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diet"]},{"phase":"Weeks 1-2","description":"Soft tissue healing; sutures removed.","restrictions":["Avoid strenuous exercise","Avoid air pressure changes where possible"]},{"phase":"Months 4-9","description":"Graft integrates into bone; implant placed afterwards in staged approach.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery of soft tissues and return to normal eating; bone healing continues for months."},"result_longevity":"Grafted bone typically lasts many years once integrated and supporting an implant. Longevity depends on implant success, oral hygiene, smoking status and periodontal health.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat grafting or implant replacement due to graft failure or infection within 1-5 years."},"scars":"No visible scar; intraoral incision heals within the mouth, with possible minor gum scarring.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"One augmentation surgery; a second surgery for implant placement if staged."},"stages":[{"code":"sinus_augmentation","label":"Sinus floor augmentation with bone graft","after":{"min":0,"max":0,"unit":"days","qualifier":"Initial procedure."}},{"code":"implant_placement","label":"Implant placement after graft healing (if not simultaneous)","after":{"min":120,"max":270,"unit":"days","qualifier":"From augmentation."}}],"qualifier":"Simultaneous implant placement is possible when residual bone height is sufficient, giving one surgery."},"success":{"metric":"Implant survival in grafted sinus","value":95,"unit":"percent","horizon":"3-5 years after implant loading","population":"Adults with insufficient posterior maxillary bone height receiving sinus lift and implants","evidence_status":"limited"},"techniques":[{"name":"Lateral window (open) sinus lift","suits_whom":"Marked bone deficiency (residual height roughly under 5 mm).","recovery":"More swelling; staged implant typically after several months."},{"name":"Crestal (closed) sinus lift, osteotome-based","suits_whom":"Moderate deficiency with adequate residual bone height.","recovery":"Less invasive; faster recovery, often with simultaneous implant."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"One sinus, one side; crestal lift is shorter than lateral window."},"initial_assessment_documents":["Panoramic dental X-ray","Recent CBCT scan of upper jaw","Photos of upper teeth and missing-tooth area","List of blood thinners","Prior sinus surgery or sinusitis report"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One trip (about 7-10 days) if implant placed simultaneously; staged protocol needs a second trip 4-9 months later."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician who will do the procedure and the credentials of the facility","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you have been able to ask the treatment 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":"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}},{"id":"C4","text":"Make sure you are clear how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Decide ahead of time how you will communicate with your clinician if you do not speak the language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Discuss with your home doctor how medical notes will be transferred to the overseas team","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":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","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":"A hard sell before booking treatment abroad is a warning sign","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":"A lack of information about the treatment is a warning sign","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":"F3","text":"Pressure to make a quick decision is a warning sign","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":"No discussion of possible complications is a warning sign","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":"F5","text":"No mention of aftercare is a warning sign","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Swelling or pain worsening after two days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/sinus-lift-procedures/","host":"cuh.nhs.uk","quote":"swelling or pain that gets worse after two days","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bright-red continuous bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/sinus-lift-procedures/","host":"cuh.nhs.uk","quote":"bleeding that is bright red and continuous – normal bleeding after this procedure oozes slowly and is dark red with possible clots","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bone material dislodged after sneezing","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cuh.nhs.uk/patient-information/sinus-lift-procedures/","host":"cuh.nhs.uk","quote":"you think the bony material may have been dislodged after sneezing or blowing your nose","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 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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have healthy natural teeth on both sides of the gap","name":"Dental bridge","source":{"url":"https://my.clevelandclinic.org/health/treatments/10921-dental-bridges","host":"my.clevelandclinic.org","quote":"Dentists use traditional dental bridges when you have healthy natural teeth on both sides of the gap.","tier":"tier1_medical","fetched_at":"2026-11-13","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":"lateral-window-sinus","name":"Lateral window (open) sinus lift","how_it_works":{"text":"A bony window is cut, then the sinus membrane is separated","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3484828","host":"pmc.ncbi.nlm.nih.gov","quote":"A bony window was created by applying a round bur.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"crestal-sinus-lift","name":"Crestal (closed) sinus lift, osteotome-based","how_it_works":{"text":"The sinus membrane is lifted from the crest by an osteotome","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3484828","host":"pmc.ncbi.nlm.nih.gov","quote":"the schneiderian membrane is lifted from the alveolar crest by applying an 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