3S DENT, s r.o. IČO: 44 431 198, IČO DPH: SK2022705586, Číslo účtu: 2626727702/1100 TATRA BANKA Reg.: Okresný súd Bratislava I oddiel Sro, vložka 54779/B

PRICE LIST OF TREATMENT PROCEDURES Examination, anesthesia Por.č.

Code

Price €

No. 5001

D01

Procedure 300 Initial complex examination + treatment plan

5002

D02

150 Preventive dental examination

5004

D05

300 Initial complex pedostomatological examination

5005

D06

110 Preventive pedostomatological examination

5012

D13

Specialized consultation /implantology, prosthodontics, parodontology/

19,90 €

5506

D21

Charge for visit without arranged appointment

11,20 €

5010

D12

Charge for treatment of patients not registered in 3S DENT

15,00 €

5016

D14

Charge for appointement out of regular working hours

50,00 €

5507

D15

Charge for missed appointment

23,30 €

5009

D52

50

5011

D54

200 Panoramic X-ray – OPG

5142

D56

Cephalometric X-ray

10,00 €

5074

D58

Hand X-ray

10,00 €

5075

D60

X-ray sent to email

0,00 €

5076

D62

X-ray burned on CD

1,00 €

5077

D64

X-ray printed on photographic paper

1,00 €

5013

D70

Documentation photography

6,90 €

5014

D71

Vitality test - for 3 teeth

4,90 €

5015

A01

Surface anesthesia - anesthetic gel

2,30 €

5018

A02

60

Infiltration anesthesia

9,10 €

5019

A02

60

Branch block anesthesia

9,70 €

5020

A04

Intraligamental anesthesia – one tooth

5017

A05

Intraligamental anesthesia – every other tooth

Procedure

Price € 28,00 € 9,90 € 14,90 € 7,20 €

5,00 €

Intraoral X-ray

1 cenník 3S DENT,s.r.o.

8,30 €

11,40 € 2,90 €

Prophylaxis and teeth whitening Price €

No.

Code

Procedure

5021

N01

Dental hygiene - prophylactic instruction, first session

5022

N02

Instruction and demonstration of oral hygiene for children

5177

N04

Dental hygiene - 2nd and 3rd session - reinstruction

13,30 €

5024

N03

Removal of calculus - price for one region, 1st session

11,20 €

5025

N08

Removal of dental plque - price for one region

6,70 €

5028

N13

Removal of local irritation, or deep scaling / closed curettage

6,60 €

5193

O01

Ozone treatement of periodontal pockets

5030

N05

Teeth polishing

3,40 €

5029

N09

Filling polishing - each tooth

3,00 €

5027

N10

Air-flow - one region

5033

N11

5032

N06

Treatment od sensitive teeth - each tooth

5035

N30

Fissure sealing - each tooth

5194

O02

Desinfection of fissures prior to sealing - each tooth

4,50 €

5031

B01

Bleaching of discolored non vital teeth - each tooth

34,50 €

5034

B02

Office teeth whitening- ZOOM! System

300,00 €

5513

B03

Office teeth whitening (standard)

200,00 €

5511

B04

At home teeth whitening (including tray and 1 whitening gel)

110,00 €

5512

B05

Additional whitening gel package for in home whtening

25,00 €

5039

N12

Tooth jewel

24,00 €

50

16,50 € 6,70 €

12,00 €

14,90 €

200 Local fluoridation - one dental arch up to 18 years of age

10,30 € 6,60 € 11,30 €

Restorative dentistry and endodontology No.

Code

5036

V01

100 Filling - one surface / small

25,50 €

5038

V02

220 Filling - two surfaces / medium

38,80 €

5040

V03

270 Filling - three surfaces / large

44,30 €

5042

V05

100 Composite filling - one surface - frontal tooth

26,70 €

5043

V08

5044

V06

5045

V09

Price €

Procedure

Composite filling - one surface - distal tooth 220 Composite filling - two surfaces - frontal tooth Composite filling - two surfaces - distal tooth

2 cenník 3S DENT,s.r.o.

