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need crowns or have large restorations","Implant surgery not feasible for medical or anatomical reasons","Tooth loss causing chewing or alignment problems"],"main_risks":["Tooth sensitivity after preparation of abutment teeth","Decay or gum disease at abutments if hygiene is poor","Loss of healthy tooth structure from abutment preparation","Pulp irritation possibly requiring abutment root canal treatment","Porcelain chipping or fracture","Bridge loosening or debonding","Bite discomfort needing adjustment","Abutment tooth fracture"],"pain":"Minimal during the procedure under local anesthesia; mild soreness or sensitivity of prepared teeth and gums for a few days, usually managed with over-the-counter analgesics.","preparation":["Dental examination with X-rays","Treat existing decay, gum disease or endodontic problems first","Professional cleaning and oral hygiene instruction","Discussion of shade, material and alternatives such as implants","Inform the dentist of allergies and medical 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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 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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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