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","text_type":"short_description","best_texts":{"techniques":"Screw-retained fixation, fully digital workflow"},"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":5285,"price_to":0,"currency":"USD","id":56849},"operation":{"id":1314,"name":"Full-Arch Implant-Fixed Complete Dentures in Monolithic Zirconia (8 titanium implants)","alias":"full-arch-implant-fixed-complete-dentures-in-monolithic-zirconia-8-titanium-implants"}},{"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":160},"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":5285,"price_to":0,"currency":"USD","id":56849},"operation":{"id":1314,"name":"Full-Arch Implant-Fixed Complete Dentures in Monolithic Zirconia (8 titanium implants)","alias":"full-arch-implant-fixed-complete-dentures-in-monolithic-zirconia-8-titanium-implants"}}]}],"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 to Day 7
\nWeek 2
\nWeek 3 and 4
\nWeek 5
\nWeek 6
\nWeek 8
\nPlease note that each patient\"s journey is different and the above timeline is a general guide.
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Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"After implant surgery for one arch; desk work often resumes within days, depending on surgery extent and sedation."},"complication_rate_pct":{"min":10,"max":40,"unit":"percent","qualifier":"Any biological or prosthetic complication within 5 years, e.g. mucositis, screw loosening, chipping; serious ones far rarer."},"contraindications":["Uncontrolled systemic disease (e.g., poorly controlled diabetes)","Insufficient bone volume where grafting is declined or not feasible","Active oral infection or untreated periodontal disease","Heavy smoking or uncontrolled bruxism (relative)","Prior head-neck radiotherapy or IV bisphosphonates (relative; specialist assessment)","Recent myocardial infarction or unfit for surgery","Pregnancy (elective treatment usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Implant placement and prosthesis stages are normally performed as outpatient visits without hospital stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise resumed after initial healing following implant surgery, as comfort allows and the surgeon agrees."},"final_result_months":{"min":4,"max":9,"unit":"months","qualifier":"Final zirconia prosthesis follows osseointegration (3-6 months) and any provisional phase; immediate loading only shortens functional wait."},"fly_home_after_days":{"min":4,"max":7,"unit":"days","qualifier":"After implant surgery; depends on swelling, bleeding control, wound check, suture removal and whether provisional teeth were fitted."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"After implant surgery, with suture removal if non-resorbable sutures used."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Assessment of osseointegration and soft tissue before final prosthesis."}},{"purpose":"result_review","requirement":"routine","after":{"min":150,"max":330,"unit":"days","qualifier":"From surgery; about 1 month after final delivery, checking fit and bite."}}],"indications":["Complete edentulism in one jaw","Hopeless dentition (periodontitis, extensive caries, failure) needing full-arch replacement"],"main_risks":["Surgical site infection or peri-implantitis","Implant failure or failed osseointegration","Bleeding, swelling, bruising","Nerve injury (inferior alveolar or mental nerve) or sinus complications","Prosthetic complications such as chipping or fracture, screw loosening","Need for prosthetic adjustment or remake"],"pain":"Surgery is done under anesthesia; moderate soreness and swelling for several days is typical, usually managed with ordinary analgesics.","preparation":["Clinical exam, panoramic X-ray and CBCT with treatment planning","Impressions or digital scans and bite records","Treatment of existing infection or periodontal disease","Review of medical history and medications with the surgeon","Smoking cessation advised","Extraction of remaining hopeless teeth, possibly at the same visit"],"recovery_timeline":[{"phase":"First days","description":"Swelling, mild bleeding and soreness after implant placement.","restrictions":["Soft diet","Avoid pressure on the surgical area","Careful oral hygiene as instructed"]},{"phase":"Weeks 1-2","description":"Soft tissue healing; sutures removed if needed; provisional prosthesis adjusted if placed.","restrictions":["Soft diet continued","Avoid strenuous exercise initially"]},{"phase":"Months 3-6","description":"Osseointegration; progression to final impressions and fabrication of the monolithic zirconia prosthesis.","restrictions":["Avoid hard foods on provisional 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bisphosphonates"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Two trips of 5-7 days each: surgery, then final delivery after 3-6 months osseointegration."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm that the clinic provides a consultation to discuss your condition and treatment options","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/dental-implants-service/appointments","host":"guysandstthomas.nhs.uk","quote":"Your first appointment will be a consultation to discuss your condition and treatment options.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C2","text":"Confirm that the clinic evaluates whether remaining teeth and gums are healthy and need treatment","scope":"treatment_type","source":{"url":"https://www.guysandstthomas.nhs.uk/our-services/dental-implants-service/appointments","host":"guysandstthomas.nhs.uk","quote":"Your dentist will also need to confirm that your remaining teeth and gums are healthy and do not need treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C3","text":"Confirm the clinic discusses possible complications before booking, because implants require ongoing care and complications can affect 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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Ask a dentist or clinician for a second opinion about treatment options and whether treatment is necessary","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":"A doctor can give you a valuable 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decision","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":"pressure to make a quick decision","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pus around an implant","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/37083903/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Observed complications included implant loss, peri-implantitis, mucositis, purulence, sinus tract formation, oroantral communication, implant fracture, titanium base debonding, ceramic chipping, prosthetic screw fracture or loosening, damage to opposing teeth, and clicking sounds.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W2","text":"A loose prosthetic screw","urgency":"contact_clinic","general":false,"source":{"url":"https://pubmed.ncbi.nlm.nih.gov/37083903/","host":"pubmed.ncbi.nlm.nih.gov","quote":"Observed complications included implant loss, peri-implantitis, mucositis, purulence, sinus tract formation, oroantral communication, implant fracture, titanium base debonding, ceramic chipping, prosthetic screw fracture or loosening, damage to opposing teeth, and clicking sounds.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":203}},{"id":"W3","text":"Throbbing pain and swelling in one leg","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/deep-vein-thrombosis-dvt/","host":"nhs.uk","quote":"throbbing pain in 1 leg (rarely both legs), usually in the calf or 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