{"key":"op_1184_DO","page":{"url":"https://pt.bookimed.com/clinics/country=dominican-republic/procedure=autogenous-bone-graft/","procedure":{"id":1184,"slug":"autogenous-bone-graft","name":"Enxerto ósseo autógeno","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"dental","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"dentistry","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":185,"iso":"DO","name":"República Dominicana"},"currency":"USD","data_date":"2026-09-25"},"pages":{"clinics_url":"https://pt.bookimed.com/clinics/country=dominican-republic/procedure=autogenous-bone-graft/","cost_url":"https://pt.bookimed.com/clinics/country=dominican-republic/procedure=autogenous-bone-graft/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":900,"to":1100,"avg":{"value":600,"method":"median","source":"clinics"},"us":{"from":1800,"to":3500},"uk":{"from":1400,"to":3000},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"São Domingos","from":900}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":350,"to":750},{"country_iso":"FR","from":650,"to":1400},{"country_iso":"GB","from":1400,"to":3000},{"country_iso":"US","from":1800,"to":3500},{"country_iso":"IL","from":900,"to":1800},{"country_iso":"TR","from":500,"to":650},{"country_iso":"MX","from":400,"to":1200},{"country_iso":"DE","from":900,"to":2100},{"country_iso":"CA","from":1100,"to":2600},{"country_iso":"AE","from":1100,"to":2300},{"country_iso":"TH","from":300,"to":1200},{"country_iso":"PL","from":670,"to":900},{"country_iso":"KR","from":450,"to":1000},{"country_iso":"CZ","from":450,"to":1000},{"country_iso":"AT","from":2500,"to":4500},{"country_iso":"ES","from":830,"to":1300},{"country_iso":"IT","from":900,"to":2300},{"country_iso":"CN","from":700,"to":1600},{"country_iso":"AU","from":1400,"to":3200},{"country_iso":"IN","from":350,"to":700},{"country_iso":"MY","from":450,"to":1300},{"country_iso":"VN","from":350,"to":800},{"country_iso":"BR","from":650,"to":1500},{"country_iso":"AL","from":1100,"to":1700},{"country_iso":"EG","from":300,"to":700},{"country_iso":"HU","from":1700,"to":{"status":"missing","reason":"not_collected"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":50,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":5,"items":[{"id":3116,"name":"Dra Zoila Fernández's Private Practice (Centro de Salud Bucal Dra Zoila Fernández)","city":"Santo Domingo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Sociedad Española de Periodoncia y Osteointegración","American Dental Association","Straumann® Dental Implant System Official Provider"],"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":9574,"name":"Santiago Lotus Dental","city":"Santiago de los Caballeros","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":2,"has_procedure":true,"why_ranked":"Cone Beam CT maps bone and nerve anatomy in 3D before grafting, and regenerative membranes and biomaterials rebuild lost bone. Maxillofacial and periodontist surgeons lead treatment.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":9676,"name":"Centro Dental Especializado","city":"Santiago de los Caballeros","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":3059,"name":"Love Dental and Sthetic Clinic","city":"Santo Domingo","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["International Association for Dental Research"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":7324,"name":"Padilla clinic Dental (clinic Dental Dr. Padilla)","city":"República Dominicana","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Best Quality Dental Centers"],"rank":5,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":2524,"slug":"santo-domingo","name":"São Domingos","clinics_count":1,"price_from":900,"profile":{"city_type":"Capital of Dominican Republic","access":["Las Américas Airport (SDQ), 20 km east of city center"],"sources":["https://en.wikipedia.org/wiki/Santo_Domingo","https://en.wikipedia.org/wiki/Las_Américas_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Horizontal or vertical ridge augmentation before or with implants","Sinus floor augmentation for posterior maxilla implant placement","Bone defects around teeth or implants requiring reconstruction","Socket or cleft alveolar defect reconstruction needing bone volume"],"contraindications":["Active infection or untreated gum disease at donor/recipient site","Uncontrolled systemic disease (e.g., poorly controlled diabetes) that impairs healing","Current/recent high-dose antiresorptive/antiangiogenic drugs or head-neck radiation (specialist review)","Heavy smoking (relative; impairs graft survival)","Immunocompromised state (relative; needs medical assessment)","Active maxillary sinusitis before sinus augmentation (treat first)","Insufficient donor bone or unfavorable anatomy (e.g., near nerve)"],"operation_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single graft surgery (harvest plus placement) for a localized defect at one site; extensive reconstruction takes longer."},"anesthesia":["local"],"sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Graft surgery plus later implant placement; follow-up checks not counted."},"stages":[{"code":"graft_surgery","label":"Harvest and placement of autogenous bone graft","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery"}},{"code":"implant_placement","label":"Implant placement after graft integration","after":{"min":120,"max":180,"unit":"days","qualifier":"Counted from graft surgery; timing varies with graft type and site"}}],"qualifier":"Typical staged approach for ridge augmentation with intraoral block graft; simultaneous implant placement is possible in selected cases."},"hospital_nights":{"status":"not_applicable"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery (eating, speaking, daily activity) after intraoral graft; full bone maturation takes months."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after suture removal and wound check; depends on swelling, donor site healing and surgeon clearance."