Dr. Lika Mebagishvili brings over 15 years of clinical experience to this boutique clinic, combining her roles as an oral surgeon and a lecturer at the University of Georgia. The clinic uses a digital workflow with intraoral scanning for precise diagnostics. Dr. Mebagishvili specializes in Guided Tissue Regeneration (GTR) for periodontal pockets, focusing on individualized care for each patient. This academic approach helps stabilize alveolar atrophy. International patients receive dedicated support throughout their treatment in Tbilisi.
","text_type":"mt_wow_description","best_texts":{"techniques":"Guided tissue regeneration (GTR)"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":0,"currency":"USD","id":56877},"operation":{"id":1311,"name":"Collagen Membrane","alias":"collagen-membrane"}},{"prices":{"price_from":70,"price_to":0,"currency":"USD","id":56817},"diagnostic":{"id":439,"name":" CT of the mandible","alias":"ct-of-the-mandible"}}],"reviews":[],"clinic":{"id":8130,"alias":"skhva-clinic","name":"Skhva Dental Clinic","short_description":"Skhva Clinic is a private dental clinic located in Tbilisi, Georgia. Led by Dr. Lika Mebagishvili, PhD, who lectures in oral surgery, the clinic specializes in advanced dental care, including subperiosteal implantation for patients with severe bone loss. Skhva Clinic uses a fully digital workflow with intraoral scanning and digital smile design, and its team provides care in fluent English and Russian. The clinic serves both adults and children, treating around 1,500 patients annually. Patients from the CIS countries, Europe, the Commonwealth, and Arab League countries visit the clinic most often.
\n","images":[{"base_url":"clinic/6a37faa475e8d","title":"Reception desk at Skhva Clinic with modern dental clinic branding"},{"base_url":"clinic/6a37fab74b91e","title":"Skhva Clinic waiting room with black sofas, art, and modern decor"},{"base_url":"clinic/6a37fd68a3fc9","title":"Cozy waiting area at Skhva Clinic with plant and tooth-shaped pillow"},{"base_url":"clinic/6a37ff9bb3785","title":"Medical staff at Skhva Clinic in modern waiting area"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Georgia","id":181,"alias":"georgia","iso_code":"GE"},"city":{"name":"Tbilisi","id":322,"alias":"tbilisi"},"address":"MRV2+GJC, Tbilisi, Georgia"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4,"year_foundation":2023},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2e85c6d1cd.jpeg","name":"World Dental Federation (FDI)","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":72},"doctors":{"doctors":[{"doctor":{"id":12662,"alias":"lika-mebagishvili","name":"Lika Mebagishvili","clinic_id":8130,"photo":"doctor/6a36ad427158e","first_year_working":2011,"created_at":"2026-06-20T15:09:53.120+00:00","short_description":"Dr. Lika Mebagishvili, DDM, PhD student, is a triple-licensed oral surgeon, implantologist, and prosthodontist. She has 15+ years of experience. She founded and directs Skhva Clinic in Tbilisi. She performs complex full-arch rehabilitation and advanced implantology. She treats severe bone loss, including cases declined elsewhere.
\nIn December 2024, she became the first dentist in Georgia to perform full-mouth bilateral subperiosteal implantation in a single surgery.
\nAcademic and leadership roles: invited lecturer in Oral Surgery at the University of Georgia. Former chairman of the Dental Trade Union of Georgia for six years. Current PhD researcher in Public Health. She consults in English, Russian, and Georgian.
","specialities":[{"id":"dnt.001","name":"Dentist","illness_kind_id":31},{"id":"dnt.004","name":"Implantologist","illness_kind_id":31},{"id":"sur.022","name":"Oral surgeon","illness_kind_id":33}],"statistics":{}},"clinic":{"id":8130,"alias":"skhva-clinic","name":"Skhva Dental Clinic","short_description":"Skhva Clinic is a private dental clinic located in Tbilisi, Georgia. Led by Dr. Lika Mebagishvili, PhD, who lectures in oral surgery, the clinic specializes in advanced dental care, including subperiosteal implantation for patients with severe bone loss. Skhva Clinic uses a fully digital workflow with intraoral scanning and digital smile design, and its team provides care in fluent English and Russian. The clinic serves both adults and children, treating around 1,500 patients annually. Patients from the CIS countries, Europe, the Commonwealth, and Arab League countries visit the clinic most often.
