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Shumaev博士は、ジョージア州のトップ3インプラント外科医の1人です。彼は12年以上にわたりStraumannインプラントを扱ってきました。患者は20カ国以上から訪れます。オンライン診断による遠隔治療計画も利用可能です。</p>","images":[{"base_url":"clinic/6aaa89cb9f4a2","title":"Astra Dental Clinic medical team in white uniforms, professional dental staff"},{"base_url":"clinic/6aaa89dad7031","title":"Reception desk at Astra Dental Clinic with staff assisting patient"},{"base_url":"clinic/6a6df3208d88c","title":"Digital dental X-ray device and tooth radiographs at Astra Dental Clinic"},{"base_url":"clinic/6a6df31c98d89","title":"Reception area at Astra Dental Clinic with modern design and dental branding"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"ジョージア","id":181,"alias":"georgia","iso_code":"GE"},"city":{"name":"トビリシ","id":322,"alias":"tbilisi"},"address":"Didgori St. #30A, Tbilisi, Georgia"},"rating":{"rating":0,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":11,"year_foundation":2020},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5dfa1812f0596.jpeg","name":"歯科における患者の選択権","country_code":"UA"}]},"procedure_prices":[{"prices":{"price_from":350,"price_to":750,"currency":"USD","id":59045},"operation":{"id":1317,"name":"ジルコニアベニア","alias":"zirconia-veneers"}}]}],"meta":{"total_count":3,"total_pages":1}},"reviews":{"reviews":[{"id":16798,"user":{"id":688925,"name":"Egor ","country_code":"GE","country_name":{"jp":"ジョージア","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":{"jp":"私は旅をしていたわけではなく、しばらくトビリシに住んでいたのだが、それでも外国で、しかも手術の失敗談が絶えない分野で医師を見つけるのは難しい。\n\nBukmedの前は、スタッフの態度がとても奇妙なクリニックに通っていました。それから新しいクリニックを探し始め、このサービスに出会いました。そして最も重要なことは、私が気づいたように、マネージャーが慣れない国であなたとクリニックの仲介役になってくれることです。正直なところ、Bookmedのサービスが無料だとはまだ信じていません。","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":{"jp":"歯科インプラント","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":{"jp":"地元にない歯科クリニックをググっていたところ、クリニックの評価とレビューが掲載されているこのサービスを見つけました。とても参考になりました。そして、このサービスは医師が作ったもので、管理者がすべての質問に無料で同行してくれることがわかった。これは珍しいことだが、とても嬉しいことだ。","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":{"jp":"それから新しいものを探し始め、このサービスに出会いました。これにより、適切なクリニックを見つけるのが非常に簡単になりました。","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":{"jp":"イスラエル","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":{"jp":"今もなお、主要な段階が完了した後でも、私はクリニックからの継続的なサポートを感じています。彼らは常に連絡を保ち、それが安心感を与えます。コンサルテーションから義歯の設置までの全過程は非常に明確かつ調和的に組織されていました。計画通りにわずか二度の訪問ですべてが完了したことは、私にとって重要でした。また、費用の透明性にも触れておきたいと思います。隠れた費用や追加の費用は一切ありませんでした。現在、私は回復中であり、手術後の体調は予想していた通りになっています。","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":{"jp":"入れ歯","en":"Denture"}},"diagnostic":{"id":330,"name":{"jp":"歯科相談","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":{"jp":"主な段階が終わった今でも、クリニック側の絶え間ない支援を感じています。","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":{"jp":"ドイツ","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":{"jp":"スパンデラシビリ歯科クリニックについて、良い評価を残したいと思います。プロフェッショナルな診察と徹底した治療は、私に素晴らしい印象を与えました。医師は丁寧で有能で、あらゆることを説明し、アドバイスをしてくれます。クリニックの雰囲気は快適で、スタッフはフレンドリーです。治療とインプラントの結果にとても満足しているので、質の高い歯科サービスを探している人には、このクリニックをお勧めします。","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":{"jp":"歯科インプラント","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":{"jp":"このクリニックでの治療とインプラントの結果に非常に満足しており、質の高い歯科サービスを求めている方にはぜひお勧めしたいです。","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":{"jp":"ドイツ","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":{"jp":"医療スタッフとの治療は非常に良く、素晴らしく親切でした。一方で、医師との医療に関する議論も非常に良かったです。","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":{"jp":"歯科インプラント","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":{"jp":"Bookimedとのコミュニケーションは非常に優れており迅速です。彼は私に答えを提供し、治療期間中絶えず連絡を取り続けてくれたので、大変気に入りました。","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":{"jp":"医療スタッフによる治療は非常に良く、素晴らしく親切でした。","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":{"jp":"ドイツ","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":{"jp":"医師のプロフェッショナリズムは非常に高いです。患者の要望と好みが考慮されます。