34,50 € 41,30 € 43,00 €

270 Composite filling - three surfaces - frontal tooth

50,20 €

5046

V07

5047

V10

Composite filling - three surfaces - distal tooth

53,00 €

5051

V11

Reconstruction of tooth - direct

56,50 €

5062

V18

Individual composite layering - additional charge

15,00 €

5048

V01g

100 Glassionomer filling - one surface

23,20 €

5189

V01gg

100 Glassionomer filling - one surface - capsule

25,40 €

5049

V02g

220 Glassionomer filling - two surfaces

31,00 €

5191

V02gg

220 Glassionomer filling - two surfaces - capsule

33,50 €

5050

V03g

270 Glassionomer filling - three surfaces

36,30 €

5192

V03gg

270 Glassionomer filling - three surfaces- capsule

38,30 €

5171

V15

5501

V12

5058

V16

Treatment of dentine hypersensitivity - first tooth

6,60 €

5059

V17

Treatment of dentine hypersensitivity - every other tooth

1,70 €

5195

O03

Ozone application - all molars and premolars (prophylaxis)

5196

O04

Ozone application during caries treatment (cavity desinfection)

5060

V20

5061

V30

Tooth trepanation and pulp removal - single root tooth

19,00 €

5172

V32

Tooth trepanation and pulp removal - multi root tooth

27,00 €

5063

V31

Palliative endodontic treatment

12,50 €

5064

V40

Removal of root canal filling

23,00 €

5197

O05

Root canal desinfection with ozone

10,00 €

5065

V41

5041

V41f

5067

V42

5052

V42f

5068

V42a

5053

V42af

5069

V43

Filling of additional root canal

25,00 €

5070

V46

Insestion of pulpal pin

16,60 €

5071

V50

Kofferdam

5072

V51

Treatment with dental microscope

Charge for each additional capsule 190 Dental caries treatment ( up to 18 years of age)

50

80

5,00 € 16,50 €

210,00 € 12,00 € 9,90 €

Temporary filling

42,40 €

300 Root canal filling - one canal Root canal filling with BeeFill system- one canal 600 Root canal filling - two canals Root canal filling with BeeFill system - two canals 600 Root canal filling - three canals Root canal filling with BeeFill system - three canals

/plus price of the pin/

59,50 € 69,00 € 83,00 € 93,00 € 114,00 €

9,90 €

3 cenník 3S DENT,s.r.o.

24,00 €

Dentoalveolar surgery Price €

No.

Code

Procedure

5503

E60

50

Examination prior to dentoalveolar surgery

10,00 €

5094

E61

50

Examination after the dentoalveolar surgery

10,00 €

5078

E01

60

Extraction of primary tooth or root

10,00 €

5079

E11

100 Extraction of permanent tooth or root

15,50 €

5080

E12

150 Extraction of tooth with multiple roots

28,50 €

5082

E21

250 Unexpected extraction of tooth or it´s parts

36,00 €

5505

E21a

Complicated extraction of tooth or it´s parts

39,00 €

5083

E21b

Complicated extraction of tooth or it´s parts - molars

52,00 €

5510

E21c

Surgical extraction of tooth or it´s parts

61,00 €

5084

E22

400 Surgical extraction of wisdom tooth

99,90 €

5090

E22

400 Surgical extraction of retined tooth

119,00 €

5081

E14

50

5093

E51

120 Treatment of post extraction bleeding

15,10 €

5095

E63

120 Surgical revision of wound

15,10 €

5073

E62

5091

E45

5092

E46

5098

C07

5113

C09

5085

E31

80

5087

E40

500 Resection of root apex - frontal tooth

5088

E41

5089

E42

5157

E02

Use of MTA

70,00 €

5198

O06

Prozone - applicaion of ozone during surgery

10,00 €

5101

C15

Cystectomy (cyst up to 20 mm)

132,00 €

5105

C16

Exstirpation of cyst not located in extraction wound

170,00 €

5103

C51

600 Primary closing of oroantral communication after the extraction

72,00 €

5102

C41

120 Intraoral incision of dental abscess

15,50 €

5104

C61

500 Reposition of subluxated or luxated tooth

50,70 €

Suture of extraction wound

Treatment of postextraction alveolitis

6,30 € 14,00 €

130 Alveole trepanation Patefaction or fenestration of retined tooth 60

9,30 €

96,00 €

Treatment of complicated wisdom tooth erruption

9,40 €

Drain insertion

5,00 € 11,90 €

Tooth decapsulation

Resection of root apex - distal tooth 150 Resection of every other root apex

4 cenník 3S DENT,s.r.o.