\n","images":[{"base_url":"clinic/6a37faa475e8d","title":"Reception desk at Skhva Clinic with modern dental clinic branding"},{"base_url":"clinic/6a37fab74b91e","title":"Skhva Clinic waiting room with black sofas, art, and modern decor"},{"base_url":"clinic/6a37fd68a3fc9","title":"Cozy waiting area at Skhva Clinic with plant and tooth-shaped pillow"},{"base_url":"clinic/6a37ff9bb3785","title":"Medical staff at Skhva Clinic in modern waiting area"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Georgia","id":181,"alias":"georgia","iso_code":"GE"},"city":{"name":"Tbilisi","id":322,"alias":"tbilisi"},"address":"MRV2+GJC, Tbilisi, Georgia"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4,"year_foundation":2023},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/62e2e85c6d1cd.jpeg","name":"World Dental Federation (FDI)","country_code":"CH"}]},"procedure_prices":[{"prices":{"price_from":150,"price_to":0,"currency":"USD","id":56877},"operation":{"id":1311,"name":"Collagen Membrane","alias":"collagen-membrane"}}]}],"meta":{"total_count":1,"total_pages":1}},"reviews":{"reviews":[{"id":16798,"user":{"id":688925,"name":"Egor ","country_code":"GE","country_name":{"en":"Georgia"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"I have not been travelling, I have been living in Tbilisi for some time, but nevertheless it is difficult to find a doctor in a foreign country and in a field where you constantly hear about failed surgeries.\n\nBefore Bukmed, I went to a clinic with very strange behaviour of the staff. Then I started looking for a new one and came across this service, which made it very easy for me to find a decent clinic. And most importantly - as I realised, the manager acts as an intermediary between you and the clinic in an unfamiliar country. To be honest, I still don't believe that Bookmed's services are free."},"order":{"operation":{"id":792,"name":{"en":"Dental Implant"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-09-19T15:33:22.173+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"I was just googling dental clinics not in my hometown and came across this service, where there were ratings of clinics and reviews. Which turned out to be very helpful. And then it turned out that this is a service that was created by doctors, and managers will accompany you on all questions, once again, for free. This is unusual, but very pleasant."},"summary":{"positive":{"en":"Then I started looking for a new one and came across this service, which made it very easy for me to find a decent clinic."}}},{"id":26334,"user":{"id":1061062,"name":"Ol'ga ","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5},{"name":"recommend","value":10},{"name":"main","value":5},{"name":"manager","value":5},{"name":"relative_price","value":5}],"text":{"en":"Even now, when the main stage is behind me, I feel constant support from the clinic. They are always in touch, which instills confidence. The entire process, from consultation to prosthesis installation, was organized very clearly and coherently. It was important for me that everything could be accomplished in just two visits, as planned. I also want to note the financial transparency — there were no hidden or additional costs. I am now recovering, and my condition is exactly as I expected it to be after the procedure."},"order":{"operation":{"id":919,"name":{"en":"Denture"}},"diagnostic":{"id":330,"name":{"en":"Consultation with a dentist"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-07-16T12:01:34.176+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"coordinator_mentioned","value":false}],"summary":{"positive":{"en":"Even now, when the main stage is behind me, I feel constant support from the clinic."}}},{"id":19270,"user":{"id":788312,"name":"Elena Romaniutina","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"I would like to leave a positive review of Spanderashvili Dental Clinic. The professional examination and thorough treatment made an excellent impression on me. The doctors are attentive and competent, they explain everything and give recommendations. The atmosphere in the clinic is comfortable and the staff is friendly. I am very satisfied with the results of the treatment and implants, and I would recommend this clinic to anyone looking for quality dental services."},"order":{"operation":{"id":792,"name":{"en":"Dental Implant"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-03-26T13:22:11.637+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"I am very satisfied with the results of the treatment and implants, and I would recommend this clinic to anyone looking for quality dental services."