Full Mouth Rehabilitation in Georgia: A Fully Digital Complex Case by Dr. Lika Mebagishvili

Some cases test not only clinical skill, but endurance, trust, and teamwork.

This was one of them.

From the first consultation, it was clear that this would not be a simple aesthetic correction but a full mouth rehabilitation. The patient presented with:

• Jaw-dental asymmetry

• Severe alveolar atrophy

• Gingival abscess

• Periodontal pockets measuring 4–6 mm

• Occlusal imbalance

• Compromised vertical dimension

This was not just a cosmetic case.It required comprehensive functional and biological rehabilitation.

And as always — everything starts with listening.

Before planning surgery or prosthetics, I listened.To the patient’s concerns, their discomfort, their expectations, and their long-term goals.

Trust is the foundation of complex dentistry.

Phase 1: Stabilization and Surgical Preparation

The initial stage focused on eliminating pathology and creating a stable biological foundation.

We performed:

• Alveoloplasty to reshape and prepare the bone

• Gingivoplasty to restore soft tissue harmony

• Guided Tissue Regeneration (GTR) in periodontal pockets

• Management of active infection and abscess

Periodontal stabilization was critical before moving forward.

Complex rehabilitation cannot succeed without a healthy foundation.

Phase 2: Functional Reconstruction

Once biological control was achieved, we moved to structural correction.

• Implant placement with screw-retained fixation

• Mandibular condyle positioning for proper joint alignment

• Occlusal plane correction

• Restoration and re-preparation of compromised teeth

• Increase of vertical dimension

• Complete bite reconstruction

Every step was digitally planned.

This was a fully digital workflow — from diagnostics to prosthetic design — ensuring precision, predictability, and functional balance.

Phase 3: Final Prosthetic full mouth Rehabilitation

The final stage included placement of zirconoceramic crowns designed for:

• Functional durability

• Aesthetic harmony

• Long-term biomechanical stability

The result was not simply straighter teeth.

It was restored symmetry, corrected occlusion, improved facial proportions, and a stable joint position.

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This case required time.

It required patience.

It required endurance — from both the patient and myself.

We were tired.

But the moment we saw the final result — the alignment, the balance, the renewed confidence — the exhaustion disappeared.

We were both deeply proud.

Complex dentistry is never a one-sided effort.It is collaboration built on trust.

Thank you for trusting me from the moment you arrived until the very end.

At Skhva Clinic, advanced rehabilitation cases are not just procedures.They are journeys — planned with precision, guided by experience, and grounded in listening.

Everything starts with listening.

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Cases like this reinforce why comprehensive diagnosis and digital precision matter.

Jaw-dental asymmetry, periodontal disease, occlusal imbalance, and vertical dimension loss cannot be treated separately. They must be understood as one interconnected system.

Only then can true rehabilitation be achieved.

I would genuinely appreciate your thoughts and professional evaluation.

Your feedback and comments are always welcome.

Dr. Lika Mebagishvili