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appointments only, excluding consultation and routine follow-up checks."},"success":{"metric":"Bridge survival (still in function)","value":90,"unit":"percent","horizon":"10 years","population":"Adults with a three-unit conventional fixed bridge on sound abutment teeth","evidence_status":"limited"},"techniques":[{"name":"Conventional fixed bridge (porcelain-fused-to-metal or all-ceramic) on prepared abutment teeth","suits_whom":"Patients missing one or a few teeth with sound, suitable adjacent abutment teeth.","recovery":"Brief soreness and sensitivity; return to normal activity the same or next day."},{"name":"Resin-bonded (adhesive) ceramic bridge","suits_whom":"Selected cases, often a single missing front tooth with healthy adjacent teeth, requiring minimal preparation.","recovery":"Minimal; usually no significant downtime."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Preparation visit for a typical three-unit bridge (two abutment teeth); cementation visit is shorter, about 0.5-1 hour."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of abutment teeth","Front and side photos of the smile","Photos of the gap and adjacent teeth","List of current dental restorations (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Preparation and cementation fit in one trip with in-clinic lab; stay 7-14 days. Two trips if lab fabrication takes weeks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the dentist discusses test results and treatment in plain, non-technical language","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Use as little technical language as possible when discussing diagnostic tests and findings from oral exams, radiographs, photographs or during treatment such as surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the treatment plan is signed off by you and that any change from the original plan was discussed and approved","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Audits allow you to confirm that patients have signed off on treatment plans and confirm that any changes in care from the original plan were discussed and approved.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the clinic is open and willing to discuss your concerns","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Always be open and willing to discuss the patient’s complaints or concerns.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","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}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic proposes a treatment plan without asking about your medical history or drug use","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"It’s important for them to know that you and your staff need this information in order to accurately assess their oral health needs and design an appropriate treatment plan.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic explains test findings and treatment in technical terms, not plain language","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Use as little technical language as possible when discussing diagnostic tests and findings from oral exams, radiographs, photographs or during treatment such as surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise 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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"The bridge falls out","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"Finally, if the bridge becomes unstuck on all the teeth to which it was previously fixed to, the bridge itself will fall out.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Gums become inflamed or bleed","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"If your cleaning is not optimal your gums may become inflamed, bleed and may develop gum disease.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Decay develops around the bridge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"Unfortunately, poor cleaning can also result in decay occurring around the bridge.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home dentist needs the planned care and documented treatment details","document":"treatment plan","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Among other things, they contain information about the patient’s treatment plan and care that has been delivered.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","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":"T3","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":"T4","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Several teeth are missing, so a removable option may suit","name":"Removable denture","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/bridges/","host":"leedsth.nhs.uk","quote":"It is usually recommended when multiple teeth are missing.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your bone, space and health allow an implant","name":"Dental implant","source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"an implant may be possible, but this will depend on various factors including; bone quality and quantity, the space available for your implant, your bite, your medical history including smoking and possibly finance.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":792},{"id":"A3","text":"Your gap does not affect eating or socializing","name":"Leave the gap","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/bridges/","host":"leedsth.nhs.uk","quote":"If you are happy with your dental appearance and the gap does not affect eating or socializing, then you may choose to leave the gap as it is.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-fixed-bridge","name":"Conventional fixed bridge (porcelain-fused-to-metal or all-ceramic) on prepared abutment teeth","how_it_works":{"text":"Adjacent teeth are reshaped to support the fixed bridge","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/bridges/","host":"leedsth.nhs.uk","quote":"A conventional bridge is made by drilling the adjacent tooth (or teeth) down to a peg and a crown is made, which fits over this prepared tooth.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"resin-bonded-ceramic-bridge","name":"Resin-bonded (adhesive) ceramic 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