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Surgical/impacted extractions may need longer."},"complication_rate_pct":{"min":0.1,"max":1,"unit":"percent","qualifier":"Major events only: bleeding needing intervention, deep infection, oroantral communication, jaw fracture, permanent nerve injury; dry socket excluded."},"contraindications":["Acute uncontrolled systemic illness (relative; defer until stabilised)","Bleeding disorders or anticoagulation without medical planning (relative)","Jaw radiotherapy or high-dose antiresorptives (relative; osteonecrosis risk)","Uncontrolled diabetes (relative)","Recent myocardial infarction or unstable cardiac condition (relative)","Known allergy to local anesthetic agents (use alternative)","Severe spreading infection with trismus (may need hospital care)","Uncontrolled epilepsy (relative; risk of seizure, aspiration or injury)","Immunocompromised or endocarditis risk without medical planning (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Single-tooth extraction in a dental office; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0.5,"max":1,"unit":"weeks","qualifier":"Strenuous exercise avoided for 3-7 days after a simple extraction to reduce bleeding and dry socket risk."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Soft tissue closes in 1-3 weeks; socket bone remodelling continues for months. 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. Delay if bleeding persists or oroantral communication suspected."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Optional check or suture removal if non-resorbable sutures were placed; often not needed for simple extractions."}}],"indications":["Severe tooth decay not restorable","Advanced periodontal disease with mobile tooth","Tooth fracture below the gumline","Infection or abscess unresponsive to other treatment","Impacted or malpositioned tooth causing problems","Orthodontic space requirement","Non-restorable tooth before prosthetic or implant treatment","Pericoronitis or recurrent problems with wisdom teeth","Tooth with failed endodontic treatment or periapical pathology","Teeth in jaw fracture line or with cyst/tumour","Pre-radiotherapy removal of teeth with poor prognosis","Supernumerary or retained primary teeth blocking eruption"],"main_risks":["Post-extraction bleeding","Dry socket (alveolar osteitis)","Infection","Swelling, bruising and jaw stiffness","Fracture of tooth root or adjacent restoration/tooth","Temporary or rarely permanent nerve numbness (more with lower molars)","Sinus communication for upper back teeth","Damage to adjacent teeth, restorations or soft tissues","Tooth or root displacement into sinus or soft tissues","Fracture of the jaw (mandible) or alveolar bone/tuberosity"],"pain":"Procedure is painless under local anesthesia aside from pressure. 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 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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 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