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stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":0,"unit":"weeks","qualifier":"Normal activity can usually resume the same or next day after a routine single-tooth filling."},"final_result_months":{"min":0,"max":0,"unit":"months","qualifier":"Restoration is functional immediately; mild sensitivity may settle over a few weeks."},"fly_home_after_days":{"min":0,"max":1,"unit":"days","qualifier":"For an uncomplicated single-tooth filling there is usually no travel restriction; individual advice from the dentist applies."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":7,"max":30,"unit":"days","qualifier":"Only if bite discomfort or persistent sensitivity occurs; otherwise review at routine check-up."}}],"indications":["Cavitated carious lesion in enamel or dentin","Caries confirmed clinically or radiographically that has progressed beyond remineralization","Defective restoration with recurrent decay","Caries without irreversible pulp involvement"],"main_risks":["Post-operative tooth sensitivity to cold, heat or biting","High bite requiring adjustment","Recurrent decay or filling fracture or loss over time","Pulp irritation possibly requiring root canal, especially in deep caries","Temporary numbness, cheek or lip biting","Allergic reaction to anesthetic or materials (rare)"],"pain":"Usually little to mild discomfort under local anesthesia; mild sensitivity or soreness may persist for a few days, controlled with simple analgesics.","preparation":["Dental examination and usually an X-ray to assess caries depth","Inform dentist of allergies, medical conditions and current medications","Maintain normal oral hygiene before the visit"],"recovery_timeline":[{"phase":"Same day","description":"Numbness lasts about 1-4 hours; the filling is usable once anesthesia wears off.","restrictions":["Avoid chewing on the treated side until numbness resolves","Avoid hot drinks while numb"]},{"phase":"First days","description":"Mild sensitivity to temperature or biting may occur and typically fades.","restrictions":["Avoid hard or sticky foods on treated tooth if sensitive"]},{"phase":"Ongoing","description":"Return to normal diet and routine hygiene; periodic dental check-ups.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Ordinary functional recovery after a single-tooth filling; normal chewing typically same or next day."},"result_longevity":"Depends on material, cavity size, oral hygiene, diet and bite forces; fillings often last many years but may need repair or replacement.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Share of direct fillings needing repair or replacement within about 10 years; annual failure about 1–3%."},"scars":"No scars: the procedure is done inside the mouth on the tooth with no skin incision, and the only visible change is the filling itself.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One tooth with a direct filling is typically completed in one visit."},"stages":[{"code":"direct_restoration","label":"Caries removal and direct filling of one tooth","after":{"min":0,"max":0,"unit":"days","qualifier":"Completed at the first visit."}}],"qualifier":"Assumes uncomplicated caries of one tooth treated with a direct filling; deep caries or indirect restorations may need more visits."},"success":{"metric":"Survival of direct restorations (restoration still in function without replacement)","value":90,"unit":"percent","horizon":"about 5 years","population":"Adults and children, primary and permanent teeth","evidence_status":"limited"},"techniques":[{"name":"Direct composite filling","suits_whom":"Most small to moderate cavities in front and back teeth","recovery":"Immediate use after anesthesia wears off"},{"name":"Glass ionomer filling","suits_whom":"Low-stress areas, cervical lesions, high-caries-risk patients, children","recovery":"Immediate use after anesthesia wears off"},{"name":"Amalgam filling","suits_whom":"Large posterior cavities where isolation is difficult","recovery":"Immediate use; avoid heavy chewing for several hours"},{"name":"Indirect inlay/onlay","suits_whom":"Large cavities needing stronger restoration","recovery":"Short recovery after anesthesia; temporary filling protects the tooth until the final inlay is placed"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Single-tooth filling in one session, including anesthesia and caries removal. Deep, multi-surface or laser-assisted cavities take longer."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Bitewing or periapical X-ray of the affected tooth","Close-up photos of the affected tooth"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Direct filling completed in one visit; a one-day trip is usually sufficient."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how the filling material was chosen for the size and location of your cavity","scope":"procedure","source":{"url":"https://www.mouthhealthy.org/all-topics-a-z/dental-filling-options","host":"mouthhealthy.org","quote":"Your dentist considers materials to use on an individualized basis, taking into account the size and location of your cavity.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm you can ask the treating team questions about your treatment","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 been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether the facility and healthcare professionals hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Be clear in advance how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Know whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A deal that seems too good to be true is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/blog/why-plastic-surgery-tourism-isnt-necessarily-a-good-deal","host":"plasticsurgery.org","quote":"Just be weary of any deal that seems too good to be true.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Marketing that gives no accreditation or qualification details for the facility or staff is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Make patients aware that medical tourism websites marketing directly to travelers might not include (or make available) comprehensive details on the accreditations, certifications, or qualifications of advertised facilities or healthcare professionals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"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 success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"A swollen face or jaw after a filling","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17002-dental-fillings","host":"my.clevelandclinic.org","quote":"a swollen face or 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copy","source":{"url":"https://www.therotherhamft.nhs.uk/patients-and-visitors/patient-information/medicines-after-discharge","host":"therotherhamft.nhs.uk","quote":"There is a second copy of this summary information for you to take home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Written aftercare instructions the home doctor can follow","document":"written post-procedure instructions","source":{"url":"https://www.ada.org/resources/practice/practice-management/post-treatment","host":"ada.org","quote":"It may be necessary to provide patients with written post-procedure instructions following certain treatments.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tooth decay has reached the soft tissue inside","name":"Root canal treatment","source":{"url":"https://www.nhs.uk/conditions/tooth-decay/","host":"nhs.uk","quote":"If tooth decay has reached the soft tissue (pulp) in the middle of your tooth, you may need root canal treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":441},{"id":"A2","text":"Your tooth decay is still at an early stage","name":"Fluoride treatment for early decay","source":{"url":"https://www.nhs.uk/conditions/tooth-decay/","host":"nhs.uk","quote":"A dentist can prescribe fluoride treatments like mouthwash or varnish to reverse early tooth decay.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"direct-composite-filling","name":"Direct composite filling","how_it_works":{"text":"A tooth-colored resin is placed in the cavity and hardened","source":{"url":"https://my.clevelandclinic.org/health/treatments/17002-dental-fillings","host":"my.clevelandclinic.org","quote":"Resin composite (tooth-colored; consists of a resin base with powdered quartz, silica or glass).","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"glass-ionomer-filling","name":"Glass ionomer filling","how_it_works":{"text":"A tooth-colored filling made of silica glass powder is 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