82,90 € 87,00 € 52,00 €

5109

C62

Wire splint fixed with composite / 3 teeth /

33,00 €

5110

C63

Composite fibre splint fixed with composite / 3 teeth /

46,00 €

5106

C77

Removal of fixation splint after teeth and jaw injuries

16,60 €

5107

C92

Suture of mucosal wound

16,60 €

5108

T01

100 Manual reposition of dislocated TMJ

11,60 €

5119

P09

600 Vestibular sulcus extension surgery /frontal region/

99,60 €

5120

P10

Vestibular sulcus extension surgery /comlete jaw/

132,80 €

Implantology Price €

No.

Code

Procedure

5054

I01

Insetrion of IMTEC miniimplant

220,00 €

5055

I02

Insertion of ANKYLOS implant

550,00 €

5056

I03

Insertion of gingiva former

5057

I04

Abutment

110,00 €

5174

I05

Sinus lift

450,00 €

5504

I06

Augmentation of bone defects

160,00 €

5508

I07

Membrane - resorbable, nonresorbable

5509

I08

Augmentation material - according to the type and amount of material individual used

40,00 €

individual

Periodontology and periodontal surgery Price €

No.

Code

Procedure

5111

P01

350 Complex periodontal examination

13,30 €

5112

P02

70

Control periodontal examination

10,60 €

5115

P05

50

Removal of local irritation

10,00 €

5116

P06

250 Occlusal adjustment os dentition

5117

P07

50

5199

O07

5118

P08

5097

P31

5126

C10

160 Excision of soft tissues - up to 4 cm 2

15,70 €

5121

P23

60

12,10 €

5122

P32

700 Mucoperiosteum flap in frontal region

5125

P35

5037

P33

Treatment of soft tissues - ulcers (aphthous, decubites) Treatment of soft tissues with Prozone - ulcers, herpes, stomatitis,

400 Frenulectomy /surgical adjustment of frenulum/ Deep closed curettage - for each tooth

Gingivectomy - for each tooth

Gingival graft /coronally, apically repositioned flaps/ 800 Crown-lengthening (periosurgical)

24,80 € 8,90 € 16,60 € 55,90 € 16,60 €

69,90 € 53,00 € 91,00 €

Prostodontics - fixed prosthodontics Price €

No.

Code

Procedure

5152

F01

5173

13406

Wax Up modelation

20,00 €

5153

42104

Study model

10,00 €

5128

F55

300 Complex prosthodontic examination and treatment plan

19,90 €

9,90 €

Silicon impression

5 cenník 3S DENT,s.r.o.

Alginate impression Removal of fixed prosthesis (for each abutment)

6,60 € 7,00 €

Fixation of fixed prosthesis

9,90 €

11101

Cast inlay as a bridge abutment

9,49 €

5132

11103

Cast post and core

7,28 €

5133

F02

Prefabricated post and core

25,00 €

5134

F03

FIBER POST post and core

51,00 €

5135

F04

Temporary crown (made in office)

15,50 €

5136

12601

Temporary composite crown made in laboratory

36,00 €

5174

12101

Metal cast crown

16,77 €

5175

12102

Compoite crown (standard composite)

76,40 €

5176

12103

Composite crown (special composite)

85,80 €

5179

12107

Metal pontic

16,77 €

5137

11121

Composite inlay, onlay

87,40 €

5186

F14

5139

12104

5140

5129 5130

F56 F63

5131

F64

5173

60

Telescopic crown

215,00 €

Porcelain fused to metal crown or pontic

199,00 €

F12

Crown, pontic or onlay - CERCON porcelain

417,00 €

5141

F13

Crown, veneer - EMPRESS porcelain

254,00 €

5066

F15

Charge for individual porcelain layering - for each crown

6 cenník 3S DENT,s.r.o.

60,00 €

Prostodontics - removable prosthodontics Price €

No.

Code

Procedure

5152

F01

Complex prosthodontic examiation and tratment plan

5128

F55

Silicom impression

9,90 €

5129

F56

Alginate impression

6,60 €

5153

42104

Study model

5151

20201

Complete denture - standard

119,50 €

5144

20201

Complete denture: maxillary+mandibular standard

239,00 €

5145

20202

Partial removable denture, standard (plus the price clamps etc.)

5071

20202

Partial removable denture maxillary + mandibular

5171

23115

Occlusal splint

50,00 €

5150

23116

Silicone mouthguard for whitening

66,40 €

19,90 €

16,00 €

7 cenník 3S DENT,s.r.o.

89,62 € 179,24 €