敬意を持った対応。","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":{"jp":"歯冠修復","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":{"jp":"満足しています。ありがとうございます。","en":"Satisfied. Thank you"},"summary":{"positive":{"jp":"治療の結果は非常に優れています。","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":{"jp":"ベルギー","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":{"jp":"すべてが完璧で、私の希望はすべて叶えられた。スタッフはスーパーで、ドクターは有能です。","en":"Everything was perfect, all my wishes were fulfilled. The staff is super, the doctor is competent."},"order":{"operation":{"id":402,"name":{"jp":"コンポジットベニア","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":{"jp":"スタッフは感じがよく、私の質問にも丁寧に答えてくれた。","en":"The staff member was pleasant, helped with all my questions."},"summary":{"positive":{"jp":"すべてが完璧で、私の願いはすべて叶えられました。","en":"Everything was perfect, all my wishes were fulfilled."}}},{"id":14066,"user":{"id":578188,"name":"Никита ","country_code":"GE","country_name":{"jp":"ジョージア","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":{"jp":"非常に丁寧で親切なスタッフ。 医師も親切で、質の高い仕事をしています。","en":"Very polite and friendly staff. The doctors are also kind and do quality work."},"order":{"diagnostic":{"id":330,"name":{"jp":"歯科相談","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":{"jp":"外国に到着し、必要なことを書いたら、どこに行くべきか、費用について回答がありました。","en":"I arrived in another country, wrote what I needed, they answered where to go and what for what)"},"summary":{"positive":{"jp":"医師たちも親切で、質の高い仕事をします。","en":"The doctors are also kind and do quality work."}}},{"id":15792,"user":{"id":601567,"name":"Михаил ","country_code":"UA","country_name":{"jp":"ウクライナ","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":{"jp":"すべて迅速かつ問題なく進みました。このクリニックを皆様にお勧めします。","en":"Everything went quickly and without any obstacles.\nI recommend this clinic to everyone."},"order":{"operation":{"id":915,"name":{"jp":"スケーリング","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":{"jp":"このクリニックを皆様にお勧めいたします。","en":"I recommend this clinic to everyone."}}},{"id":15988,"user":{"id":645297,"name":"Evgeniy Zaharov","country_code":"IL","country_name":{"jp":"イスラエル","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":{"jp":"設備の清潔さ、医療スタッフ、すべてが基準を満たしています。","en":"Cleanliness equipment medical staff all up to standard."},"order":{"operation":{"id":391,"name":{"jp":"オールオン6インプラント","en":"All-on-6 Dental Implants"}},"diagnostic":{"id":330,"name":{"jp":"歯科相談","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":{"jp":"清潔設備と医療スタッフはすべて規格に準拠しています。","en":"Cleanliness equipment medical staff all up to standard."}}},{"id":19132,"user":{"id":783557,"name":"Il'ya Вайнштейн ","country_code":"IL","country_name":{"jp":"イスラエル","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":{"jp":"全てに大満足！bechomをお勧めします！","en":"Very satisfied with everything! I recommend bechom!"},"order":{"operation":{"id":792,"name":{"jp":"歯科インプラント","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":{"jp":"すべてに満足している","en":"I'm happy with everything"},"summary":{"positive":{"jp":"全てにとても満足しています！","en":"Very satisfied with everything!"}}},{"id":20117,"user":{"id":834045,"name":"Veronika  ","country_code":"IL","country_name":{"jp":"イスラエル","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":{"jp":"すべてが素晴らしい、満足している","en":"Everything's great, I'm satisfied"},"order":{"operation":{"id":574,"name":{"jp":"ラミネートベニア","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":{"jp":"すべて良好で、満足しています","en":"Everything's great, I'm satisfied"}}},{"id":11325,"user":{"id":430698,"name":"Анастасия ","country_code":"GE","country_name":{"jp":"ジョージア","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":{"jp":"すべてが非常に気に入りました","en":"I liked everything very much"},"order":{"operation":{"id":895,"name":{"jp":"歯冠修復","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":{"jp":"ドイツ","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":{"jp":"最高の技術と職人のような精密さ！  \nトビリシのスパンデラーシュヴィリクリニックを訪れた際の感激を共有したいと思います。