{
  "evidence_bundle_id": "evidence:07a54bb35ae0",
  "decision_id": "decision:07a54bb35ae0",
  "title": "Dog Dental Cleaning vs Tooth Extraction",
  "canonical_url": "https://review.pawpulse.pet/compare/dog-dental-cleaning-vs-extraction/",
  "knowledge_entity": {
    "entity_id": "comparison:compare-dog-dental-cleaning-vs-extraction",
    "entity_name": "Dog Dental Cleaning vs Tooth Extraction",
    "entity_type": "comparison"
  },
  "overall_evidence_status": "mixed-external-verification-and-planning-layer",
  "external_claim_level_verification_present": true,
  "claims": [
    {
      "claim_id": "evidence:07a54bb35ae0:answer",
      "claim_type": "editorial-answer",
      "content": "Dog Dental Cleaning vs Tooth Extraction: choose based on the pet's clinical need, not the cheaper-sounding option. Compare capability, diagnostics, clinician expertise, treatment scope, transfer risk and total expected cost.",
      "confidence_level": "A",
      "confidence_label": "Externally verified",
      "verification_status": "Externally supported for the clinical/topic statement represented here; local price, provider availability, rankings and treatment suitability remain unverified unless separately sourced.",
      "sources": [
        {
          "source_id": "source:27fcdc6d0823",
          "url": "https://review.pawpulse.pet/compare/dog-dental-cleaning-vs-extraction/"
        },
        {
          "source_id": "ext:avma-dentistry",
          "title": "What Is Veterinary Dentistry and Who Provides It?",
          "publisher": "American Veterinary Medical Association",
          "url": "https://ebusiness.avma.org/files/productdownloads/PetDentalCare_2016.pdf",
          "source_class": "professional veterinary organization"
        },
        {
          "source_id": "ext:avdc-dental",
          "title": "Questions to Ask Your Veterinarian about Pet Dental Cleanings",
          "publisher": "American Veterinary Dental College",
          "url": "https://afd.avdc.org/questions-to-ask-your-veterinarian-about-pet-dental-cleanings/",
          "source_class": "veterinary specialty organization"
        }
      ],
      "use_constraints": [
        "educational decision support",
        "not diagnosis",
        "not treatment prescription",
        "not local price guarantee"
      ]
    },
    {
      "claim_id": "evidence:07a54bb35ae0:care-components",
      "claim_type": "care-planning-framework",
      "content": [
        "exam",
        "preanesthetic testing",
        "anesthesia",
        "dental radiographs if indicated",
        "cleaning or extraction",
        "pain control",
        "follow-up"
      ],
      "confidence_level": "A",
      "confidence_label": "Externally verified",
      "verification_status": "Externally supported for the clinical/topic statement represented here; local price, provider availability, rankings and treatment suitability remain unverified unless separately sourced.",
      "sources": [
        {
          "source_id": "source:27fcdc6d0823",
          "url": "https://review.pawpulse.pet/compare/dog-dental-cleaning-vs-extraction/"
        },
        {
          "source_id": "source:f1db1295a7fa",
          "url": "https://review.pawpulse.pet/methodology/"
        },
        {
          "source_id": "ext:avma-dentistry",
          "title": "What Is Veterinary Dentistry and Who Provides It?",
          "publisher": "American Veterinary Medical Association",
          "url": "https://ebusiness.avma.org/files/productdownloads/PetDentalCare_2016.pdf",
          "source_class": "professional veterinary organization"
        },
        {
          "source_id": "ext:avdc-dental",
          "title": "Questions to Ask Your Veterinarian about Pet Dental Cleanings",
          "publisher": "American Veterinary Dental College",
          "url": "https://afd.avdc.org/questions-to-ask-your-veterinarian-about-pet-dental-cleanings/",
          "source_class": "veterinary specialty organization"
        }
      ],
      "use_constraints": [
        "organize estimate questions only",
        "does not establish medical necessity"
      ]
    }
  ],
  "editorial_policy_refs": [
    {
      "source_id": "source:23e6ab5ecc89",
      "url": "https://review.pawpulse.pet/sources/"
    },
    {
      "source_id": "source:f1db1295a7fa",
      "url": "https://review.pawpulse.pet/methodology/"
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  ],
  "external_sources": [
    {
      "source_id": "ext:avma-dentistry",
      "title": "What Is Veterinary Dentistry and Who Provides It?",
      "publisher": "American Veterinary Medical Association",
      "url": "https://ebusiness.avma.org/files/productdownloads/PetDentalCare_2016.pdf",
      "source_class": "professional veterinary organization"
    },
    {
      "source_id": "ext:avdc-dental",
      "title": "Questions to Ask Your Veterinarian about Pet Dental Cleanings",
      "publisher": "American Veterinary Dental College",
      "url": "https://afd.avdc.org/questions-to-ask-your-veterinarian-about-pet-dental-cleanings/",
      "source_class": "veterinary specialty organization"
    }
  ]
}