pricelist DentaCare list (PLN) Valid from 13 October 2011 Restorative Dentistry Preliminary test - oral review (check-up) Free of charge Intra-oral camera review (check-up) 50 Treatment plan 50 Specialist consultation 50 Local anaesthetic 30 Nerve block 35 Temporary filling - zinc oxide 55 Temporary filling - Fugii or Ketac-Molar 65 Composite and Compomer filling 100-180 Anterior system filling - Gradia 150-350 Glassionomer fillings and composites 250-350 Tooth restoration or overbuilding 160-220 Strona 1 z 11
Restorative Dentistry Composite veneer for discoloured tooth 250-300 Biological treatment (Ketac life, Dycal) 40 Fibreglass post 300 Anker post 100 Tooth scaling single arch 50 Sandblasting single arch 50 Contact fluoridation single arch 50 Fissure sealant 50 Teeth whitening (per tooth, per appointment) 80 Teeth whitening tray & gel (at home), both arches, four syringes 700 Tooth whitening tray single arch 150 Opalescence gel for whitening 65 Professional whitening (American Beyond system) 1200 750 Additional whitening (Beyond system) 400 Hypersensitivity reduction (Green-Or preparation) 40 Hypersensitivity reduction (Seal & Protect preparation) 15 Endodontics Devitalization 50 RCT opening up abcessed tooth 50 Canal irrigation 40 RC preparation Single canal 70 Two canals 110 Three canals 150 Pulp extirpation (under aneasthetic) Single canal 40 Two canals 60 Three canals 80 Ultrasonic RC preparation (extra) 50 re-rct 100 Strona 2 z 11
Endodontics Temporary RC filling Single canal 40 Two canals 60 Three canals 80 Final RC treatment (per canal) 60 RCT - lateral condensation Single canal 100 Two canals 170 Three canals 230 Canal filling (Obtura system) Single canal 130 Two canals 200 Three canals 250 Cavit temporary filling 25 Extirpation or pulpotomy 50 Microscope work (per hour) 250 Removal of broken instrument 600 Root perforation repair (using MTA) 400 (300) Dental dam 50 X-rays X-ray Photo 25 Pantomogram 90 Cephalometric photo 100 Hard copy 10 CD copy 5 Strona 3 z 11
Prosthetics Prosthetic consulting 50 Consultation & prosthetic treatment plan 100 Diagnostic models 80 Denture-single point 110 Complete denture upper & lower 1000 Reinforcement mesh 150 Skeleton denture 1400 Titanium skeleton denture 1800-2000 Skeleton denture - for locks & bolts 1800 Acetal denture 1300 Splint denture 1800 Bolt or lock for skeleton denture 500 Platinum-iridium bolt 700 Laser soldering 300 Teflon replacement 100 Composite veneer of skeleton denture 200 NTI splint 400 (Immediate) Temporary crown - direct method 80 (Laboratory) Temporary crown 200 Gradia crown 500 Gradia fibre crown 600 Metal/titanium crown 600 Gradia-veneered metal crown 700 Porcelain crown 800-980 Porcelain crown on titanium 1300 Porcelain crown on gold 1800 Alumina all-ceramic crown, zircon 1900 Lava all-ceramic crown 2000 Telescopic crown - titanium 1600 Telescopic crown - gold 2600 ZX-27 glass support 1800 Strona 4 z 11
Prosthetics Post 400 Double-root post 500 Fibre-root post 400 Root post (ceramic) 1200 Root post (gold) 700 Double-root post (gold) 900 Rhein post 700 Metal crown inlay 250 Ceramic crown inlay 1200 Composite crown inlay 700 Ceramic crown onlay 1200 Composite crown onlay 900 Gradia inlay/onlay 500 Denture repair per point 100 Bridge or crown removal (per point) 100 Crown Re-cementation 100 Temporary cementation 0 Laboratory colour selection 150 Imitation gums - per point (max. 6 points) 30 Imitation gingival area (6 points) 360 Frezowanie za pkt 100 Removal of crown-root inlay 300 Porcelain veneer 1200 Denture re-lining or sealing 400 Relaxation splint - hard/soft 400 Temporary tooth replacement (on fibreglass bridge) 800-1500 Porcelain margin 100 Strona 5 z 11
