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 €