Доктор Георгій Спандерашвілі виконав понад 10 000 стоматологічних процедур за свою 16-річну кар'єру, спеціалізуючись на протезуванні та імплантології. Клініка пропонує заміну мостоподібного протеза, яка може коштувати близько 800 доларів, зазвичай включаючи керамічний міст, консультацію, огляд та планування лікування. Доктор Спандерашвілі пройшов поглиблене навчання на міжнародних конференціях, таких як IDEM Singapore та neobiotech N1, з рейтингом задоволеності пацієнтів 4,8/5.
Spanderashvili Dental Clinic - це приватна вузькопрофільна клініка в Тбілісі, Грузія. Основна спеціалізація – стоматологія. Успішність встановлення імплантів із коронкою тут становить 99%.
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"}}},"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":2,"days_in_country":5,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":0}},"direction":{"id":31,"name":"Стоматологія","alias":"dentistry"},"illness_kind":{"id":31,"name":{"en":"Dental Treatment"}},"parsed_details":{"procedure_type":"dental","fields":{"anesthesia":["local"],"back_to_work_days":{"min":0,"max":1,"unit":"days","qualifier":"Typical three-unit fixed bridge on two prepared abutment teeth; most people resume normal work the same or next day."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any biological or technical complication (sensitivity, caries, chipping, debonding, endodontic need) within about 10 years"},"contraindications":["Active untreated caries or periodontal disease (should be treated first)","Insufficient or unhealthy abutment teeth","Long edentulous span or inadequate abutment support","Poor oral hygiene that cannot be improved","Severe untreated bruxism (relative contraindication)","Allergy to dental materials (rare)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Outpatient dental procedure; no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":0,"unit":"weeks","qualifier":"No meaningful exercise restriction beyond the day of tooth preparation for a typical bridge."},"final_result_months":{"min":0,"max":1,"unit":"months","qualifier":"Final function and appearance are achieved once the bridge is permanently cemented, typically about 1-2 weeks after preparation."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Counted from tooth preparation; flying is fine once the bridge is cemented, with no medical flight restriction."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":42,"unit":"days","qualifier":"Check of bite, fit and gum health after cementation; timing varies by clinic."}}],"indications":["Replace one or few missing teeth using adjacent abutment teeth","Adjacent teeth that already need crowns or have large restorations","Implant surgery not feasible for medical or anatomical reasons","Tooth loss causing chewing or alignment problems"],"main_risks":["Tooth sensitivity after preparation of abutment teeth","Decay or gum disease at abutments if hygiene is poor","Loss of healthy tooth structure from abutment preparation","Pulp irritation possibly requiring abutment root canal treatment","Porcelain chipping or fracture","Bridge loosening or debonding","Bite discomfort needing adjustment","Abutment tooth fracture"],"pain":"Minimal during the procedure under local anesthesia; mild soreness or sensitivity of prepared teeth and gums for a few days, usually managed with over-the-counter analgesics.","preparation":["Dental examination with X-rays","Treat existing decay, gum disease or endodontic problems first","Professional cleaning and oral hygiene instruction","Discussion of shade, material and alternatives such as implants","Inform the dentist of allergies and medical conditions"],"recovery_timeline":[{"phase":"Day of preparation","description":"Abutment teeth are prepared and a temporary bridge is placed; numbness wears off after a few hours.","restrictions":["Avoid chewing on the numb area until sensation returns","Avoid very hard or sticky foods on the temporary bridge"]},{"phase":"Between visits (about 1-2 weeks)","description":"Temporary bridge is worn while the lab makes the porcelain bridge; mild sensitivity is possible.","restrictions":["Avoid sticky or hard foods","Clean carefully around the temporary bridge"]},{"phase":"Cementation and adjustment","description":"The final bridge is fitted, bite checked and cemented; mild gum or bite soreness may last a few days.","restrictions":["Avoid very hard foods for the first day or two","Clean under bridge daily with floss threaders or interdental brushes"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary adaptation to chewing and resolution of mild soreness after final cementation."},"result_longevity":"Often lasts roughly 10-15 years or more with good oral hygiene and regular checkups, but varies with abutment tooth health, span, bite forces and care.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Bridge remade or replaced within 10 years due to failure, caries, fracture or abutment loss"},"scars":"None; no skin incisions or visible scarring.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"Preparation visit, optional try-in, and cementation visit."},"stages":[{"code":"preparation_impression","label":"Abutment tooth preparation, impressions or scan, temporary bridge","after":{"min":0,"max":0,"unit":"days","qualifier":"First treatment visit."}},{"code":"cementation","label":"Try-in and permanent cementation of porcelain bridge","after":{"min":7,"max":14,"unit":"days","qualifier":"After laboratory fabrication; timing varies by lab."}}],"qualifier":"Typical three-unit conventional bridge; treatment appointments only, excluding consultation and routine follow-up checks."