone loss.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Unplanned re-intervention: dry socket dressing, bleeding control or retained root fragment removal; higher after impacted lower third molars."},"scars":"No external scar; a small internal gum healing site remains, and rarely a suture line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One treatment appointment for a single tooth."},"stages":[{"code":"extraction","label":"Tooth extraction under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial appointment."}}],"qualifier":"Uncomplicated single-tooth extraction; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Uncomplicated socket healing (no dry socket) after routine extraction","value":97,"unit":"percent","horizon":"1-2 weeks","population":"Routine extractions in adults; dry socket 1-4%, higher after impacted lower third molars.","evidence_status":"limited"},"techniques":[{"name":"Simple (forceps) extraction","suits_whom":"Patients with visible, erupted teeth and accessible roots","recovery":"Typically 2-3 days of soreness; gum heals in 1-3 weeks."},{"name":"Surgical extraction","suits_whom":"Patients with broken-down, ankylosed, curved-root or impacted teeth; flap and/or sectioning needed","recovery":"Usually 5-10 days of swelling and soreness; sutures may be placed."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"One tooth, simple extraction including anesthesia onset; surgical extractions may take longer."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","Photos of the tooth and surrounding gum","List of blood thinners","Dental CBCT scan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-appointment procedure; stay 1-3 days to allow early healing before flying. Suture removal can be done locally."},"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":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask for examples of the team's experience with the same surgery you are booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that the surgeon you consult 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":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the facility and healthcare professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, is a warning sign before booking","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":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success is a warning sign","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":"2026-11-12","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://www.guysandstthomas.nhs.uk/health-information/dental-surgery-and-recovery","host":"guysandstthomas.nhs.uk","quote":"If the bleeding does not stop, contact your local dentist.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"W2","text":"Sudden severe bleeding that cannot be controlled","urgency":"emergency","general":false,"source":{"url":"https://www.bristol.ac.uk/dental/treatment/patient-information/care-for-your-mouth-oral-maxillofacial-surgery","host":"bristol.ac.uk","quote":"In the event of sudden onset of severe bleeding or severe bleeding that cannot be controlled, call 999 and request ambulance services and continue to apply firm pressure to the bleeding site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that worsens a few days after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://www.healthline.com/health/how-long-does-dry-socket-last","host":"healthline.com","quote":"With dry socket, pain begins a few days after surgery and gets significantly worse.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Drainage from the extraction site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22120-tooth-extraction","host":"my.clevelandclinic.org","quote":"Still, you should call your dentist if you develop signs of infection like fever or drainage from the surgical site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever after the extraction","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/22120-tooth-extraction","host":"my.clevelandclinic.org","quote":"Still, you should call your dentist if you develop signs of infection like fever or drainage from the surgical site.","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":"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":"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}},{"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 dentist can compare against existing images instead of ordering new ones","document":"dental x-rays (radiographs)","source":{"url":"https://www.mouthhealthy.org/all-topics-a-z/x-rays","host":"mouthhealthy.org","quote":"If a previous dentist has any images of you, your new dentist may ask for copies instead of ordering new ones.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your infected tooth may be saved instead of removed","name":"Root canal treatment","source":{"url":"https://www.nhs.uk/conditions/root-canal-treatment/","host":"nhs.uk","quote":"If you have an infected tooth and do not have root canal treatment, you may need to have the tooth taken out.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":441}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"simple-extraction","name":"Simple (forceps) extraction","how_it_works":{"text":"The dentist loosens the tooth with instruments and removes it","source":{"url":"https://my.clevelandclinic.org/health/treatments/22120-tooth-extraction","host":"my.clevelandclinic.org","quote":"Using specialized dental instruments, your dentist will gently loosen your tooth and carefully remove it from its socket.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":1,"unit":"days","label":"1 day","source":{"url":"https://www.nhs.uk/tests-and-treatments/wisdom-tooth-removal/","host":"nhs.uk","quote":"You can usually go back to your normal activities the day after having wisdom teeth 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