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available)"],"travel_trips":{"min":2,"max":3,"one_trip_possible":false,"qualifier":"Bonding trip of 2-4 days; adjustments every 8-12 weeks over 1-2 years, often with a local orthodontist; removal trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that treatment is provided by a dentist or orthodontist with orthodontic expertise","scope":"treatment_type","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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that a dental professional performs the evaluation and takes radiographs before treatment","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/home-care","host":"ada.org","quote":"In addition to assuring proper fit, dental professionals can provide pre-treatment dental evaluations and take radiographs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that regular visits and radiographs are included in the orthodontic treatment plan","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/home-care","host":"ada.org","quote":"Regular dental visits, including radiographs, as part of the orthodontic treatment plan can help identify tooth structure loss or other problems as they occur and address the problem in real time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check that the clinic documents diagnostic information, clinical notes, treatment performed, and patient 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pre-treatment dental evaluation or radiographs","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/ada-library/oral-health-topics/home-care","host":"ada.org","quote":"In addition to assuring proper fit, dental professionals can provide pre-treatment dental evaluations and take radiographs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"The clinic cannot answer your questions about 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":"F3","text":"The clinic cannot explain how 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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Wire poking the cheek, tongue, or gum","urgency":"contact_clinic","general":false,"source":{"url":"https://dentistry.uiowa.edu/dealing-dental-emergencies","host":"dentistry.uiowa.edu","quote":"If a wire breaks or is poking the cheek, tongue or gum, try using the eraser end of a pencil to push the wire into a comfortable position.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Loose bracket or band","urgency":"contact_clinic","general":false,"source":{"url":"https://dentistry.uiowa.edu/dealing-dental-emergencies","host":"dentistry.uiowa.edu","quote":"Loose bracket or band","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Broken wire","urgency":"contact_clinic","general":false,"source":{"url":"https://www.hsdm.harvard.edu/sites/g/files/omnuum6001/files/2025-01/ortho_patient_instructions-qr.pdf","host":"hsdm.harvard.edu","quote":"A bracket or band may loosen, or a wire may break.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the 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scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","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":"You prefer removable treatment under professional supervision","name":"Removable aligners","source":{"url":"https://www.ada.org/sitecore/content/ADA-Organization/ADA/MouthHealthy/home/all-topics-a-z/braces","host":"ada.org","quote":"Under the direct supervision of 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