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cephalometric X-ray (if available)","Front and side face photos","Photos of teeth in bite and each arch","Dental scans or impressions (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Bonding and debonding trips; optional mid-course adjustments not counted."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the orthodontic treatment is provided by a dentist who specializes in dental and facial irregularities","scope":"procedure","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"Orthodontic treatment may be provided by your dentist or an orthodontist, a dentist who specializes in the diagnosis, prevention and treatment of dental and facial irregularities.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the dentist's orthodontic experience, since the treatment depends on it and on case 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treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Recaps of conversations about the nature of any proposed treatment, the potential benefits and risks associated with that treatment, any alternatives to the treatment proposed, and the potential risks and benefits of alternative treatment, including no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the clinic creates diagnostic records, including charts and study models, because these support treatment planning and continuity of care","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Diagnostic records, including charts and study 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years.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The consultation does not explain proposed treatment, benefits, risks, alternatives, and the option of no treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Recaps of conversations about the nature of any proposed treatment, the potential benefits and risks associated with that treatment, any alternatives to the treatment proposed, and the potential risks and benefits of alternative treatment, including no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic cannot provide diagnostic records such as charts or study models","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Diagnostic records, including charts and study models.","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":"ok","items":[{"id":"W1","text":"Teeth painful for more than a few days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"your teeth are painful for more than a few days after your braces are fitted or adjusted","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Very red, swollen, or painful gums","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"you have braces and your gums are very red, swollen or painful","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Broken braces","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"your braces are broken","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Documents the treatment performed, so the home dentist can continue care","document":"treatment report","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Whomever performs the treatment should document it in the record.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"They identify medicines, doses, amounts, directions, and refills for safe follow-up","document":"medication prescriptions","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Medication prescriptions, including types, dose, amount, directions for use and number of refills.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"They tell the home dentist what postoperative or home instructions were provided","document":"aftercare instructions","source":{"url":"https://www.ada.org/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":"2026-11-13","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You accept how your teeth look without braces","name":"No treatment","source":{"url":"https://leaflets.ekhuft.nhs.uk/orthodontic-treatment-what-you-need-to-know/html/","host":"leaflets.ekhuft.nhs.uk","quote":"One alternative would be to accept how your teeth look and not have braces.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"metal-brackets","name":"Metal brackets","how_it_works":{"text":"Metal brackets are attached to each tooth with dental glue","source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"Metal squares (brackets) are attached to each tooth with dental glue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ceramic-brackets","name":"Ceramic (tooth-coloured) brackets","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"self-ligating-brackets","name":"Self-ligating brackets","how_it_works":{"text":"A built-in system holds the wire instead of elastic ties","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"The main difference is that, instead of ligatures (tiny elastic bands), self-ligating braces use a built-in system to hold the archwire in place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lingual-braces","name":"Lingual braces","how_it_works":{"text":"Brackets sit on the back surfaces of the teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"But they go on the back surfaces of your teeth instead of the 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