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"}}},"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Zahnbehandlung","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["none"],"back_to_work_days":{"min":0,"max":0,"unit":"days","qualifier":"Normally no time off needed after in-office professional whitening; return to usual activities immediately."},"complication_rate_pct":{"min":30,"max":70,"unit":"percent","qualifier":"Mostly transient tooth sensitivity or gum irritation; serious complications such as chemical burns are rare."},"contraindications":["Pregnancy or breastfeeding (usually deferred as a precaution)","Active untreated caries, gum disease or exposed dentin/root surfaces","Known allergy to peroxide or whitening gel components","Severe tooth sensitivity or cracked teeth (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental office procedure; no overnight 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":"No exercise restriction usually; normal activity can resume the same day."},"final_result_months":{"min":0,"max":0.5,"unit":"months","qualifier":"Shade is visible immediately and settles within a few days; extra sessions or home trays may be needed."},"fly_home_after_days":{"min":0,"max":0,"unit":"days","qualifier":"Non-surgical outpatient procedure; no medical restriction on flying the same day. Sensitivity may be slightly more noticeable in flight."},"follow_up_visits":[{"purpose":"result_review","requirement":"conditional","after":{"min":7,"max":30,"unit":"days","qualifier":"Optional check of shade and sensitivity, often at next routine dental visit."}}],"indications":["Extrinsic staining from coffee, tea, red wine or tobacco","Age-related yellowing or darkening of natural teeth","Mild to moderate intrinsic discoloration"],"main_risks":["Temporary tooth sensitivity","Gum irritation or chemical burn from whitening gel"],"pain":"Usually painless to mild; transient sensitivity or zingers may occur during and for 1-2 days after.","preparation":["Dental examination to exclude caries, gum disease and cracks","Professional scaling and polishing to remove plaque and stains","Record baseline shade","Disclose crowns, veneers and fillings; they do not whiten","Treat sensitivity and existing dental problems beforehand if needed"],"recovery_timeline":[{"phase":"Day 0-2","description":"Possible temporary sensitivity; teeth are more prone to staining.","restrictions":["Avoid coffee, tea, red wine, dark sauces and tobacco","Avoid very hot or cold foods if sensitive"]},{"phase":"Days 3 onward","description":"Sensitivity resolves and shade stabilises.","restrictions":[]}],"rehabilitation_days":{"min":0,"max":2,"unit":"days","qualifier":"Ordinary functional recovery; any sensitivity usually settles within 1-2 days."},"result_longevity":"Typically around 1-3 years, varying with diet, smoking and oral hygiene; touch-ups may be needed.","revision_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Patients needing an additional whitening session or touch-up within 1 year for insufficient shade or fading."},"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":1,"max":3,"unit":"visits","qualifier":"In-office bleaching with whitening gel; one visit is common, additional sessions for deeper shade change."},"stages":[{"code":"exam_cleaning_shade","label":"Exam, cleaning and baseline shade","after":{"min":0,"max":0,"unit":"days","qualifier":"At the first visit, before whitening."}},{"code":"whitening_session","label":"Gum protection and whitening gel application","after":{"min":0,"max":0,"unit":"days","qualifier":"Same visit as the first session."}}],"qualifier":"Describes in-office professional whitening; home tray whitening is a separate approach."},"success":{"metric":"Shade improvement after in-office whitening","value":5,"unit":"VITA shade guide units","horizon":"1-2 weeks after treatment","population":"Healthy adults with natural teeth and extrinsic or age-related discoloration","evidence_status":"limited"},"techniques":[{"name":"In-office peroxide whitening (optionally light/laser activated)","suits_whom":"Adults wanting rapid results with healthy teeth and gums.","recovery":"No downtime; possible short-term sensitivity."},{"name":"Dentist-supervised custom tray home whitening","suits_whom":"Patients preferring gradual whitening or lower sensitivity.","recovery":"No downtime; usually 1-2 weeks of nightly or daily wear."},{"name":"Internal bleaching of a non-vital tooth","suits_whom":"Single discolored root-treated tooth.","recovery":"No downtime; may need repeat applications."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.75,"max":1.5,"unit":"hours","qualifier":"One in-office whitening session for the full upper and lower visible teeth, including gum protection and gel application."},"initial_assessment_documents":["Front photos of smile showing teeth and gums","Close-up photos of teeth in natural light","Panoramic dental X-ray (OPG) (if available)","Previous dental treatment records (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"One trip covers the single session; a second trip only if extra sessions are needed."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the whitening is done by a licensed dental professional; unlicensed whitening carries risks","scope":"procedure","source":{"url":"https://adanews.ada.org/huddles/hazards-of-unlicensed-tooth-whitening/","host":"adanews.ada.org","quote":"Dental professionals have addressed the potential risks of tooth whitening conducted by unlicensed individuals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask which whitening materials are used; unregulated materials may damage the teeth","scope":"procedure","source":{"url":"https://adanews.ada.org/huddles/hazards-of-unlicensed-tooth-whitening/","host":"adanews.ada.org","quote":"Unregulated tooth-whitening materials may also cause damage to the teeth.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Ask what temporary sensitivity and gum inflammation to expect, as they are the most common side effects","scope":"procedure","source":{"url":"https://www.ada.org/resources/research/science/oral-health-topics/whitening/","host":"ada.org","quote":"Temporary tooth sensitivity and gingival inflammation are the most common adverse effects of vital tooth whitening.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask whether you have been able to put your questions about the treatment to the clinic","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":"C5","text":"Check that you are satisfied with the facilities and standards at the clinic where treatment will be done","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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision about booking the 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":"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":"2026-11-12","http_status":200}},{"id":"F2","text":"A hard sell to book the 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":"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":"2026-11-12","http_status":200}},{"id":"F3","text":"No discussion of possible complications before you book","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":"2026-11-12","http_status":200}},{"id":"F4","text":"The clinic never mentions aftercare","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":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","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 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