
Alexander S. Garusov
Head of Dentistry
Implant surgeon, prosthodontist · 20 years of experience
Dentistry in Moscow

Dentistry, ENT and surgery — in one clinic and one protocol. Complex cases are handled by a multidisciplinary team, and the decision is recorded in writing.
What's bothering you?
BIG IDEA
Complex cases are our everyday work. We perform dental surgery where others decline: with bone deficiency, sinus-area risks and ENT complications.
When you've already been refused a complex extraction or implantation.
Complications, pain, swelling or fistulas after surgery and implantation.
Simultaneous dental and ENT conditions.
Not just installing a prosthesis «in one day», but assessing health, risks, ENT status and bone.
Bone deficiency, sinus involvement, ENT complications and concomitant conditions.
From the first consultation to full recovery, not just the operation.
Prevention and health
With plaque disclosing, a photo protocol and a DIANA digital report. When indicated, a 3D CT scan and Diagnocat analysis are covered by the clinic.
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Good to know
Professional hygiene helps preserve your own teeth, keep gum inflammation under control and maintain healthy tissue around placed implants. MediLavia doctors cover care and prevention in more detail in their articles.




In most cases yes, but under certain conditions. A consultation is needed and, if necessary, agreement with a therapist, cardiologist or endocrinologist, an assessment of how well the condition is controlled, the choice of a gentle protocol and careful planning. In some situations implantation is temporarily postponed or carried out in an adjusted format. It's important that the decision is made not «in isolation», but with overall health in mind.

Pavel S. Volkov
CEO
Removing an implant is usually technically comparable to a complex tooth extraction and is done under anaesthesia, so for the patient it is a painless procedure. It is a last resort: an implant is removed when it is mobile, with marked inflammation and bone loss around it, rejection, a fracture or deformation of the structure, or gross positioning errors, when it is no longer possible to keep the implant safely.

Pavel S. Volkov
CEO
The cost depends on the manufacturer, materials, research, the system's service support and the level of the digital protocol. Better-known systems have long-term follow-up, well-honed components and precise part compatibility, which affects reliability and ease of servicing. What matters is not only the brand name, but how the implant is «built into» the overall treatment plan and what real value it gives you specifically.

Pavel S. Volkov
CEO
After a tooth is removed, the bone gradually atrophies, especially in the first months. The longer the site stays empty, the more bone volume is lost, and the more likely it is that bone grafting, more complex planning and longer treatment will be needed. Postponing for a few months is sometimes acceptable, but long delay can indeed make the process harder and more expensive.

Pavel S. Volkov
CEO
The assessment goes by several parameters: symptoms disappearing (pain, reactions), the condition normalising on scans (inflammation foci shrink or disappear), restoration of the tooth's crown part (a filling or crown) and stability over time. The doctor plans follow-up visits and scans to make sure the process is going the right way. If the prognosis is doubtful from the start, the patient is honestly told that the tooth may turn out to be a «temporary bridge» to implantation.

Pavel S. Volkov
CEO
The materials used for filling canals pass safety control and have long been used in practice. They are bioinert and designed for long-term presence inside the root canal. When used correctly they do not «dissolve» and do not release harmful substances. Possible reactions are more often linked not to the material as such, but to the technique, individual sensitivity or concomitant factors.

Pavel S. Volkov
CEO
Yes, today there are many aesthetic solutions: ceramic or sapphire braces that are less visible, lingual braces, aligners. The choice depends on the complexity of the case and personal preferences. At the consultation the doctor assesses which options are technically possible and what trade-off between aesthetics, comfort and result will be optimal.

Pavel S. Volkov
CEO
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Contacts
Address
10 Parshina St., premises 23N, entrance 9, Moscow
Opening hours
Mon–Sat 08:00–20:00
Map
MediLavia — 10 Parshina St., premises 23N, entrance 9, Moscow