},"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"Typical for intraoral chin/ramus graft for a localized defect; depends on swelling and public-facing work."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise and contact activity avoided initially; depends on donor site and surgeon advice."},"final_result_months":{"min":4,"max":6,"unit":"months","qualifier":"Typical graft consolidation time before implant placement or loading; varies with graft type and defect size."},"result_longevity":"Integrated graft bone is generally long-lasting and, once supporting an implant, can remain stable for many years. Some resorption occurs in the first months; durability depends on oral hygiene, smoking, periodontal health and implant loading.","main_risks":["Postoperative pain, swelling and bruising at donor and recipient sites","Infection of graft or donor site","Wound dehiscence and graft exposure","Partial graft resorption or failure","Temporary, rarely permanent, donor-site numbness or altered sensation","Bleeding or hematoma","Tooth root damage or sinus membrane perforation (site dependent)"],"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any donor or recipient site complication (dehiscence, infection, sensory change); serious ones under 5%."},"revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Graft failure or major loss needing repeat grafting; minor partial resorption not counted."},"success":{"metric":"Implant survival in autogenous grafted bone","value":93,"horizon":"5 years after implant placement","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Intraoral harvest and grafting leave no visible external scar; any intraoral scarring is minor and hidden.","pain":"No pain during surgery under local anesthesia. Moderate postoperative pain and swelling for several days, usually controlled with prescribed analgesics; donor site is often more uncomfortable than the recipient site.","preparation":["Examination and CBCT planning of donor and recipient sites","Medical history review; treat dental or gum infection beforehand","Sinus evaluation (ENT consultation if needed) before sinus augmentation","Stop smoking before and after surgery","Follow clinic instructions on eating and antiseptic rinse before surgery","Arrange an escort and plan soft food afterwards"],"recovery_timeline":[{"phase":"First 3 days","description":"Peak swelling, discomfort and possible minor bleeding or bruising.","restrictions":["Soft cold diet","Avoid pressure on the surgical sites","No smoking","Cold compresses as advised"]},{"phase":"Days 7-14","description":"Soft tissue healing; sutures removed if non-resorbable.","restrictions":["Gentle oral hygiene","Avoid wearing removable prostheses on the graft unless adjusted"]},{"phase":"Weeks 2-4","description":"Swelling resolved; return to normal diet and light exercise progressively.","restrictions":["Avoid strenuous activity and trauma to the area"]},{"phase":"Months 4-6","description":"Graft consolidation and integration; reassessment before implant placement.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":2,"max":4,"unit":"days","qualifier":"Early check of donor and recipient sites"}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Counted from graft surgery; only needed for non-resorbable sutures"}},{"purpose":"result_review","requirement":"routine","after":{"min":120,"max":180,"unit":"days","qualifier":"Radiographic/clinical assessment of graft integration before implant placement"}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that your surgeon explains which type of graft you need and why","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Your surgeon will tell you which type of graft you’ll need and why.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that your surgeon tells you how often follow-up exams and imaging tests are needed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Your surgeon will let you know how often you’ll need follow-up exams and imaging tests.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the clinician's qualifications and credentials are independently verified, and request references before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Qualifications and credentials should be independently verified and references should be requested prior to travel.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the facility is accredited, which requires meeting published standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check that the clinician performing the procedure is available to talk by phone or video","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Decide ahead of time how you will communicate with your clinician if you do not speak the local language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C7","text":"Check that the clinic or hospital provides a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Medical advice is given by a sales team member or travel agent","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The clinician who will perform the procedure is not available to talk by phone or video","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The consultation gives no clear explanation of potential risks or possible post-procedure problems","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"No written contract from the clinic or hospital is offered","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","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":"ok","items":[{"id":"W1","text":"Nerve injury","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Fracture","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs to know whether graft came from another bone","document":"operation note","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Harvest the autograft from another bone in your body, if needed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"Home doctor