ジョージ・スパンデラーシュヴィリ医師が行ったことは、まさにプロフェッショナリズムと芸術の境界線にあります！  \n私は8本のインプラントを装着し、すべての手順は1時間ちょっとで終わりました。このスピードは信じられないほどです！医師が作業している間、彼は歌を口ずさんでいました。そんな自信と落ち着きは患者に伝わり、不要なストレスをすぐに和らげてくれます。  \nこの迅速な作業の主な利点は、傷口が長時間開いたままにならず、細菌が侵入するリスクを最小限に抑えられることです。結果は明らかです：このような大きな手術後、私は全く腫れがありませんでした！私がとても恐れていた「ハムスターの頬」も一切ありませんでした。  \n品質と技術に非常に驚いています。痛み、合併症、長い待ち時間なしに結果を求めるなら、ここにしかありません。スパンデラーシュヴィリ医師の黄金の手に心から感謝します！","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":{"jp":"歯科インプラント","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":{"jp":"医療観光客への警告！スパンデラシュビリクリニック(SDC)の不良インプラントと欠陥。  \n\n外国人患者への警告！当初、トビリシのSDCクリニックでのインプラント装着の第一段階は良いと思っていましたが、今ではそれを非常に疑問視しています—どのように実際に行われたか知る術がありません。私は彼らに良いレビューを残しました。しかし、その後の段階的な義歯装着は完全な惨事となりました。彼らは一つのテンプレートを使用して作業しているようです。試用段階でさえ二つの仮のブリッジは適合せず、「ジルコニアは合います、削れば大丈夫です」と言われました。しかし結果として、咬合は大幅に高くされ、完全に台無しになりました。一本のブリッジは常に外れ、ポケットに入れて持っていたのに、彼らはそれが普通だと言いました。もう一本のブリッジは強く圧迫し、歯茎に大きな隙間を作りました。技術者は、もし圧迫感があるならそれは正常であり、隙間は埋める、外れるブリッジは削ると言いました。他の患者から外したブリッジを私の口に無理やり押し込んだような感じがしました—この構造を作り直すつもりは全くありませんでした。この欠陥をセメントで固定し、すぐに仕事を終わらせたがっていました。しっかり固定されているように見せるため、単に接着剤で固定されました。固定する際、麻酔を注射され、顎に力強く押し込まれました。この粗暴な力でスパンデラシュビリは私のインプラントを傷つけ、それが歯茎の奥深くに入り込み、頬に強い腫れと痛みを引き起こしました！ドイツへ飛ぶ当日、私はクリニックに行き、返金と欠陥品の回収を求めました。また歯肉形成器の装着も依頼しました。これらの構造品を彼らに置いていき、彼らの過失が明白だったため返金されました。技術者は最後まで「削って接着し直す」と必死に提案してきました。しかし、既に損害は発生しており、ジョージアでこのブリッジと共にCTを撮影し、全ての欠陥を記録しました。現在私はドイツにおり、独立した医療鑑定を待っています。この場所を避けてください！","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":{"jp":"その質と専門性に驚かされました。","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":{}},"beforeAfterImages":[{"images":[{"id":"6a36cbd9962fd","image_url":"https://s3.eu-central-1.amazonaws.com/bookimed/operations_images/6a36cbd9962fd.jpeg","seo_alt":"Before and after zirconia veneers result – smile transformation with natural-looking teeth","operation":{"id":1317},"doctor_id":12662,"clinic":{"id":8130,"alias":"skhva-clinic","name":"Skhva 歯科クリニック"},"doctor":{"id":12662,"alias":"lika-mebagishvili","name":"Lika 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care."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Normal activity usually resumes within a day or two after preparation and after final bonding."},"final_result_months":{"min":0.5,"max":1,"unit":"months","qualifier":"Final esthetic result seen after cementation and gingival settling, typically 2-4 weeks."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After cementation, typically 7-14 days; sooner only on a two-trip plan."},"follow_up_visits":[{"purpose":"result_review","requirement":"conditional","after":{"min":7,"max":21,"unit":"days","qualifier":"About 1-3 weeks after cementation; checks fit, bite and gums."}}],"indications":["Discolored teeth not responsive to whitening","Chipped, worn or slightly misshapen teeth","Minor misalignment or diastemata"],"main_risks":["Irreversible removal of enamel/tooth structure","Postoperative tooth sensitivity","Pulp irritation, occasionally needing root canal treatment","Debonding, chipping or fracture of veneer","Gingival irritation or marginal staining","Opposing tooth wear from hard ceramic with bruxism","Color or shape mismatch requiring remake"],"pain":"Minimal during treatment under local anesthesia; mild to moderate sensitivity or gum soreness for a few days, usually managed with simple analgesics.","preparation":["Dental examination, X-rays and photographs","Treatment of caries or gum disease beforehand","Smile design/mock-up and shade selection","Discussion of bite and need for night guard"],"recovery_timeline":[{"phase":"Preparation visit to cementation","description":"Teeth are prepared and impressions/scans taken; temporary veneers are often worn while lab fabricates restorations.","restrictions":["Avoid hard or sticky foods","Gentle cleaning around temporaries"]},{"phase":"First days after cementation","description":"Mild sensitivity and gum tenderness settle.","restrictions":["Avoid biting very hard objects","Avoid heavily staining foods briefly"]},{"phase":"Long-term","description":"Regular hygiene and checkups.","restrictions":["Wear night guard if advised","Do not use teeth to open packages"]}],"rehabilitation_days":{"min":1,"max":3,"unit":"days","qualifier":"Ordinary functional comfort after preparation and after final cementation."