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Recall cleaning at 3-6 months is done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"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":"C2","text":"Whether you can put your questions directly to the treating clinicians","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":"C3","text":"Whether the facility and professionals hold accreditation or 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place","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}},{"id":"F3","text":"Follow-up care fees are added on top of the quoted base cost","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some overseas facilities and healthcare professionals charge substantial fees for follow-up care in addition to the base cost.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Bleeding that does not stop","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23983-tooth-scaling-and-root-planing","host":"my.clevelandclinic.org","quote":"But let your dentist know if you have excessive bleeding that doesn’t stop.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Pus or infection at the treatment site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Infection (pus) at the treatment site.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain that does not go away","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"Severe pain that doesn’t go 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nominal cost, such dental records or copies or summaries of them, including dental X-rays or copies of them, as will be beneficial for the future treatment of that patient.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your gum disease is moderate to advanced","name":"Pocket reduction surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/10907-gum-disease-treatment","host":"my.clevelandclinic.org","quote":"People with moderate to advanced periodontal disease usually require surgical intervention.","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":"ultrasonic","name":"Ultrasonic/piezoelectric scaling","how_it_works":{"text":"Ultrasonic instruments are used to 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