needs the pain and complication instructions to continue care","document":"written aftercare plan","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"They’ll give you specific instructions and guidelines to manage pain and reduce your risk of complications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Home doctor needs bone images to check whether healing is on track","document":"imaging report or scans","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"They’ll take pictures of your bone to make sure it’s healing back together as it should.","tier":"tier1_medical","fetched_at":"2026-11-14","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}},{"id":"T5","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":"2026-11-14","next_check_at":"2027-11-14","version":1}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":1,"max":4,"unit":"days","qualifier":"Typical for intraoral chin/ramus graft for a localized defect; depends on swelling and public-facing work."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any donor or recipient site complication (dehiscence, infection, sensory change); serious ones under 5%."},"contraindications":["Active infection or untreated gum disease at donor/recipient site","Uncontrolled systemic disease (e.g., poorly controlled diabetes) that impairs healing","Current/recent high-dose antiresorptive/antiangiogenic drugs or head-neck radiation (specialist review)","Heavy smoking (relative; impairs graft survival)","Immunocompromised state (relative; needs medical assessment)","Active maxillary sinusitis before sinus augmentation (treat first)","Insufficient donor bone or unfavorable anatomy (e.g., near nerve)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Intraoral harvest and grafting for a localized defect is usually outpatient."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Strenuous exercise and contact activity avoided initially; depends on donor site and surgeon advice."},"final_result_months":{"min":4,"max":6,"unit":"months","qualifier":"Typical graft consolidation time before implant placement or loading; varies with graft type and defect size."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after suture removal and wound check; depends on swelling, donor site healing and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"conditional","after":{"min":2,"max":4,"unit":"days","qualifier":"Early check of donor and recipient sites"}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Counted from graft surgery; only needed for non-resorbable sutures"}},{"purpose":"result_review","requirement":"routine","after":{"min":120,"max":180,"unit":"days","qualifier":"Radiographic/clinical assessment of graft integration before implant placement"}}],"indications":["Horizontal or vertical ridge augmentation before or with implants","Sinus floor augmentation for posterior maxilla implant placement","Bone defects around teeth or implants requiring reconstruction","Socket or cleft alveolar defect reconstruction needing bone volume"],"main_risks":["Postoperative pain, swelling and bruising at donor and recipient sites","Infection of graft or donor site","Wound dehiscence and graft exposure","Partial graft resorption or failure","Temporary, rarely permanent, donor-site numbness or altered sensation","Bleeding or hematoma","Tooth root damage or sinus membrane perforation (site dependent)"],"pain":"No pain during surgery under local anesthesia. Moderate postoperative pain and swelling for several days, usually controlled with prescribed analgesics; donor site is often more uncomfortable than the recipient site.","preparation":["Examination and CBCT planning of donor and recipient sites","Medical history review; treat dental or gum infection beforehand","Sinus evaluation (ENT consultation if needed) before sinus augmentation","Stop smoking before and after surgery","Follow clinic instructions on eating and antiseptic rinse before surgery","Arrange an escort and plan soft food afterwards"],"recovery_timeline":[{"phase":"First 3 days","description":"Peak swelling, discomfort and possible minor bleeding or bruising.","restrictions":["Soft cold diet","Avoid pressure on the surgical sites","No smoking","Cold compresses as advised"]},{"phase":"Days 7-14","description":"Soft tissue healing; sutures removed if non-resorbable.","restrictions":["Gentle oral hygiene","Avoid wearing removable prostheses on the graft unless adjusted"]},{"phase":"Weeks 2-4","description":"Swelling resolved; return to normal diet and light exercise progressively.","restrictions":["Avoid strenuous activity and trauma to the area"]},{"phase":"Months 4-6","description":"Graft consolidation and integration; reassessment before implant placement.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery (eating, speaking, daily activity) after intraoral graft; full bone maturation takes months."},"result_longevity":"Integrated graft bone is generally long-lasting and, once supporting an implant, can remain stable for many years. Some resorption occurs in the first months; durability depends on oral hygiene, smoking, periodontal health and implant loading.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Graft failure or major loss needing repeat grafting; minor partial resorption not counted."},"scars":"Intraoral harvest and grafting leave no visible external scar; any intraoral scarring is minor and hidden.","sessions_or_stages":{"sessions":{"min":2,"max":2,"unit":"visits","qualifier":"Graft surgery plus later implant placement; follow-up checks not counted."},"stages":[{"code":"graft_surgery","label":"Harvest and placement of autogenous bone graft","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery"}},{"code":"implant_placement","label":"Implant placement after graft integration","after":{"min":120,"max":180,"unit":"days","qualifier":"Counted from graft surgery; timing varies with graft type and site"}}],"qualifier":"Typical staged approach for ridge augmentation with intraoral block graft; simultaneous implant placement is possible in selected cases."