La clinique dentaire Spanderashvili est un centre dentaire privé situé à Tbilissi, en Géorgie. Elle accueille 5 000 patients chaque année.
La clinique dentaire Spanderashvili est un centre dentaire privé situé à Tbilissi, en Géorgie. Elle accueille 5 000 patients chaque année.
La clinique Skhva est une clinique dentaire privée située à Tbilissi, en Géorgie. Dirigée par le Dr Lika Mebagishvili, docteur en chirurgie buccale et chargée de cours, la clinique est spécialisée dans les soins dentaires de pointe, notamment l'implantation sous-périostée pour les patients souffrant d'une importante perte osseuse. La clinique Skhva utilise un flux de travail entièrement numérique avec numérisation intra-orale et conception numérique du sourire, et son équipe dispense des soins en anglais et en russe. La clinique accueille les adultes et les enfants et traite environ 1 500 patients par an. La plupart des patients viennent des pays de la CEI, d'Europe, du Commonwealth et des pays de la Ligue arabe.
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check."},"requirement":"routine"},{"purpose":"assessment","after":{"min":120,"max":180,"unit":"days","qualifier":"CBCT to assess graft integration before implant placement or screw removal."},"requirement":"routine"}],"indications":["Severe horizontal alveolar ridge deficiency","Combined horizontal and vertical ridge defect","Insufficient bone width for dental implant","Bone loss after tooth extraction, trauma or infection","Ridge defect where particulate grafting is inadequate"],"main_risks":["Swelling, bruising and pain","Wound dehiscence with graft exposure","Infection","Partial graft resorption or failure","Temporary numbness or nerve injury at donor or recipient site","Sinus membrane perforation if upper jaw involved","Bleeding or hematoma"],"pain":"Moderate for 3-5 days, higher at the donor site; controlled with standard analgesics.","preparation":["CBCT scan and dental examination","Treat gum disease and active dental infection","Stop smoking at least 2-4 weeks before","Review of blood thinners and chronic conditions","Antibiotic and antiseptic rinse plan","Arrange soft diet and transport home"],"recovery_timeline":[{"phase":"Days 1-3","description":"Peak swelling and bruising; cold packs, soft diet.","restrictions":["No brushing at surgical site","No pressure on the graft area","Avoid smoking"]},{"phase":"Days 4-14","description":"Swelling subsides; sutures removed around day 10-14.","restrictions":["Soft diet","No removable denture pressure on graft","No heavy exertion"]},{"phase":"Weeks 3-6","description":"Soft tissue healing completes; normal diet resumes gradually.","restrictions":["Avoid contact sports","Gentle chewing away from the site"]},{"phase":"Months 4-6","description":"Graft integrates; CBCT check, then screw removal and implant placement.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Gradual return to normal eating and routine activity."},"result_longevity":"Integrated graft bone is long-lasting with good hygiene and a maintained implant.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Graft failure or need for repeat grafting before implant placement."},"scars":"Intraoral incisions only; no visible scar. Minor gum scarring may remain at the site.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Graft surgery, then implant surgery after healing; possible separate screw-removal visit."},"stages":[{"code":"graft_surgery","label":"Block graft harvest and fixation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}},{"code":"implant_placement","label":"Screw removal and implant placement","after":{"min":120,"max":180,"unit":"days","qualifier":"After graft integration confirmed on CBCT."}}],"qualifier":"Implant placement is a second stage after the graft heals."},"success":{"metric":"Implant placement achieved in grafted ridge without further grafting","value":90,"unit":"percent of patients","horizon":"4-6 months after graft","population":"Adults with severe horizontal ridge deficiency treated with autogenous block graft","evidence_status":"limited"},"techniques":[{"name":"Autogenous block from chin","suits_whom":"Patients with small to moderate ridge defects needing limited bone.","recovery":"Chin numbness and soreness for days to weeks."},{"name":"Autogenous block from mandibular ramus","suits_whom":"Patients needing larger horizontal augmentation with cortical bone.","recovery":"Temporary cheek swelling, jaw stiffness and pain; less chin numbness risk."},{"name":"Allogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."},{"name":"Xenogenic block graft","suits_whom":"Patients avoiding a donor site.","recovery":"No donor-site pain; slower integration."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Includes harvest, fixation and flap closure for a single-site defect."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","CBCT scan of the jaw","Intraoral photos of the defect area","List of blood thinners","Medical history noting diabetes and smoking"],"travel_trips":{"min":2,"max":2,"one_trip_possible":false,"qualifier":"Graft trip with 7-day stay; return 4-6 months later for implant placement after integration."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating 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":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards of the clinic or hospital","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":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check how your aftercare will be coordinated","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":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check that you understand the possible complications and side effects of the 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":"2026-11-14","http_status":200}},{"id":"C5","text":"Check how many procedures of this type the surgeon has performed","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/news/briefing-papers/briefing-paper-cosmetic-surgery-tourism","host":"plasticsurgery.org","quote":"How many procedures of this type have you performed?