}}},{"id":14372,"user":{"id":576438,"name":"باسل ","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"consultation_arrangement","value":5},{"name":"consultation_duration","value":5},{"name":"consultation_value","value":5},{"name":"consultation_connection","value":5},{"name":"relative_price","value":1},{"name":"nps","value":9},{"name":"manager","value":5},{"name":"comfort","value":0},{"name":"doctor","value":0},{"name":"personal","value":0},{"name":"translation","value":0}],"text":{"en":"The treatment with the medical staff was very good, wonderful and kind, and on the other hand, discussing medical matters with the doctor was very good."},"order":{"operation":{"id":792,"name":{"en":"Dental Implant"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-02-25T13:16:12.208+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Communication with Bookimed is excellent and quick. He gives me answers and stays in constant contact with me throughout the treatment period, and I liked that very much."},"summary":{"positive":{"en":"The treatment with the medical staff was very good, wonderful and kind"}}},{"id":10058,"user":{"id":409713,"name":"Татьяна ","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"en":"The professionalism of doctors is at a high level. The requests and preferences of the patient are taken into account. Respectful attitude."},"order":{"operation":{"id":895,"name":{"en":"Dental Crown Installation"}}},"doctor_info":{"id":3587,"name":"Giorgi Spanderashvili","alias":"giorgi-spanderashvili"},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2022-12-01T12:01:44.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"Satisfied. Thank you"},"summary":{"positive":{"en":"The results of treatment are excellent. Return: About the doctor: The professionalism of doctors is at a high level. About the clinic: Respectful attitude. About the results: The results of treatment are excellent. About the experience: The requests and preferences of the patient are taken into account. Most positive sentence: The results of treatment are excellent."}}},{"id":21618,"user":{"id":743954,"name":"Alina Zahaiko","country_code":"BE","country_name":{"en":"Belgium"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"Everything was perfect, all my wishes were fulfilled. The staff is super, the doctor is competent."},"order":{"operation":{"id":402,"name":{"en":"Composite Veneer"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-09-18T07:43:24.935+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"The staff member was pleasant, helped with all my questions."},"summary":{"positive":{"en":"Everything was perfect, all my wishes were fulfilled."}}},{"id":15792,"user":{"id":601567,"name":"Михаил ","country_code":"UA","country_name":{"en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":9},{"name":"manager","value":5}],"text":{"en":"Everything went quickly and without any obstacles.\nI recommend this clinic to everyone."},"order":{"operation":{"id":915,"name":{"en":"Teeth Cleaning (Scaling)"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-06-22T09:24:41.366+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"I recommend this clinic to everyone."}}},{"id":14066,"user":{"id":578188,"name":"Никита ","country_code":"GE","country_name":{"en":"Georgia"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":4}],"text":{"en":"Very polite and friendly staff. The doctors are also kind and do quality work."},"order":{"diagnostic":{"id":330,"name":{"en":"Consultation with a dentist"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-01-31T13:14:38.617+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"I arrived in another country, wrote what I needed, they answered where to go and what for what)"},"summary":{"positive":{"en":"The doctors are also kind and do quality work."}}},{"id":15988,"user":{"id":645297,"name":"Evgeniy Zaharov","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"Cleanliness equipment medical staff all up to standard."},"order":{"operation":{"id":391,"name":{"en":"All-on-6 Dental Implants"}},"diagnostic":{"id":330,"name":{"en":"Consultation with a dentist"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-07-10T13:12:09.021+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"en":"Cleanliness equipment medical staff all up to standard."}}},{"id":19132,"user":{"id":783557,"name":"Il'ya Вайнштейн ","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":1},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"Very satisfied with everything! I recommend bechom!"},"order":{"operation":{"id":792,"name":{"en":"Dental Implant"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-03-15T10:50:26.868+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"en":"I'm happy with everything"},"summary":{"positive":{"en":"Very satisfied with everything!"