},"success":{"metric":"Implant survival in autogenous grafted bone","value":93,"unit":"percent","horizon":"5 years after implant placement","population":"Adults with localized alveolar ridge deficiency receiving intraoral block graft before implants","evidence_status":"limited"},"techniques":[{"name":"Intraoral cortical block graft (chin or mandibular ramus) fixed with screws","suits_whom":"Localized horizontal or vertical ridge defects needing moderate bone volume","recovery":"Donor site discomfort for 1-2 weeks; chin site may cause temporary sensory change."},{"name":"Particulate autogenous bone (bone scraper or filter collection) with membrane","suits_whom":"Smaller defects, sinus augmentation or sockets where block is unnecessary","recovery":"Generally milder than block harvest; graft maturation over several months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single graft surgery (harvest plus placement) for a localized defect at one site; extensive reconstruction takes longer."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the bone defect area","Intraoral photos of the missing-tooth site","List of blood thinners and bisphosphonates","Previous graft or extraction records (if available)"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Graft surgery, then implant placement after 4-6 months of integration; first stay about 7-14 days for suture removal, second shorter."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that your surgeon explains which type of graft you need and why","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Your surgeon will tell you which type of graft you’ll need and why.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that your surgeon tells you how often follow-up exams and imaging tests are needed","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Your surgeon will let you know how often you’ll need follow-up exams and imaging tests.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that the clinician's qualifications and credentials are independently verified, and request references before travel","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Qualifications and credentials should be independently verified and references should be requested prior to travel.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that the facility is accredited, which requires meeting published standards","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Accrediting groups, including Joint Commission International, DNV GL International Accreditation for Hospitals, and the International Society for Quality in Healthcare, have lists of standards that healthcare facilities need to meet to be accredited.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Check that the clinician performing the procedure is available to talk by phone or video","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Decide ahead of time how you will communicate with your clinician if you do not speak the local language","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"If you go to a country where you do not speak the language, determine ahead of time how you will communicate with your clinician and others who will be caring for you.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C7","text":"Check that the clinic or hospital provides a written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Medical advice is given by a sales team member or travel agent","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The clinician who will perform the procedure is not available to talk by phone or video","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller (via telephone or video call).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The consultation gives no clear explanation of potential risks or possible post-procedure problems","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"This consultation should provide a clear explanation of the planned treatment, including success/complication rates, potential risks and possible post-procedure problems.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"No written contract from the clinic or hospital is offered","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","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":"ok","items":[{"id":"W1","text":"Nerve injury","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Fracture","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"The most common complications are donor site pain, nerve injury, infection, fracture, an extended surgical time, increased blood loss, and limited bone graft material (grade IA).","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs to know whether graft came from another bone","document":"operation note","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"Harvest the autograft from another bone in your body, if needed.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"Home doctor needs the pain and complication instructions to continue care","document":"written aftercare plan","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"They’ll give you specific instructions and guidelines to manage pain and reduce your risk of complications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T3","text":"Home doctor needs bone images to check whether healing is on track","document":"imaging report or scans","source":{"url":"https://my.clevelandclinic.org/health/treatments/16796-bone-grafting","host":"my.clevelandclinic.org","quote":"They’ll take pictures of your bone to make sure it’s healing back together as it should.","tier":"tier1_medical","fetched_at":"2026-11-14","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}},{"id":"T5","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":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to avoid a second surgical site for bone harvest","name":"Allograft bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3345366/","host":"pmc.ncbi.nlm.nih.gov","quote":"Based on these limited number of studies, allograft seems to be a reliable alternative to autogenous bone grafts.