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sensitivity of exposed roots may persist for weeks.","preparation":["Scaling and oral hygiene instruction beforehand","Review of medical history and medications","Stop smoking before and after surgery","Periapical or panoramic dental X-ray","Antiseptic mouth rinse before surgery"],"recovery_timeline":[{"phase":"Days 0-3","description":"Swelling and soreness; periodontal dressing may cover the area.","restrictions":["Soft cool foods","No brushing at the surgical site","Avoid smoking"]},{"phase":"Days 7-14","description":"Sutures removed; gentle cleaning resumes with antiseptic rinse.","restrictions":["Avoid hard foods at the site","No strenuous exercise"]},{"phase":"Weeks 3-8","description":"Gingival tissue matures and normal brushing resumes.","restrictions":["Soft toothbrush only until cleared"]},{"phase":"Months 3-6","description":"Margin stabilizes; definitive restorations can be finalized.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary eating and oral hygiene comfortably restored."},"result_longevity":"Long-term with good oral hygiene and periodontal maintenance; recession may recur if plaque control is poor.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat or additional gingival surgery at the site, such as graft, within 2 years."},"scars":"Intraoral only; no visible skin scar. Gingiva heals with minor tissue contour change and possible root exposure.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session per sextant or quadrant."},"stages":[{"code":"surgery","label":"Flap surgery with apical repositioning and suturing","after":{"min":0,"max":0,"unit":"days","qualifier":"Same day."}}],"qualifier":"Single-stage surgery for one area."},"success":{"metric":"Gain in keratinized gingiva width","value":2,"unit":"mm","horizon":"6 months","population":"Adults with inadequate keratinized gingiva and good plaque control","evidence_status":"limited"},"techniques":[{"name":"Full-thickness apically repositioned flap","suits_whom":"Crown lengthening or pocket reduction with adequate keratinized gingiva.","recovery":"Healing in 2-3 weeks; mature in 3-6 months."},{"name":"Partial-thickness apically repositioned flap","suits_whom":"Thin tissue or need to preserve periosteum and widen attached gingiva.","recovery":"Slightly longer healing; often more sensitive."},{"name":"With osseous recontouring","suits_whom":"Cases needing bone reduction for biologic width.","recovery":"Longer healing, 4-6 weeks before restoration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"Per quadrant or sextant."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of affected teeth","Photos of gums and teeth","Periodontal chart (if available)","List of medications, including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days if sutures are removed abroad, otherwise 3-7 days."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly with the clinician who will treat you before you book","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the treating clinician's qualifications and references yourself","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Confirm the clinic staff can communicate in a language you speak","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Make sure you are able to communicate; check if you speak the same language as clinic or hospital staff.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Confirm aftercare arrangements and what happens if complications occur","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Confirm arrangements for aftercare and check what will happen if there are complications, or if you are unhappy with the results of your procedure.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check 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":"2026-11-14","http_status":200}},{"id":"C6","text":"Check who will treat you and the facilities available, because care standards may differ","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"whether you know enough about the people who'll treat you and the facilities available","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic markets the surgery as a holiday package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Treatment advice comes from a travel agent, sales representative or administrator","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"You are asked to agree to surgery before meeting the operating surgeon","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Persistent bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4541311/","host":"pmc.ncbi.nlm.nih.gov","quote":"The risks of surgery are pain, swelling, bloodloss, reaction to medications, and infection.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Increasing swelling","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4541311/","host":"pmc.ncbi.nlm.nih.gov","quote":"The risks of surgery are pain, swelling, bloodloss, reaction to medications, and infection.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Surgical-site infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11693765/","host":"pmc.ncbi.nlm.nih.gov","quote":"Other complications, including vascular injury, soft tissue laceration, incision dehiscence, and surgical site infection, should be treated according to standard surgical principles.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Flap separation from incision","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11693765/","host":"pmc.ncbi.nlm.nih.gov","quote":"Other complications, including vascular injury, soft tissue laceration, incision dehiscence, and surgical site infection, should be treated according to standard surgical principles.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Prescriptions let the home doctor continue your medicines after return","document":"prescriptions","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-14","http_status":200}},{"id":"T2","text":"Scans let the home doctor see the treated area and follow it up","document":"scans and x-rays","source":{"url":"https://travelhealthpro.org.uk/news/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":"2026-11-14","http_status":200}},{"id":"T3","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":"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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your excess gum tissue sits over a normal bone level","name":"Gingivectomy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"Type IA is characterized by soft tissue excess with a normal osseous crest to CEJ relationship (adequate keratinized gingiva ≥2 mm, and CEJ-bone is ≥2 mm), requiring only a gingivectomy or gingivoplasty for correction.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":918}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"full-thickness-apically","name":"Full-thickness apically repositioned flap","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"partial-thickness-apically","name":"Partial-thickness apically repositioned flap","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"osseous-recontouring","name":"With osseous recontouring","how_it_works":{"text":"The gum flap is moved toward the root while bone is contoured","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"Type IIB features inadequate keratinized tissue and an osseous crest at the CEJ level, requiring both apical repositioning of the flap and osseous recontouring to achieve aesthetic results without biologic width impingement [ 18 , 22 , 24 ].","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=egipet/city=cairo/procedure=apikalnoe-smeshchenie-loskuta/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}