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Adjustments every 4-8 weeks need a local orthodontist."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for the first adjustment; then repeated about every 4-8 weeks until active treatment ends."}},{"purpose":"other","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"After initial bonding for planned debonding and retainer fitting, depending on case complexity."}},{"purpose":"assessment","requirement":"routine","after":{"min":30,"max":365,"unit":"days","qualifier":"After debonding for planned retention review; timing varies by clinician."}}],"indications":["Crowding or spacing of teeth","Mild to moderate malocclusion: overbite, overjet, crossbite, open bite","Tooth rotation or malposition"],"main_risks":["Gum inflammation and white spot lesions with poor hygiene","Tooth decay","Gingival irritation and mouth ulcers","Root resorption","Brittle brackets may fracture; removal can occasionally chip enamel"],"pain":"Mild to moderate aching and pressure for 2-5 days after placement and after adjustments; soft-tissue irritation is possible. Usually managed with soft diet and over-the-counter analgesia.","preparation":["Orthodontic assessment: examination, photographs, X-rays, impressions or digital scans","Treatment of caries and gum disease beforehand","Professional cleaning before bonding","Extractions or other pre-treatment only if the plan requires","Instruction on oral hygiene and diet with braces"],"recovery_timeline":[{"phase":"First days after bonding","description":"Teeth ache, lips and cheeks may be irritated, and speech and chewing need adapting. Daily activity is usually unrestricted.","restrictions":["Soft diet for the first days","Use orthodontic wax on rubbing areas"]},{"phase":"After each adjustment","description":"Aching and pressure usually last about 2-5 days after wire changes or activations, then settle.","restrictions":["Soft foods while sore","Keep brushing and interdental cleaning"]},{"phase":"Active treatment","description":"Teeth move gradually over about 12-30 months, with adjustments every 4-8 weeks. Work and exercise are usually possible; wear a braces-suitable mouthguard for contact sports.","restrictions":["Avoid hard, sticky and chewy foods","Meticulous brushing and interdental cleaning","Limit staining foods and drinks to protect ties","Wear a braces-compatible mouthguard for contact sports"]},{"phase":"Debonding and retention","description":"Brackets are removed and retainers are fitted; retention is needed long term to reduce relapse.","restrictions":["Wear retainers as instructed","Do not skip retention reviews"]},{"phase":"At any time","description":"See a clinician promptly for broken brackets, poking wires or persistent ulcers. Urgent care: facial swelling, fever, severe pain, swallowed appliance part, injury.","restrictions":["Do not wait for the next routine adjustment","Cover sharp areas with orthodontic wax until seen","Do not cut or force wires unless clinician instructs"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Adaptation period after bonding; ordinary function returns once soreness settles."},"result_longevity":"Tooth alignment is generally long-lasting when retainers are worn as advised; some relapse can occur without retention.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Patients needing extended treatment, refinement or re-bonding of appliances to reach goals; excludes routine bracket repairs."},"scars":"No incisions and no surgical scars. Brackets are bonded to tooth surfaces; soft-tissue irritation is temporary.","sessions_or_stages":{"sessions":{"min":14,"max":30,"unit":"visits","qualifier":"Conventional ceramic brackets: 1-2 bonding visits, about 10-26 adjustments every 4-8 weeks, then debonding and retainer visits."},"stages":[{"code":"records_planning","label":"Records and treatment planning, with pre-treatment dental care if needed","after":{"min":0,"max":0,"unit":"days","qualifier":"Before bonding; reference event is the bonding day."}},{"code":"bonding","label":"Bonding of conventional ceramic brackets and first archwire, in 1-2 visits","after":{"min":0,"max":14,"unit":"days","qualifier":"Counted from the first bonding visit; the second visit is only needed if bonding is split by arch."}},{"code":"adjustments","label":"Planned adjustment visits with wire changes, elastics and progress checks","after":{"min":28,"max":900,"unit":"days","qualifier":"Counted from initial bonding; repeated about every 4-8 weeks through active treatment."}},{"code":"debonding_retainers","label":"Bracket removal, polishing and retainer fitting or delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"Counted from initial bonding, matching the 12-30 month active treatment estimate."}},{"code":"retention_review","label":"Planned retention reviews after debonding","after":{"min":30,"max":365,"unit":"days","qualifier":"Counted from debonding; timing varies with retainer type and clinician protocol."}}],"qualifier":"Applies to conventional ceramic brackets only; self-ligating brackets are not assumed to shorten treatment or reduce visits."