},"result_longevity":"Often 10-15 years or longer with good hygiene and bite protection, but varies with habits, bruxism and case.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Veneers needing repair, rebonding or replacement within 5 years; includes remakes for fracture or debonding."},"scars":"None; no incisions or skin scarring.","sessions_or_stages":{"sessions":{"min":2,"max":3,"unit":"visits","qualifier":"For a single veneer/small set: preparation visit plus cementation visit; optional try-in 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veneers","suits_whom":"Cases needing higher esthetic customization.","recovery":"Similar; usually needs temporaries between visits."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Per single tooth, for the preparation visit; cementation visit is typically shorter (about 0.5-1 hour per tooth)."},"initial_assessment_documents":["Front smile photos showing teeth and gums","Close-up photos of upper and lower teeth","Panoramic dental X-ray (OPG)","Periapical X-rays of teeth to be veneered","Photos of existing veneers or crowns (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Preparation and cementation are 7-21 days apart; one trip works with a 7-14 day stay, otherwise two trips."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the provider is a licensed, trained dentist, since irreversible dental procedures should only be done by such dentists","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2024/may/ada-advises-public-about-veneer-techs","host":"adanews.ada.org","quote":"Dental procedures that are considered irreversible should only be performed by licensed, trained dentists.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the provider gives a proper diagnosis before treatment, because this supports patient safety","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2025/january/debunking-dental-trends","host":"adanews.ada.org","quote":"The ADA very firmly believes that patients should always seek care from licensed dentists for their dental needs, whatever they may be, to ensure proper diagnosis, treatment, patient safety and quality assurance.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the dentist knows your oral history, health history, preexisting conditions and medications","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2025/january/debunking-dental-trends","host":"adanews.ada.org","quote":"Patients should also recognize that dentists are responsible for knowing their oral history, health history, preexisting conditions and medications, diagnosing diseases and developing treatment plans.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the dentist can examine you to diagnose your situation, and then develop a treatment plan","scope":"treatment_type","source":{"url":"https://adanews.ada.org/ada-news/2025/january/debunking-dental-trends","host":"adanews.ada.org","quote":"There are a number of reasons why teeth may not be white, from decay to periodontal disease, so it’s important to ensure patients know their dentist can perform an examination to diagnose their unique situation, and then develop a treatment plan and resolve the issue.