| Dental examination with a written report |
30 |
Pediatric and preventive dentistry
|
|
| Soft plaque removal and oral hygiene instructions |
10 |
| Teeth impregnation using sodium fluoride toothpastes |
10 |
| Fissure sealing |
10 |
| Milk tooth extraction |
10 |
| Treatment of unfinished root growth (per one treatment) |
10 |
| Other services are charged according to the adult price list, plus 20% |
|
Periodontal disease treatment
|
|
| Soft and hard plaque removal |
30 |
| Causal therapy of periodontal disease |
100 |
| Periodontal pockets’ treatment, using local anesthetic (per tooth) |
10 |
| Acute periodontal abscess treatment (drainage) |
20 |
Surgical treatment of periodontal disease (Widmann’s procedure, unilateral coronary or apically displaced flap), per tooth
(implementation of root replacement and membrane is additionally charged) |
50 |
| Gingivectomy (per tooth) |
30 |
| Free mucogingival autotransplant |
100 |
| Remotivation and oral hygiene instructions |
10 |
| Therapy bite plate (bite splint) |
120 |
Oral surgery
|
|
| Routine dental extraction |
20 |
| Surgical dental extraction |
50 |
| Impacted wisdom tooth surgical extraction |
100 |
| Impacted canine tooth surgical extraction |
120 |
| Teeth resection (one root) |
100 |
| Teeth resection (two or three roots) |
150 |
| Teeth hemisection |
100 |
| Cystectomy |
120 |
| Flat suprastructure (set) |
80 |
| Angled suprastructure (set) |
95 |
| Sulcus former |
25 |
| Alveolite therapy (per treatment) |
10 |
| Ridge leveling |
80 |
| Surgical sinuses closing |
80 |
| Implant (transdental) |
300 |
| Implant (two-phase, without suprastructure) |
650 |
| Mini implant |
350 |
| Frenectomy |
60 |
Dental diseases
|
|
| Amalgam filling - single surface |
20 |
| Amalgam filling – double surface |
20 |
| Amalgam filling – triple surface |
30 |
| Composite filling - single surface |
20 |
| Composite filling – double surface |
20 |
| Composite filling – triple surface |
30 |
| Gold inlay (+gold used) |
100 |
| Retention using parapulpal pin (one piece) |
10 |
| Direct or indirect pulp covering |
10 |
| Vital or mortal amputation |
20 |
| Endodontic treatment of a single-canal tooth |
30 |
| Endodontic treatment of a multi-canal tooth |
60 |
| Gangrene treatment (per one treatment) |
10 |
| Canal filling removal (filling revision) |
30 |
| Removal of foreign object from tooth’s root canal |
40 |
Prosthodontics
|
|
| Immediate denture |
250 |
| Partial acrylate denture |
200 |
| Complete denture |
250 |
| Complete denture with a metal base |
300 |
| Partial skeleton denture |
300 |
| Attachments installation (a pair) |
120 |
| Dolder bar installation |
100 |
| Direct denture rebasing |
40 |
| Indirect denture rebasing |
90 |
| Dentures reparation |
50 |
| Protective crown |
20 |
| Temporary bridge (per part) |
20 |
| Crown removal |
10 |
| Partial denture with a single tooth |
100 |
| Metal ceramic crown (with ceramic border) |
150 |
| Gold alloy metal ceramic crown (+ the price of gold) |
120 |
| Whole ceramic crown |
220 |
| Veneer (ceramic) |
200 |
| Ceramic inlay |
200 |
| Gold inlay (+gold used) |
150 |
| Veneer crown (acrylat, composite) |
90 |
| Veneer reparation |
30 |
| Telescope crown |
160 |
| Cast crown |
90 |
| Cast post |
40 |
| Prefabricated post (steel) |
40 |
| Prefabricated post (fiberglass, Ti ) |
50 |
| Erco press foil |
100 |
| Acrylat splint |
100 |
Orthodontics
|
|
| Plates with a screw and movable elements |
300 |
| Bimaxillar appliances – mono-block |
350 |
| Vestibular plate |
150 |
| Palate widening appliance |
300 |
| Fixed appliance per jaw |
750 |
| Fixed appliance in teeth colour (ceramic) – per jaw |
850 |
| Extra oral traction (single) |
250 |
| Fixed appliance checking and adaptation |
20 |
| Ring replacement |
25 |
| Lock replacement |
20 |
| Arch replacement |
40 |
Surgical release of impacted tooth with adequate retention adhering
(lock, button) |
120 |
| Segment fixed appliance |
500 |
| Retention foil |
100 |