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C6","text":"Check what preoperative and postoperative care is in place","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"You need to look at what kind of preoperative and postoperative care is in place.","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":"The surgeon who will operate is not met before the day of surgery","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"\"If they don't have the opportunity to meet with the surgeon who's actually performing the procedure before the day of surgery, I would say that's a huge, major red flag,\" said Hadeed, adding that oftentimes patients who go to so-called \"plastic surgery factories\" never even meet with a medical provider.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"The offer applies pressure to make a quick 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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"The surgeon does not discuss postoperative instructions before treatment","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/medical-tourism-what-you-need-to-know-about-traveling-for-plastic-surgery","host":"plasticsurgery.org","quote":"And while every plastic surgeon will have their own list of postoperative instructions, if you're plastic surgeon doesn't speak with you on this prior to your surgery, that's a major red flag.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"The offer does not discuss possible complications before booking","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 hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","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":"Wound opening","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Exposed graft material","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Infection","urgency":"contact_clinic","general":false,"source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Ridge augmentation has a high risk of complications such as wound dehiscence, exposure of the grafts, infection, failure of integration, and late bone resorption.","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":"The home doctor needs the treatment details to continue care","document":"operation report","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"T2","text":"The home doctor needs aftercare arrangements to continue treatment","document":"aftercare plan","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home","tier":"tier1_medical","fetched_at":"2026-11-14","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}},{"id":"T4","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 the complications of onlay grafts","name":"Sandwich osteotomy","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Alternative techniques such as interpositional bone grafts (sandwich osteotomy) and alveolar bone distraction have been used to avoid these complications.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":null},{"id":"A2","text":"You want to avoid the complications of onlay grafts","name":"Alveolar bone distraction","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Alternative techniques such as interpositional bone grafts (sandwich osteotomy) and alveolar bone distraction have been used to avoid these complications.","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":"autogenous-block-from-chin","name":"Autogenous block from chin","how_it_works":{"text":"Bone block taken from inside the mouth is fixed with screws","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Block type autogenous bone, harvested mainly in intraoral sites, is fixed with screws after intimate adaptation to the recipient surface.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"autogenous-block-from-mandibular-ramus","name":"Autogenous block from mandibular ramus","how_it_works":{"text":"Bone block taken from inside the mouth is fixed with screws","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"Block type autogenous bone, harvested mainly in intraoral sites, is fixed with screws after intimate adaptation to the recipient surface.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"allogenic-block-graft","name":"Allogenic block graft","how_it_works":{"text":"Donor bone block with preset shape replaces your own bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC4616242/","host":"pmc.ncbi.nlm.nih.gov","quote":"Bone allografts allow the selection of blocks with a predefined configuration and a corticocancellous composition, and overcome disadvantages related to autografts such as availability and morbidity, allied to decrease blood loss.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"xenogenic-block-graft","name":"Xenogenic block graft","how_it_works":{"text":"Animal-derived bone substitute is used in place of your own bone","source":{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7338632/","host":"pmc.ncbi.nlm.nih.gov","quote":"For alternatives to autogenous bone, many studies have been conducted for allogenic, xenogenic, and alloplastic bone substitutes.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=gruziya/procedure=blochnyy-kostnyy-transplantat/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":53937},"manualSeo":[],"updatedAt":"2026-11-11T20:13:19.000Z","activeCountries":["GE","TR","PL","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}