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closed."},"requirement":"routine"},{"purpose":"result_review","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of healing and contour, often remotely or with local dentist."},"requirement":"conditional"}],"indications":["Bony exostoses or torus of jaw","Sharp or irregular alveolar ridge","Ridge reshaping before denture fitting","Bone irregularities after tooth extraction","Uneven bone contour affecting prosthesis fit","Bone reshaping during crown lengthening"],"main_risks":["Postoperative swelling, bruising and pain","Bleeding","Infection","Temporary or, rarely, persistent numbness or nerve injury","Wound dehiscence or delayed healing","Unsatisfactory bone contour or volume requiring further treatment"],"pain":"Mild to moderate discomfort for 2-4 days, controlled with standard oral painkillers. Swelling peaks at 48-72 hours; the procedure itself is painless under local anesthesia.","preparation":["Dental exam with panoramic X-ray or CBCT","Review of medications, especially blood thinners","Treat active gum or tooth infection first","Stop smoking at least 1-2 weeks before","Arrange soft foods and ice packs","Antiseptic mouth rinse before surgery"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling, mild bleeding and soreness peak; cold packs and soft cool diet.","restrictions":["No rinsing forcefully or spitting","No hot food or drinks","No smoking or alcohol"]},{"phase":"Days 4-10","description":"Swelling subsides; sutures removed around day 7-10; gentle oral hygiene resumes.","restrictions":["Avoid hard or crunchy food","No strenuous exercise"]},{"phase":"Weeks 2-6","description":"Soft tissue heals and normal diet and activity return.","restrictions":["Avoid pressure on surgical site from dentures until cleared"]},{"phase":"Months 3-6","description":"Bone remodelling completes and contour stabilises; prosthetic work can proceed.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Time to comfortable eating and normal daily function; depends on extent of reshaping."},"result_longevity":"Reshaped bone contour is generally permanent, though ordinary age-related ridge resorption continues. Exostoses may rarely regrow slowly.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat reshaping for residual irregularity or exostosis regrowth within 1-2 years"},"scars":"Incision is inside the mouth along the gum, so no visible scar. A faint line in the gum usually fades within weeks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single outpatient surgery under local anesthesia."},"stages":[{"code":"surgery","label":"Osteoplasty under local anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Single surgery day; no further stages."}}],"qualifier":"One surgical session for a limited area; extensive cases may need staging."},"success":{"metric":"Smooth ridge contour achieved without need for repeat reshaping","value":92,"unit":"percent","horizon":"6 months","population":"Adults with limited exostoses or irregular alveolar ridge treated under local anesthesia","evidence_status":"limited"},"techniques":[{"name":"Rotary bur and bone file reshaping","suits_whom":"Most limited ridge irregularities and exostoses","recovery":"Swelling settles in about a week."},{"name":"Piezoelectric osteoplasty","suits_whom":"Areas near nerves or sinus needing precise bone cutting","recovery":"Often less trauma and swelling; similar healing time."},{"name":"Osteoplasty with crown lengthening","suits_whom":"Patients needing more exposed tooth structure","recovery":"Gum healing takes 4-6 weeks before restoration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Depends on number of sites and extent of bone reshaping."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw","Intraoral photos of the affected area","List of blood thinners","Previous dental surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient surgery; stay about 7-10 days until suture removal and a follow-up check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the clinician's qualifications for the 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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}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop after firm pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://guysandstthomas.nhs.uk/health-information/periodontal-gum-surgery/recovery","host":"guysandstthomas.nhs.uk","quote":"you have bleeding that does not stop, and you have tried putting pressure on the area","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"W2","text":"Infection or pus at the surgical site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24886-osseous-surgery","host":"my.clevelandclinic.org","quote":"Infection or pus at the surgical site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever over 101 degrees Fahrenheit","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24886-osseous-surgery","host":"my.clevelandclinic.org","quote":"Fever over 101 degrees Fahrenheit (38.3 degrees 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