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periodontitis","Insufficient root length or unfavourable crown-to-root ratio after bone removal","Furcation involvement that bone removal would worsen","Bleeding disorders not medically controlled"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed in a dental chair; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Light exercise after about a week; avoid heavy straining until the surgical site settles."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Tissue margin stabilises before final restoration; waiting about 6-8 weeks minimum, often 3 months in esthetic areas."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Flight possible once bleeding is controlled; the suture-removal check is often done at 7-14 days."},"follow_up_visits":[{"purpose":"suture_removal","after":{"min":7,"max":14,"unit":"days","qualifier":"Sutures removed and wound inspected."},"requirement":"routine"},{"purpose":"result_review","after":{"min":42,"max":90,"unit":"days","qualifier":"Check tissue maturation before final restoration."},"requirement":"routine"}],"indications":["Too little tooth structure above bone for restoration","Subgingival caries or fracture extending below the gum line","Short clinical crown preventing retention of a restoration","Violation of the biologic width by margins of a restoration","Cervical root resorption or perforation near the crestal bone"],"main_risks":["Postoperative pain and swelling","Bleeding","Gum recession and longer-looking teeth","Root sensitivity to cold and touch","Black triangles between teeth","Infection","Loss of tooth support or increased mobility"],"pain":"Mild to moderate for 2-4 days, controlled with standard oral analgesics; no pain during the procedure under local anesthesia.","preparation":["Dental exam, periodontal charting and X-rays","Treat gum inflammation and plaque beforehand","Provisional restoration or caries control planned","Stop smoking before and after surgery","Inform the clinic about blood thinners and chronic conditions"],"recovery_timeline":[{"phase":"Days 1-3","description":"Swelling, mild discomfort and minor oozing; a periodontal dressing may cover the site.","restrictions":["Soft cool food","No brushing at the site","No vigorous rinsing","No smoking"]},{"phase":"Days 7-14","description":"Sutures removed and gums healing; gentle cleaning resumes.","restrictions":["Avoid hard or sharp food on the site"]},{"phase":"Weeks 6-12","description":"Gum margin stabilises; final crown or restoration is then made.","restrictions":["No final restoration before tissue maturation"]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Return to ordinary eating and cleaning after suture removal; gum maturation continues 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crown."},"success":{"metric":"Adequate supracrestal tooth structure achieved for restoration","value":90,"unit":"percent of treated teeth","horizon":"6 months","population":"Adults with short clinical crown or biologic width violation, good oral hygiene","evidence_status":"limited"},"techniques":[{"name":"Gingivectomy (soft tissue only)","suits_whom":"Adequate attached gingiva and bone distance already sufficient; excess gum only.","recovery":"Faster healing, about 1-2 weeks."},{"name":"Apically positioned flap with osseous reshaping","suits_whom":"Biologic width violation needing bone removal.","recovery":"Gum healing 1-2 weeks; restoration after 6-12 weeks."},{"name":"Orthodontic extrusion","suits_whom":"Esthetic zone or when bone removal would harm neighbouring teeth.","recovery":"Several weeks of orthodontic movement plus stabilisation."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"For one tooth or a small segment; longer for several teeth."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-ray of the affected tooth","Close-up photos of the tooth and gum","Dentist's treatment plan or referral note","List of blood thinners"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Trip 1: surgery. Trip 2: final crown after 6-12 weeks healing; sutures can be removed at 7-14 days locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","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":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Speak directly with the 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package","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Treatment advice comes from a travel agent or sales representative","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon who will operate is not met before agreeing to treatment","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not agree to cosmetic surgery before meeting the surgeon carrying out the procedure and visiting the hospital where the procedure will take place.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The offer pressures the patient to make a quick decision","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"take_home":{"status":"ok","items":[{"id":"T1","text":"It tells the home doctor which aftercare was given after the procedure","document":"postoperative instructions","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13537224/","host":"pmc.ncbi.nlm.nih.gov","quote":"The patient was given postoperative instructions, including analgesics and chlorhexidine rinses, along with a follow-up schedule to monitor healing and tissue response.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"It tells the home doctor how healing will be monitored","document":"follow-up schedule","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13537224/","host":"pmc.ncbi.nlm.nih.gov","quote":"The patient was given postoperative instructions, including analgesics and chlorhexidine rinses, along with a follow-up schedule to monitor healing and tissue response.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"It lets the home doctor review the scans and X-rays from treatment","document":"scans and 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leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-14","next_check_at":"2027-02-12"},"technique_details":{"status":"ok","items":[{"id":"gingivectomy","name":"Gingivectomy (soft tissue only)","how_it_works":{"text":"Excess gum tissue is removed to expose more of the tooth","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11614317/","host":"pmc.ncbi.nlm.nih.gov","quote":"For a tooth with a probing depth of ≥4 mm and sufficient keratinized gingiva, a gingivectomy or gingivoplasty is performed (first approach).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"apically-positioned-flap","name":"Apically positioned flap with osseous reshaping","how_it_works":{"text":"The gum is repositioned apically while 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treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/city=santiago-de-caballeros/procedure=funkcionalnoe-udlinenie-zubnoy-koronki/"}],"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":53931},"manualSeo":[],"updatedAt":"2026-11-14T00:20:08.246Z","activeCountries":["DO","TR","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}