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الأسبوع الرابع وما بعده - إعادة التأهيل
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roughly every 4-10 weeks."}},{"purpose":"result_review","requirement":"routine","after":{"min":365,"max":900,"unit":"days","qualifier":"Brace removal and retainer fitting at the end of active treatment, followed by retention checks."}}],"indications":["Crowding or spacing of teeth in adolescents","Malocclusion such as overbite, overjet, underbite or crossbite","Open bite or deep bite","Malpositioned or impacted teeth needing alignment","Jaw-relationship discrepancies, e.g. Class II or Class III malocclusion"],"main_risks":["Enamel demineralisation or white-spot lesions and caries with poor hygiene","Gingivitis","Soreness and mouth ulcers from brackets or wires","Root resorption","Bracket breakage or loosening prolonging treatment","Relapse without retainer wear","Treatment longer than planned"],"pain":"Mild to moderate soreness and pressure for about 2-5 days after bonding and after wire adjustments; usually managed with simple analgesia and soft diet.","preparation":["Orthodontic examination, photographs, X-rays and impressions or digital scans","Treatment of cavities and gum problems before bonding","Professional cleaning","Oral hygiene, diet and appointment commitment discussion with guardians","Possible spacers or extractions in selected cases"],"recovery_timeline":[{"phase":"Bonding day and first week","description":"Brackets bonded and archwire placed; teeth sore for a few days and cheeks may be irritated.","restrictions":["Soft diet initially","Use orthodontic wax for irritation"]},{"phase":"Active treatment","description":"Regular adjustments with wire changes; teeth gradually align.","restrictions":["Avoid hard, sticky foods","Meticulous brushing and interdental cleaning","Mouthguard for contact sports"]},{"phase":"Retention","description":"After brace removal, retainers are worn to keep teeth stable.","restrictions":["Wear retainers as instructed"]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Adaptation to eating and speaking with braces after bonding."},"result_longevity":"Results are generally lasting with consistent retainer wear; without retention, some relapse is common.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Need for extended treatment, re-bonding of multiple brackets or later re-treatment for relapse or unsatisfactory result."},"scars":"None; no incisions or surgical wounds.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Bonding appointment(s) only; routine adjustments are follow-up visits, not counted here."},"stages":[{"code":"bonding","label":"Bonding of brackets and archwire placement","after":{"min":0,"max":14,"unit":"days","qualifier":"Typically on the first day, or split into two arch visits."}}],"qualifier":"Fixed metal or ceramic braces; adjustments and debonding are follow-up care."},"success":{"metric":"Improvement in occlusion (PAR score reduction)","value":80,"unit":"percent","horizon":"At end of active treatment, 12-30 months","population":"Adolescents with fixed braces completing full orthodontic treatment","evidence_status":"limited"},"techniques":[{"name":"Metal brackets","suits_whom":"Most teens; durable and cost-effective.","recovery":"Brief soreness after bonding and adjustments."},{"name":"Ceramic (tooth-coloured) brackets","suits_whom":"Teens wanting less visible braces with good hygiene.","recovery":"Similar to metal; slightly more fragile."},{"name":"Self-ligating brackets","suits_whom":"Selected cases; may reduce adjustment complexity.","recovery":"Similar soreness."},{"name":"Lingual braces","suits_whom":"Selected motivated patients wanting hidden braces.","recovery":"More tongue irritation and speech adaptation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Initial bonding appointment for full upper and lower fixed braces in one patient."},"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 arch","Dental scans or impressions (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Bonding and debonding trips; optional mid-course adjustments not counted."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the orthodontic treatment is provided by a dentist who specializes in dental and facial irregularities","scope":"procedure","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces/","host":"ada.org","quote":"Orthodontic treatment may be provided by your dentist or an orthodontist, a dentist who specializes in the diagnosis, prevention and treatment of dental and facial irregularities.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the dentist's orthodontic experience, since the treatment depends on it and on case severity","scope":"procedure","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":"C3","text":"Check that the clinic keeps a record of the treatment plan and the care delivered","scope":"treatment_type","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":"C4","text":"Check that the clinic provides a documented treatment plan and explains proposed treatment, benefits, risks, alternatives, and no treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Recaps of conversations about the nature of any proposed treatment, the potential benefits and risks associated with that treatment, any alternatives to the treatment proposed, and the potential risks and benefits of alternative treatment, including no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the clinic creates diagnostic records, including charts and study models, because these support treatment planning and continuity of care","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Diagnostic records, including charts and study models.","tier":"tier1_medical","fetched_at":"2026-11-13","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 does not state the orthodontic experience of the dentist who will treat the teen","scope":"procedure","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":"F2","text":"The offer promises a fixed treatment length without assessing the teen's situation","scope":"procedure","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":"F3","text":"The consultation does not explain proposed treatment, benefits, risks, alternatives, and the option of no treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Recaps of conversations about the nature of any proposed treatment, the potential benefits and risks associated with that treatment, any alternatives to the treatment proposed, and the potential risks and benefits of alternative treatment, including no treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The clinic cannot provide diagnostic records such as charts or study models","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Diagnostic records, including charts and study models.","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":"Teeth painful for more than a few days","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"your teeth are painful for more than a few days after your braces are fitted or adjusted","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Very red, swollen, or painful gums","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"you have braces and your gums are very red, swollen or painful","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Broken braces","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"your braces are broken","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":"Documents the treatment performed, so the home dentist can continue care","document":"treatment report","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Whomever performs the treatment should document it in the record.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"They identify medicines, doses, amounts, directions, and refills for safe follow-up","document":"medication prescriptions","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Medication prescriptions, including types, dose, amount, directions for use and number of refills.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"They tell the home dentist what postoperative or home instructions were provided","document":"aftercare instructions","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Postoperative or home instructions, or a notation about any pamphlets or reference materials provided.","tier":"tier1_medical","fetched_at":"2026-11-13","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You accept how your teeth look without braces","name":"No treatment","source":{"url":"https://leaflets.ekhuft.nhs.uk/orthodontic-treatment-what-you-need-to-know/html/","host":"leaflets.ekhuft.nhs.uk","quote":"One alternative would be to accept how your teeth look and not have braces.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"metal-brackets","name":"Metal brackets","how_it_works":{"text":"Metal brackets are attached to each tooth with dental glue","source":{"url":"https://www.nhs.uk/tests-and-treatments/braces/","host":"nhs.uk","quote":"Metal squares (brackets) are attached to each tooth with dental glue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"ceramic-brackets","name":"Ceramic (tooth-coloured) brackets","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"self-ligating-brackets","name":"Self-ligating brackets","how_it_works":{"text":"A built-in system holds the wire instead of elastic ties","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"The main difference is that, instead of ligatures (tiny elastic bands), self-ligating braces use a built-in system to hold the archwire in place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"lingual-braces","name":"Lingual braces","how_it_works":{"text":"Brackets sit on the back surfaces of the teeth","source":{"url":"https://my.clevelandclinic.org/health/treatments/24601-teeth-braces","host":"my.clevelandclinic.org","quote":"But they go on the back surfaces of your teeth instead of the front.","tier":"tier1_medical","fetched_at":"2026-11-13","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=dominikanskaya-respublika/city=bonao/procedure=brekety-dlya-podrostkov/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}