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"intraoral-cortical-block","name":"Intraoral cortical block graft (chin or mandibular ramus) fixed with screws","how_it_works":{"text":"Bone is taken from a donor site into a defect","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"Autogenous bone grafting is defined as the transplantation of bone tissue obtained from a donor site into a bone defect, nonunion, or arthrodesis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"particulate-autogenous-bone","name":"Particulate autogenous bone (bone scraper or filter collection) with membrane","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"techniques":[{"id":"intraoral-cortical-block","name":"Intraoral cortical block graft (chin or mandibular ramus) fixed with screws","how_it_works":{"id":"H1","text":"Bone is taken from a donor site into a defect","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10766296/","host":"pmc.ncbi.nlm.nih.gov","quote":"Autogenous bone grafting is defined as the transplantation of bone tissue obtained from a donor site into a bone defect, nonunion, or arthrodesis.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Localized horizontal or vertical ridge defects needing moderate bone volume","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Donor site discomfort for 1-2 weeks; chin site may cause temporary sensory change."},{"id":"particulate-autogenous-bone","name":"Particulate autogenous bone (bone scraper or filter collection) with membrane","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Smaller defects, sinus augmentation or sockets where block is unnecessary","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Generally milder than block harvest; graft maturation over several months."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to avoid a second surgical site for bone harvest","name":"Allograft bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC3345366/","host":"pmc.ncbi.nlm.nih.gov","quote":"Based on these limited number of studies, allograft seems to be a reliable alternative to autogenous bone grafts.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders need no visa for a tourism visit to Dominican Republic of up to 30 days","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You can visit the Dominican Republic for tourism without a visa for 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"A visa is required for visits longer than 30 days","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Required for visits longer than 30 days.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A valid travel document is required to enter Dominican Republic; a passport reported lost or stolen results in denied entry","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/entry-requirements","host":"gov.uk","quote":"You will be denied entry if you do not have a valid travel document or try to use a passport that has been reported lost or stolen.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"medicines","audience":"all","volatile":false,"text":"Bring prescription medication into Dominican Republic in its original labeled packaging","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Take your prescription medication in the original labeled packaging.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"all","volatile":false,"text":"Carry a copy of your doctor's prescription when traveling to Dominican Republic with medication","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Bring a copy of your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Dominican Republic require advance payment or proof of internationally accepted insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/DominicanRepublic.html","host":"travel.state.gov","quote":"Private hospitals need advance payment or proof of internationally-accepted insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V7","item":"emergency_number","audience":"all","volatile":false,"text":"Call 911 and ask for an ambulance in Santo Domingo","source":{"url":"https://www.gov.uk/foreign-travel-advice/dominican-republic/health","host":"gov.uk","quote":"Call 911 and ask for an ambulance if you’re in Santo Domingo.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","armenia","azerbaijan","brazil","china","colombia","croatia","czech-republic","egypt","georgia","hungary","india","mexico","poland","republic-of-korea","romania","singapore","spain","thailand","turkey","ukraine","united-kingdom","united-states","vietnam"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":{"status":"missing","reason":"not_collected"},"count":{"status":"missing","reason":"not_collected"},"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"Qual é o Custo de Enxerto ósseo autógeno em República Dominicana? Descubra Agora","kind":"content"},{"text":"Seus Benefícios e Garantias com a Bookimed","kind":"content"},{"text":"Seu assistente Bookimed pessoal","kind":"content"},{"text":"Descubra as Melhores Clínicas de Enxerto ósseo autógeno em República Dominicana: 5 opções Verificadas e Preços","kind":"content"},{"text":"Visão geral de Enxerto ósseo autógeno em República Dominicana","kind":"content"},{"text":"Obtenha uma avaliação médica para Enxerto ósseo autógeno em República Dominicana: escolha seu especialista entre os melhores da área","kind":"content"},{"text":"Histórias em vídeo de pacientes da Bookimed","kind":"content"},{"text":"Avaliações sobre Bookimed: descubra percepções de pacientes","kind":"content"},{"text":"Compartilhar este conteúdo","kind":"content"},{"text":"Obtenha uma consulta gratuita","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}