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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 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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 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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 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