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dental treatment"],"main_risks":["Temporary gum tenderness or minor bleeding","Temporary tooth sensitivity","Transient bacteraemia","Gingival recession becoming more visible after calculus removal","Minor soft tissue irritation"],"pain":"Usually little to mild discomfort during the procedure, with mild gum soreness or sensitivity for a day or two afterward; more sensitive patients or inflamed gums may feel more.","preparation":["Brush and floss normally before the visit","Tell dentist about medical conditions, bleeding tendency, medicines","Review medical history and dental examination before scaling"],"recovery_timeline":[{"phase":"Same day","description":"Mild gum soreness, minor bleeding and tooth sensitivity possible. Normal eating and activities resume immediately.","restrictions":["Avoid very hot, cold or hard foods if sensitive"]},{"phase":"1-2 days","description":"Gums settle and sensitivity fades with gentle brushing and flossing.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Time for any mild gum soreness or sensitivity to settle after a routine scaling visit."},"result_longevity":"Plaque and calculus re-accumulate over time; the benefit lasts only with good daily oral hygiene and regular professional cleanings, commonly every 3-12 months depending on individual risk.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Routine full-mouth scaling for gingivitis or light-to-moderate calculus is usually completed in one visit."},"stages":[{"code":"scaling_polishing","label":"Ultrasonic and/or hand scaling with polishing","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the single visit."}}],"qualifier":"Deep scaling and root planing for periodontitis is a separate, multi-visit protocol."},"success":{"metric":"Visible plaque and calculus removed at visit","value":95,"unit":"percent of patients","horizon":"Immediately after the visit","population":"Adults with gingivitis or light-to-moderate calculus, no periodontitis","evidence_status":"limited"},"techniques":[{"name":"Ultrasonic/piezoelectric scaling","suits_whom":"Most patients with plaque, calculus and staining.","recovery":"Minimal; same-day return to normal activities."},{"name":"Manual hand-instrument scaling","suits_whom":"Fine residual calculus, sensitive areas, or when ultrasonic devices are unsuitable (e.g. some pacemaker or infection-control situations).","recovery":"Minimal; same-day return to normal activities."},{"name":"Air polishing (adjunct)","suits_whom":"Stain and biofilm removal after scaling.","recovery":"Minimal; mild sensitivity possible."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per full-mouth routine scaling and polishing visit."},"initial_assessment_documents":["Photos of front teeth and gums","Photos of upper and lower back teeth","Panoramic dental X-ray (OPG) (if available)","Dental record showing date of last professional cleaning","Medical history listing blood thinners and heart conditions"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-visit routine scaling and polishing; stay 1 day. Recall cleaning at 3-6 months is done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"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":"Whether you can put your questions directly to the treating clinicians","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":"C3","text":"Whether the facility and 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":"C4","text":"Whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","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":"The patient cannot put questions directly to the treating clinicians 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":"2026-11-12","http_status":200}},{"id":"F2","text":"The offer does not say where follow-up care will take place","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"F3","text":"Follow-up care fees are added on top of the quoted base cost","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some overseas facilities and healthcare professionals charge substantial fees for follow-up care in addition to the base cost.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"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://my.clevelandclinic.org/health/treatments/23983-tooth-scaling-and-root-planing","host":"my.clevelandclinic.org","quote":"But let your dentist know if you have excessive bleeding that doesn’t stop.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus or infection at the treatment site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Infection (pus) at the treatment site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain that does not go away","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Severe pain that doesn’t go away.","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":"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":"T4","text":"Home dentist uses X-ray copies for future treatment","document":"dental x-ray copies","source":{"url":"https://www.ada.org/en/about-the-ada/principles-of-ethics-code-of-professional-conduct/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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your gum disease is moderate to advanced","name":"Pocket reduction surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"People with moderate to advanced periodontal disease usually require surgical intervention.","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":"ultrasonic","name":"Ultrasonic/piezoelectric scaling","how_it_works":{"text":"Ultrasonic instruments are used to deep clean teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/23983-tooth-scaling-and-root-planing","host":"my.clevelandclinic.org","quote":"Your provider will use hand scalers or ultrasonic instruments to deep clean your teeth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"manual-hand-instrument","name":"Manual hand-instrument scaling","how_it_works":{"text":"Hand scalers are used to deep clean teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/23983-tooth-scaling-and-root-planing","host":"my.clevelandclinic.org","quote":"Your provider will use hand scalers or ultrasonic instruments to deep clean your teeth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"air-polishing","name":"Air polishing (adjunct)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=bonao/procedure=cistka-zubov/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}