}}},{"id":20117,"user":{"id":834045,"name":"Veronika ","country_code":"IL","country_name":{"en":"Israel"}},"ratings":[{"name":"main","value":5},{"name":"relative_price","value":2},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"Everything's great, I'm satisfied"},"order":{"operation":{"id":574,"name":{"en":"Veneers"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2025-05-25T10:08:48.019+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"images":[{"full_url":"review/68343f7cc2599_b.jpeg","preview_url":"review/68343f7cc2599_s.jpeg"}],"summary":{"positive":{"en":"Everything's great, I'm satisfied"}}},{"id":11325,"user":{"id":430698,"name":"Анастасия ","country_code":"GE","country_name":{"en":"Georgia"}},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2},{"name":"nps","value":10},{"name":"manager","value":5}],"text":{"en":"I liked everything very much"},"order":{"operation":{"id":895,"name":{"en":"Dental Crown Installation"}}},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2023-04-23T11:15:46.991+00:00","flags":[{"name":"is_approved","value":true},{"name":"would_recommend","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]},{"id":24172,"user":{"id":974279,"name":"Lera ","country_code":"DE","country_name":{"en":"Germany"}},"ratings":[{"name":"main","value":2},{"name":"relative_price","value":2},{"name":"doctor","value":1},{"name":"personal","value":3},{"name":"comfort","value":4},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"manager","value":0},{"name":"recommend","value":0}],"text":{"en":"Masterful skill and precision!\n\nI want to share my excitement about visiting the Spanderashvili Clinic in Tbilisi. What Dr. Giorgi Spanderashvili accomplished is true professionalism, bordering on art!\n\nI had 8 implants placed, and the entire procedure took just over an hour. Such incredible speed! While working, the doctor even hummed—a reflection of his confidence and calm, which immediately alleviates patient stress.\n\nThe primary advantage of such efficient work is that the wounds did not remain open for long, minimizing the risk of bacterial exposure. The result speaks for itself: after such a significant procedure, I had absolutely no swelling! None of the \"chipmunk cheeks\" I feared.\n\nI am pleasantly shocked by the quality and expertise. If you seek results without pain, complications, and long waits—this is the place to go. Huge thanks to Dr. Spanderashvili for his golden hands!"},"order":{"operation":{"id":792,"name":{"en":"Dental Implant"}}},"doctor_info":{"id":3587,"name":"Giorgi Spanderashvili","alias":"giorgi-spanderashvili"},"clinic_info":{"id":1766,"name":"Spanderashvili Dental Clinic","alias":"spanderashvili-dental-clinic","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-03-05T16:36:29.549+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":true},{"name":"is_notification_sent","value":false},{"name":"coordinator_mentioned","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"what_not_like_text":{"en":"Warning for medical tourists! Damaged implant and defect in the Spanderashvili Clinic (SDC).\n\nWarning to all foreign patients! Initially, the first stage of implant installation at the SDC clinic in Tbilisi seemed good to me, which I now seriously doubt—how do I know how everything was actually done? I even left them a good review. But the subsequent prosthetic stage turned into a complete disaster. They work according to one template. Even during the fitting, two temporary bridges did not fit, but they kept telling me: \"Zirconium will fit, we will file it.\" As a result, the bite was severely raised and completely spoiled. One bridge constantly came off and was actually lying in my pocket, and they told me it was normal. The second bridge was very tight and left a huge gap at the gum. The technician claimed that if it was tight, it was normal, he would fix the gap, and file the flying bridge. It seemed as if these bridges were taken from another patient and shoved into my mouth—no one intended to redo the construction. They wanted to cement this defect quickly to complete the job. To give the appearance of a snug fit, the prosthesis was simply glued. During fixation, they gave me an anesthesia injection and forcefully pushed the structure into my jaw. With this brute force, Spanderashvili damaged my implant, pushing it deeply under the gum, causing severe swelling of the cheek and pain! On the day of my flight to Germany, I went to the clinic, asked to return my money and take back their defect. I also asked to install gum formers. I left them these structures, and they returned the money as their fault was undeniable. The technician desperately continued to offer to \"file and glue.\" But the damage was already done: I managed to get a CT scan in Georgia with these bridges, documenting all the defects. Now I am in Germany, awaiting an independent medical evaluation. Avoid this place!"}},"summary":{"positive":{"en":"I am pleasantly shocked by the quality and expertise."}}}],"meta":{"total_count":20,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"Day 1
\nDay 2
\nDay 3
\nDay 4
\nDay 5
\nWeek 1
\nWeek 2-3
\nWeek 4
\nWeek 6-8
\nPlease note that this is a general guide and individual cases may vary.
