MedSmileMaxillofacial surgeon, implantologist
Dental implants in Tbilisi
A dental implant is a titanium fixture placed in the jawbone to take the place of a lost tooth's root. A crown is then fitted onto it.
Stages
How it goes
- Consultation and diagnostics
- Placing the implant
- Healing period
- Making and fitting the crown
A detailed treatment plan is set at consultation, after examination and diagnostics.
What this covers
Procedures
Assessment and planning
- Implantology consultation
- Assessment of the mouth, teeth, gums and bone, and an individual implant treatment plan.
- Implant planning
- Deciding implant size, position and number, and the restoration that follows, from the clinical and radiographic findings.
- 3D CT analysis
- Detailed assessment of bone volume, the anatomy around it, and whether the conditions for an implant are met.
- Digital implant planning
- Planning implant positions digitally beforehand, to get the best functional and aesthetic result.
How much is being replaced
- Single tooth implant
- Replacing one missing tooth with an implant, restored with its own crown.
- Multiple implants
- Replacing several missing teeth with the corresponding number of implants and a fixed restoration.
- Full jaw implants
- Where an entire upper or lower jaw has no teeth, full rehabilitation supported on implants.
How it is carried out
- One-stage placement
- Where the case allows, placing the implant in a single surgical stage.
- Two-stage placement
- Placing the implant, then uncovering it once it has integrated, ready to be restored.
- Immediate placement
- Placing the implant at the same visit as the extraction, where the anatomy and the case allow.
- Immediate loading
- In selected cases, fitting a temporary restoration to the implant shortly after surgery.
- Delayed placement
- Placement planned during or after the healing period that follows an extraction.
- Guided placement
- Placing the implant in its planned position using digital planning and a surgical guide.
- Flapless / minimally invasive placement
- Placing the implant with minimal surgical intervention, where the clinical conditions permit.
Full arch
- All-on-4
- Rehabilitating a full arch on a fixed or removable restoration carried by four implants, where indicated.
- All-on-6
- Restoring a full jaw on a fixed or removable restoration supported by six implants.
- All-on-8
- Restoring a full jaw on a fixed or removable restoration supported by eight implants.
Restoration on implants
- Fixed restoration on implants
- Crowns, bridges or full-jaw restorations fixed to implants and not removed by the patient.
- Removable restoration on implants
- A removable denture anchored to implants, more stable than a conventional one.
- Overdenture
- A removable full denture retained by several implants, improving both chewing and fit.
- Zirconia crown on an implant
- An individually made zirconia crown on the implant, for appearance and durability.
- Ceramic crown on an implant
- Final restoration of the implant with a ceramic crown made to sit as close as possible to a natural tooth.
- Custom abutment
- An individually made connector between implant and crown, for a better fit and appearance.
Rebuilding bone
- Bone augmentation
- Rebuilding jawbone where there is not enough of it to place an implant.
- Guided bone regeneration (GBR)
- Making up a bone deficit using graft material together with a barrier membrane.
- Horizontal augmentation
- Increasing the width of the ridge so the implant sits securely.
- Vertical augmentation
- Increasing the height of the ridge, in more demanding cases.
- Block bone graft
- Making up a substantial bone deficit with a block graft, where indicated.
- Open sinus lift
- Increasing bone volume beneath the maxillary sinus where the deficit is substantial.
- Closed sinus lift
- Gaining bone height in the upper jaw by a less invasive route, where the deficit is smaller.
- Socket preservation
- Preserving as much bone as possible after an extraction, to make a later implant simpler.
Soft tissue
- Soft-tissue augmentation
- Building up the gum around an implant, for both function and appearance.
- Connective tissue graft
- Correcting a soft-tissue deficit to improve the thickness and contour of the gum around an implant.
Surgical stages
- Uncovering the implant
- Uncovering the implant once it has integrated, ready for the restorative stage.
- Fitting a healing abutment
- Fitting a healing abutment so the gum forms the right contour around it.
Complications and revision
- Implant removal
- Surgical removal of an implant that has not integrated, is damaged, or must come out for another reason.
- Implant replacement
- Assessing the site of a failed or removed implant and planning a further one where appropriate.
- Peri-implant mucositis
- Treating inflammation of the soft tissue around an implant, before it costs bone.
- Peri-implantitis
- Non-surgical or surgical treatment of inflammation and bone loss around an implant.
- Bone regeneration around an implant
- Rebuilding a bone defect to improve the implant's stability and long-term outlook.
- Soft-tissue surgery around an implant
- Improving the contour, volume and appearance of the gum around an implant.
Aftercare
- Implant reviews
- Periodic checks on integration, the gums, the bone and the restoration itself.
- Professional implant hygiene
- Specialised professional cleaning and maintenance of implants and the restorations on them.
- Full implant rehabilitation
- Planning and carrying out the surgical and restorative treatment together, where many or all teeth are missing.
What an implant replaces
The site, before and after
Implant and crown
Missing tooth
Drag, or use the arrow keys. 0 shows the missing tooth, 100 shows the implant and crown.
Real cases
Our work
Implantology 
Implantology 
Implantology 
Implantology
FAQ
Common questions
What is an implant made of?
Titanium. It is placed in the jawbone and takes over the role of the lost tooth's root.
Is the procedure painful?
Implants are placed under anaesthetic. The details are discussed at consultation.
What if there is not enough bone?
The bone volume is rebuilt first — see bone augmentation.
Who performs it
Dr Nikoloz Lortkipanidze
Maxillofacial surgeon, implantologist
- Experience26 years of clinical practice
- SpecialityMaxillofacial surgeon and implantologist
- MembershipCurrent member of the International Association of Oral and Maxillofacial Surgeons (IAOMS) and the European Association for Cranio-Maxillofacial Surgery (EACMFS)
- PracticeMany highly complex operations performed successfully
Professional, easy to access and friendly doctor. Dr. Nikoloz provided swift and high quality service for reasonable fee. Definitely would recommend!
We needed some urgent treatment for an infection. They accepted us on the spot as they had availability and finished in short time. It's nice they speak English too.
Best service, punctuality and discipline, 100% cleanliness and sterility.
I am very satisfied with several visits to the clinic, especially with the professional service of the surgeon.
Very warm, cosy and pleasant environment, polite and careful doctors, checking every moment to see if I was feeling any discomfort or pain, which is very important and pleasant for me, also worth noting is the level of sterilisation and cleanliness, thank you
I recommend it to everyone, it's great, I relaxed and felt happy!
It's the best... the most comfortable I've ever tried
The very best clinic, and the whole team
Very pleasant people. Professionals at their work