Surgery Tooth xtraction 100-150 Tooth chiseling 250-350 Surgical tooth removal 350-700 Cyst enucleation 250-350 Implant 3500 2500 Straumann Implant 3500 Astra Implant 2850-3150 Screw-healing 250 Root Resection 350-450 Sutures 70 Alveoloplasty 100-300 Tooth exposure for orthodontic purposes 350 Frenulum snip 120-170 Sinus surgery 350-500 Gingivectomy or alveolar plastic surgery 250-350 Other soft tissue operations 100-300 Minor surgical procedures (abscess incisions, filter replacement) 50-100 Bone regeneration procedures from 1200 Sterowana regeneracja kości z użyciem Bio-Oss & Bio-Glide 2000-2800 Procedures performed under general anesthetic (supplement) 50% Strona 6 z 11
Periodontics Consultation 80-100 Control visit 50 Treatment of mucous diseases (initial, subsequent visits) 50 Removal of damaged mucous membrane 150-300 Histopathological biopsy 250 Histopathological test 100 Flap surgery using Biogram, Cerasorbu, Biooss 1500-2000 Flap surgery with Emdogainu (membrane plus Cerasorb, Biooss, Biogram) 1750-2000 Intra-dental splint (single point) 100 Closed curettage (approx. 50% of the mandible or maxilla) 200 Open curettage 800-1000 Gingival recession capping 600-1000 Vestibule deepening 800-1000 Bone graft 3000 Bone regeneration procedures (Bio-Oss & Bio-Glide) 2000-2800 Sinus elevation 2500-3000 Strona 7 z 11
Prosthetics on implants Ceramic abutment 1000 Titanium abutment 600 Individual abutment /gold 1000 Straumann abutment 1200 Prosthetic anchor 800 Temporary abutment 500 Abutment shaping 200 prosthetic point on implant - cemented crown 1700 Crown on implant screw 2500 All-ceramic crown on implant 3000 Cresco crown on implant (API set) 2300 Suspended prosthetic Point 650-900 Suspended prosthetic Point - titanium 1500 Lava all-ceramic crown on implant 3000 Lava suspended all-ceramic crown 1500 Complete denture on prosthetic anchors Complete denture (+ plate) on prosthetic anchors 2500 + anchor price 3500 + anchor price Strona 8 z 11
Treatment for children Composite filling 100-120 Compomer filling (Twinky Star) 80-100 Glassionomer filling 60-80 Biological treatment 50 Trepanation chamber 50 Duraphat tooth varnishing 70 Sealing (per tooth) 50 Milk tooth extraction (under local anesthetic) - superficial 40-60 Milk tooth extraction (under local anaesthetic) - absorbed roots 60 Tooth opening 50 Pulp devitalisation 55 Biological amputation 55 Devitalised tooth amputation 30 Temporary filling 55 Local anesthetic (infiltration or nerve block) 30 Fluor protector varnish, Duraphat (per tooth) 15 Strona 9 z 11
Anaesthetic Services Pre-anesthesia examination 70 Inhalation anesthetic, intravenous, without intubation, short (up to 15 mins) 150 General anesthetic with intubation 800 (first hour) Each additional 30 minutes 400 post-surgery anesthetist care (up to one hour) 70 Nitrous oxide 30 mins 100 Nitrous oxide - 1 hour 150 Nitrous mask 25 Orthodontics Consultation 80 Impression 100 Treatment plan 160 Brace - Schwarz plate 500 Activator 650 Twin block - two plates 1100 Control with removable brace 80 Permanent brace/second permanent brace (metal) 1500-1600 Permanent porcelain brace 2400 Second permanent porcelain brace 2200 Permanent transparent brace 2800 Permanent lingual brace 3500 Strona 10 z 11
Orthodontics Control visit - permanent brace 150 Control visit - two fixed braces 180-220 Control visit - lingual brace (excl. arch replacement) 250 Control visit - lingual brace (incl. arch replacement) 300 Removal of permanent brace 100 Permanent retainer 300 Retention plate 400 Clear Aligner brace (1 arch, 1 set) 1000 Clear Aligner brace (1 arch, next set) 800 Palatal arch 250 Independent palatal arch 350 Nancea plate 350 Pendulum 700 Jasper Jamper 400 Nansea plate 350 NiTi expander 700 Facial Mask 500 Deskal Jet 800 Hyrax / Hass 900 Bigelix 300-350 Control visit after brace removal 50 Strona 11 z 11