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healing assessed; can be done by home dentist."},"requirement":"conditional"},{"purpose":"assessment","after":{"min":120,"max":180,"unit":"days","qualifier":"Bone assessment by X-ray or CBCT before implant placement."},"requirement":"routine"}],"indications":["Guided bone regeneration around dental implants","Alveolar ridge augmentation with bone graft","Socket preservation after tooth extraction","Intrabony periodontal defects","Furcation defects in periodontal regeneration","Sinus window coverage after sinus lift"],"main_risks":["Membrane exposure with partial graft loss","Infection at the graft site","Swelling, bruising and bleeding","Wound dehiscence","Temporary numbness or sensitivity"],"pain":"Mild to moderate for 2-4 days, usually controlled with standard oral analgesics; swelling peaks around day 2-3.","preparation":["Dental exam with X-ray or CBCT to assess the defect","Treat active gum disease or infection first","Stop smoking before and during healing","Professional cleaning before surgery","Review of general health and medical conditions"],"recovery_timeline":[{"phase":"Days 1-3","description":"Swelling, mild discomfort and minor oozing; cold packs and soft diet.","restrictions":["No brushing at the site","No spitting or rinsing vigorously","Avoid hot food","No strenuous exercise"]},{"phase":"Days 4-14","description":"Swelling subsides; antiseptic rinses; sutures removed around day 10-14.","restrictions":["Soft diet","No smoking","Avoid pulling the lip to look at the site","No strenuous exercise"]},{"phase":"Weeks 3-8","description":"Soft tissue closes over the site and the membrane integrates and resorbs.","restrictions":["Avoid pressure from removable dentures on the site"]},{"phase":"Months 4-9","description":"Bone matures; implant placement or final restoration follows once healing is confirmed.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Time to ordinary comfortable function on a soft diet; full site healing takes months."},"result_longevity":"Regenerated bone is generally stable long term when oral hygiene is good, the patient doesn't smoke and implants or teeth are maintained.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Sites needing re-grafting or surgical re-intervention due to exposure, infection or insufficient bone gain."},"scars":"No visible scars; the incision is inside the mouth and heals with minimal gum scarring.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical session to place the membrane, usually with bone graft."},"stages":[{"code":"membrane_placement","label":"Collagen membrane placement with bone graft","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"bone_healing_review","label":"X-ray review before implant or restoration","after":{"min":120,"max":180,"unit":"days","qualifier":"After bone maturation."}}],"qualifier":"Membrane is placed in one session; later implant placement is a separate procedure."},"success":{"metric":"Implant placement possible after guided bone regeneration without further grafting","value":90,"unit":"percent of treated sites","horizon":"4-9 months","population":"Adult non-smokers with ridge defects or extraction sockets treated with membrane and graft","evidence_status":"limited"},"techniques":[{"name":"Resorbable collagen membrane with particulate bone graft (GBR)","suits_whom":"Most ridge defects, dehiscences and implant sites needing bone volume.","recovery":"Mild swelling for several days; sutures out at 10-14 days."},{"name":"Socket preservation with collagen membrane","suits_whom":"Patients after extraction who plan an implant later.","recovery":"Quick recovery of 3-5 days of mild discomfort."},{"name":"Cross-linked slow-resorbing collagen membrane","suits_whom":"Larger defects needing longer barrier function.","recovery":"Similar recovery; longer follow-up for exposure risk."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Chair time for single-site membrane and graft placement."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw (if available)","Photos of the teeth and gums","Previous dental treatment records","List of blood thinners and bisphosphonates"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Membrane surgery needs one trip with 5-7 day stay; a second trip is needed if implant placement follows months later."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the clinician performing the procedure and the credentials of the facility because risks depend on both","scope":"treatment_abroad","source":{"url":"https://wwwnc.cdc.gov/travel/page/medical-tourism","host":"wwwnc.cdc.gov","quote":"Check the qualifications of the clinician who will be doing the procedure and the credentials of the facility where the procedure will be done.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check how communication with the clinician and other caregivers will occur if languages differ","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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the procedure","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":"C4","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical 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all your medical records from the medical facility at your destination before you return home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","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}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":null,"technique_details":{"status":"ok","items":[{"id":"resorbable-collagen-membrane","name":"Resorbable collagen membrane with particulate bone graft (GBR)","how_it_works":{"text":"Grafting material is placed over 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