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technique."}},{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Healing and hygiene review."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of root coverage and tissue stability."}}],"indications":["Gingival recession with root exposure causing aesthetic concern","Dentin hypersensitivity from exposed roots unresponsive to conservative measures","Progressive recession threatening tooth support","Root coverage before restorative or orthodontic treatment","Thin gingival phenotype with inadequate attached tissue"],"main_risks":["Partial graft failure or incomplete root coverage","Palatal donor-site pain, bleeding or delayed healing","Postoperative swelling, bruising and infection","Recurrence of recession","Temporary or persistent tooth sensitivity","Scar-like or mismatched tissue colour/contour","Rarely, numbness"],"pain":"Procedure is painless under local 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final aesthetic result.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery of eating and oral hygiene for a limited-site graft."},"result_longevity":"Often stable for years with good oral hygiene and non-traumatic brushing; recurrence possible without periodontal maintenance.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat grafting of a treated site within about 2 years due to incomplete coverage or recurrence."},"scars":"No external scars; palatal donor site (if used) heals with a temporary wound, and grafted tissue may differ slightly in colour or texture.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical appointment for a single site or adjacent teeth."},"stages":[{"code":"graft_surgery","label":"Recession coverage surgery (coronally advanced flap with connective tissue graft)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Multiple areas may be staged separately; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Mean root coverage of exposed root surface","value":85,"unit":"percent","horizon":"6-12 months","population":"Adults with Miller class I-II recession treated with coronally advanced flap plus connective tissue graft","evidence_status":"limited"},"techniques":[{"name":"Coronally advanced flap","suits_whom":"Single or multiple recessions with adequate keratinized tissue and thick phenotype, no donor site required.","recovery":"Less discomfort without palatal wound; healing about 1-2 weeks."},{"name":"Coronally advanced flap with connective tissue graft","suits_whom":"Recessions with thin tissue needing thickness and best root coverage predictability.","recovery":"Palatal donor discomfort for about 1-2 weeks."},{"name":"Tunnel technique","suits_whom":"Multiple adjacent recessions, often with a graft.","recovery":"Similar to graft-based procedures, about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"For one to a few adjacent teeth in one surgical session."},"initial_assessment_documents":["Close-up photos of affected gums and teeth","Photos showing smile line and gum display","Panoramic dental X-ray (OPG)","Periapical X-rays of recession sites (if available)","Current medication list, including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-14 days for suture removal and first wound check. Later reviews can be remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm how aftercare will be coordinated after treatment abroad","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask how medical notes will be transferred to the overseas team","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":"As the doctor could be involved in your aftercare, discuss with them how to transfer medical notes to the overseas team.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Discuss the plan for treating complications with both healthcare professionals","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 discuss the plan for addressing complications related to the treatment or procedure with both their U.S. healthcare professional and the healthcare professional performing the treatment or procedure outside the United States.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C4","text":"Check whether follow-up care is scheduled at the same facility","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":"2026-11-12","http_status":403}},{"id":"C5","text":"Confirm the treating health professional is available for a pre-treatment discussion","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The treating health professional is unavailable for a telephone or video consultation before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The offer provides no written contract from the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"The clinic cannot explain how aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding or pus","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23504-gum-graft-surgery","host":"my.clevelandclinic.org","quote":"If you notice heavy bleeding, pus or anything else that doesn’t look right, contact your surgeon right away.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Large white tissue patch coming off the tooth","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23504-gum-graft-surgery","host":"my.clevelandclinic.org","quote":"If your gum graft failed, you’ll probably notice a large patch of white tissue that has come off of your tooth.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or thigh","tier":"tier1_medical","fetched_at":"2026-11-11","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 clinicians need imaging records for subsequent follow-up","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Travellers should ensure they have copies of all overseas medical records, including x-rays and scans, before departure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Home clinicians need prescriptions when continuing follow-up care","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":"2026-11-12","http_status":200}},{"id":"T3","text":"Home clinicians need summary records describing medical care received abroad","document":"treatment summary","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/travel-insurance.html","host":"cdc.gov","quote":"Provide copies to a primary healthcare professional of all summary records describing medical care received abroad.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"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":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your recession is caused by gum disease","name":"Scaling and root planing","source":{"url":"https://ebooks.ada.org/1a1iptr/27","host":"ebooks.ada.org","quote":"If gum recession is caused by gum disease, the first step is usually a deep cleaning treatment called scaling (SKAY-ling) and root planing (PLAY-ning).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your recession is caused by poorly fitting partial dentures","name":"Partial denture adjustment","source":{"url":"https://ebooks.ada.org/1eqknjg/23","host":"ebooks.ada.org","quote":"If your gum recession is caused by partial dentures that do not fit right, your dentist can adjust or remake them for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"coronally-advanced-flap","name":"Coronally advanced flap","how_it_works":{"text":"Gum tissue is moved to cover the exposed root surfaces","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/periodontal-surgery/","host":"leedsth.nhs.uk","quote":"The gum can be moved to cover the exposed root surfaces.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"coronally-advanced-flap-with-connective","name":"Coronally advanced 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tunneling.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=puerto-valarta/procedure=plastika-recessii-desnu/"}],"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":2},"manualSeo":[],"updatedAt":"2026-11-09T00:02:49.000Z","activeCountries":["TR","US","MX","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}