},"success":{"metric":"Bridge survival (still in function)","value":90,"unit":"percent","horizon":"10 years","population":"Adults with a three-unit conventional fixed bridge on sound abutment teeth","evidence_status":"limited"},"techniques":[{"name":"Conventional fixed bridge (porcelain-fused-to-metal or all-ceramic) on prepared abutment teeth","suits_whom":"Patients missing one or a few teeth with sound, suitable adjacent abutment teeth.","recovery":"Brief soreness and sensitivity; return to normal activity the same or next day."},{"name":"Resin-bonded (adhesive) ceramic bridge","suits_whom":"Selected cases, often a single missing front tooth with healthy adjacent teeth, requiring minimal preparation.","recovery":"Minimal; usually no significant downtime."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Preparation visit for a typical three-unit bridge (two abutment teeth); cementation visit is shorter, about 0.5-1 hour."},"initial_assessment_documents":["Panoramic dental X-ray (OPG)","Periapical X-rays of abutment teeth","Front and side photos of the smile","Photos of the gap and adjacent teeth","List of current dental restorations (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Preparation and cementation fit in one trip with in-clinic lab; stay 7-14 days. Two trips if lab fabrication takes weeks."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the dentist discusses test results and treatment in plain, non-technical language","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Use as little technical language as possible when discussing diagnostic tests and findings from oral exams, radiographs, photographs or during treatment such as surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the treatment plan is signed off by you and that any change from the original plan was discussed and approved","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Audits allow you to confirm that patients have signed off on treatment plans and confirm that any changes in care from the original plan were discussed and approved.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that the clinic is open and willing to discuss your concerns","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Always be open and willing to discuss the patient’s complaints or concerns.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"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 setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The clinic proposes a treatment plan without asking about your medical history or drug use","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"It’s important for them to know that you and your staff need this information in order to accurately assess their oral health needs and design an appropriate treatment plan.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The clinic explains test findings and treatment in technical terms, not plain language","scope":"treatment_type","source":{"url":"https://www.ada.org/resources/practice/practice-management/the-doctor-patient-relationship","host":"ada.org","quote":"Use as little technical language as possible when discussing diagnostic tests and findings from oral exams, radiographs, photographs or during treatment such as surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"The bridge falls out","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"Finally, if the bridge becomes unstuck on all the teeth to which it was previously fixed to, the bridge itself will fall out.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Gums become inflamed or bleed","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"If your cleaning is not optimal your gums may become inflamed, bleed and may develop gum disease.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Decay develops around the bridge","urgency":"contact_clinic","general":false,"source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"Unfortunately, poor cleaning can also result in decay occurring around the bridge.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home dentist needs the planned care and documented treatment details","document":"treatment plan","source":{"url":"https://www.ada.org/resources/practice/practice-management/documentation-patient-records","host":"ada.org","quote":"Among other things, they contain information about the patient’s treatment plan and care that has been delivered.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","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":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Several teeth are missing, so a removable option may suit","name":"Removable denture","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/bridges/","host":"leedsth.nhs.uk","quote":"It is usually recommended when multiple teeth are missing.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your bone, space and health allow an implant","name":"Dental implant","source":{"url":"https://www.sussexcommunity.nhs.uk/patients-and-visitors/resources/patient-resources/resin-retained-bridges","host":"sussexcommunity.nhs.uk","quote":"an implant may be possible, but this will depend on various factors including; bone quality and quantity, the space available for your implant, your bite, your medical history including smoking and possibly finance.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":792},{"id":"A3","text":"Your gap does not affect eating or socializing","name":"Leave the gap","source":{"url":"https://www.leedsth.nhs.uk/patients/resources/bridges/","host":"leedsth.nhs.uk","quote":"If you are happy with your dental appearance and the gap does not affect eating or socializing, then you may choose to leave the gap as it 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