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","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}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An offer on social media comes from a veneer tech, not a dentist","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2024/may/ada-advises-public-about-veneer-techs","host":"adanews.ada.org","quote":"Veneer techs appear to promote themselves on social media as individuals who place veneers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The offer involves no examination before veneers are placed","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2024/may/ada-advises-public-about-veneer-techs","host":"adanews.ada.org","quote":"In an effort to support the public and advise of potential risks, ADA consumer advisor spokesperson Tricia Quartey, D.M.D., also spoke to journalist Phil Lewis of the newsletter “ What I’m Reading ” and cautioned the public, explaining that no exams are taking place and patients risk damage to the tooth itself, possible nerve damage and potential infection.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The provider does not ask about your health history or medications","scope":"procedure","source":{"url":"https://adanews.ada.org/ada-news/2025/january/debunking-dental-trends","host":"adanews.ada.org","quote":"Patients should also recognize 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away","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23904-prosthodontics&rut=ab976828ad1c5c51495c94a3b113aa083f00719976290907cfa45f3a0322c536","host":"my.clevelandclinic.org","quote":"Pain or swelling that doesn’t go away with medicine","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Veneer falls off or becomes dislodged","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers&rut=ce2afc4e70304ca28c77540656f8132bca6bb5ad040e5f51a4c45cc7fcf7fa74","host":"my.clevelandclinic.org","quote":"It’s possible for a veneer to fall off or become dislodged.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Fever","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/23904-prosthodontics&rut=ab976828ad1c5c51495c94a3b113aa083f00719976290907cfa45f3a0322c536","host":"my.clevelandclinic.org","quote":"Things to look out for include: Fever","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 treatment plan to understand care already delivered","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 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out.","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":"Your cosmetic concerns are mild","name":"Composite veneers","source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers&rut=ce2afc4e70304ca28c77540656f8132bca6bb5ad040e5f51a4c45cc7fcf7fa74","host":"my.clevelandclinic.org","quote":"Composite veneers can conceal mild cosmetic issues.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to repair a chip or fill a gap","name":"Dental bonding","source":{"url":"https://my.clevelandclinic.org/health/treatments/10922-dental-bonding&rut=b7caad955875e7c8eec3d984fb60659c19d9aa8e2c5c06feae0bd96ea8d2f2b0","host":"my.clevelandclinic.org","quote":"This procedure is used to repair chips, fill gaps or change the shape and color of a 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to normal activities the same day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"conventional-layered-lab-fabricated","name":"Conventional layered/lab-fabricated zirconia veneers","how_it_works":{"text":"A lab technician makes custom veneers from dental impressions","source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers&rut=ce2afc4e70304ca28c77540656f8132bca6bb5ad040e5f51a4c45cc7fcf7fa74","host":"my.clevelandclinic.org","quote":"A dental lab technician will use these impressions to make your custom veneers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://my.clevelandclinic.org/health/treatments/23522-dental-veneers&rut=ce2afc4e70304ca28c77540656f8132bca6bb5ad040e5f51a4c45cc7fcf7fa74","host":"my.clevelandclinic.org","quote":"People who receive dental veneers can return to normal activities the same day.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=gruziya/procedure=cirkonievye-viniry/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}