},"success":{"metric":"Clinically acceptable alignment of crowding or spacing at debonding","value":85,"unit":"percent","horizon":"At end of active treatment, about 12-30 months","population":"Compliant adults with mild to moderate malocclusion treated with conventional ceramic fixed braces","evidence_status":"limited"},"techniques":[{"name":"Conventional ceramic brackets with elastic or metal ligatures","suits_whom":"Adults and teens wanting a tooth-colored fixed appliance for comprehensive alignment.","recovery":"Mild soreness for about 2-5 days after bonding and each adjustment; elastic ties can stain."},{"name":"Self-ligating ceramic brackets","suits_whom":"Patients preferring fewer ligatures or easier hygiene around ties.","recovery":"Similar mild soreness to conventional brackets."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Initial bonding appointment for brackets on one or both arches; not total treatment time."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Lateral cephalometric X-ray (if available)","Front and side face photos","Photos of teeth in bite and each side","Digital dental scans or impressions (if available)"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Bonding and debonding trips; adjustments by a local orthodontist; a third trip may be needed."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the orthodontic experience of the dentist treating you, since treatment depends on it","scope":"treatment_type","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"It will depend on the orthodontic experience of your dentist and the severity of your case.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the treatment plan is based on your own situation","scope":"treatment_type","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"Treatment plans will vary based on your situation, but most people are in treatment from one to three years.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the qualifications of the clinician 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":"C4","text":"Check how you will communicate with the clinician and staff before the procedure","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":"C5","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"You are asked to start treatment before signing off on the treatment plan","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":"F2","text":"Staff cannot discuss your care with you in a language you speak","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Receiving care at a facility where you do not speak the language fluently could lead to misunderstandings about your care.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The clinician who will do the procedure has no stated qualifications","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Broken wires or brackets","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Broken wires or brackets.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pain that does not go away with medication","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Pain that doesn’t go away with medication.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Bleeding or infection in your gums","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Bleeding or infection in your gums.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Trauma to your mouth or face","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"Trauma to your mouth or face.","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":"Home dentist needs radiographs kept with the treatment record","document":"radiographs","source":{"url":"https://www.ada.org/resources/practice/practice-management/writing-in-the-dental-record","host":"ada.org","quote":"Be sure to include any appropriate attachments, such as radiographs and informed consent or informed refusal documents.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home dentist needs the treatment plan and care delivered so far","document":"treatment plan and care","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":"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}},{"id":"T5","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":"T6","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 prefer removable orthodontic treatment under dental supervision","name":"Clear aligners","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"Under the direct supervision of a dentist or orthodontist, removable aligners are another option for treating orthodontic problems.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":1173}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-ceramic","name":"Conventional ceramic brackets with elastic or metal ligatures","how_it_works":{"text":"Traditional braces realign teeth by applying pressure","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"Traditional braces realign teeth by applying pressure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"self-ligating-ceramic","name":"Self-ligating ceramic brackets","how_it_works":{"text":"Built-in clips or brackets hold the wire in place","source":{"url":"https://www.healthline.com/health/dental-and-oral-health/self-ligating-braces","host":"healthline.com","quote":"Instead, brackets or clips hold the wires in place.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=los-algodones/procedure=keramiceskie-brekety/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":3},"manualSeo":[],"updatedAt":"2026-11-14T01:00:11.627Z","activeCountries":["TR","US","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}