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Fix any broken bracket or poking wire before flying."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment; further adjustments every 4-8 weeks during active treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, finishing review and debonding at end of the 12-30 month active course."}},{"purpose":"assessment","requirement":"conditional","after":{"min":393,"max":984,"unit":"days","qualifier":"After bonding; retainer check 4-12 weeks after debonding if retention is prescribed."}}],"indications":["Crowded or crooked teeth","Spacing between teeth","Overbite, overjet, underbite or crossbite","Open bite","Misaligned bite (malocclusion)","Space closure or tooth positioning before restorative or implant treatment"],"main_risks":["Enamel demineralization (white spots) and tooth decay with poor hygiene","Gum inflammation","Soreness and mouth ulcers from brackets and wires","Root resorption (usually mild)","Relapse if retainers are not worn","Broken brackets or wires requiring extra visits"],"pain":"Mild to moderate soreness or pressure for 2-5 days after bonding and after adjustments; cheek or lip irritation is common early on. 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Exercise allowed, with mouthguard for contact sports.","restrictions":["Avoid hard, sticky and chewy foods","Meticulous brushing and cleaning around brackets","Mouthguard for contact sports"]},{"phase":"Debonding and retention","description":"Braces removed, retainer provided; retention is separate from active treatment and continues long term.","restrictions":["Wear retainers long term"]},{"phase":"At any time","description":"Seek prompt dental review for broken brackets, poking wires or persistent ulcers; urgent care for facial swelling, fever, severe pain or breathing trouble.","restrictions":["Fix a poking wire or broken bracket before travelling"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Time to adapt to eating and speaking after initial bonding."},"result_longevity":"Alignment is generally lasting if retainers are worn as prescribed; without retention, teeth tend to shift over time.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Retreatment or refinement after completed fixed braces, mostly from relapse or poor retainer wear, within about 5 years."},"scars":"Braces involve no incisions and leave no scars; the only possible lasting marks are enamel white-spot lesions if oral hygiene is poor.","sessions_or_stages":{"sessions":{"min":8,"max":30,"unit":"visits","qualifier":"Bonding, adjustment and debonding visits over 12-30 months at 4-8 week intervals; retention checks excluded."},"stages":[{"code":"records_and_prep","label":"Records, planning and dental clearance (decay/gum treatment, cleaning, extractions or spacers if planned)","after":{"min":0,"max":0,"unit":"days","qualifier":"Precedes bonding; no post-bonding offset applies, lead time varies with preparatory care."}},{"code":"bonding","label":"Bonding of brackets and first archwires","after":{"min":0,"max":0,"unit":"days","qualifier":"Day 0 reference event."}},{"code":"adjustments","label":"Adjustment visits with wire changes, elastics or space closure as needed","after":{"min":28,"max":56,"unit":"days","qualifier":"After bonding for first adjustment, then every 4-8 weeks until goals are met."}},{"code":"finishing_debonding","label":"Finishing, debonding and retainer delivery","after":{"min":365,"max":900,"unit":"days","qualifier":"After bonding, once planned occlusion is achieved; matches 12-30 month active course."}}],"qualifier":"Metal brackets on both arches; adjustments every 4-8 weeks over 12-30 months. Day 0 is bonding."},"success":{"metric":"Substantial improvement in occlusion (PAR score reduction of about 70-80%) at end of active treatment","value":75,"unit":"percent","horizon":"End of active treatment, about 12-30 months","population":"Adolescents and adults with fixed metal brackets and good compliance","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most patients, including teens and adults; durable.","recovery":"Standard adaptation of a few days; visible appliance."},{"name":"Ceramic brackets","suits_whom":"Adults preferring a less visible appliance.","recovery":"Similar adaptation; more prone to staining and bracket fracture."},{"name":"Self-ligating brackets","suits_whom":"Patients wanting easier cleaning and slightly longer visit intervals.","recovery":"Similar adaptation; adjustment visits spaced further apart."},{"name":"Lingual braces","suits_whom":"Patients wanting hidden braces behind the teeth.","recovery":"Longer tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bonding appointment for braces on both dental arches; adjustment visits are shorter (about 20-30 minutes)."},"initial_assessment_documents":["Panoramic dental X-ray","Side skull X-ray (if available)","Front and side facial photos","Intraoral photos of bite and both arches","Dental scans or impressions (if available)"],"travel_trips":{"min":3,"max":10,"one_trip_possible":false,"qualifier":"Trips cover bonding, adjustment blocks and debonding over 12-30 months; adjustments every 4-8 weeks. Each stay is 1-5 days."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=valensia/procedure=breket-sistema/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}