Cennik (ENG)
Price Centrum Medyczne Pod Fortem
The reception is open (monday-friday) from 8:00 to 19:00.
X-ray
Point X-ray - Radiovisiography |
50 zł |
OPG - digital panoramic image |
120 zł |
Point tomography |
160 zł |
Consultations
Check-up examination |
200 zł |
Children's check-up examination |
200 zł |
Medical consultation (prescription) |
150 zł |
Children's adaptation visit |
from 200 zł |
Specialist consultation (without procedure) |
200 zł |
Dental consultation |
200 zł |
Anesthesia
Infiltration / conduction anesthesia |
50 zł |
Computerized anesthesia |
100 zł |
Prevention
Oral hygiene instruction |
100 zł |
Scaling (tartar removal) with varnishing |
300 zł |
Sandblasting (plaque removal) with varnishing |
300 zł |
Fluoridation - both dental arches |
200 zł |
Full mouth hygiene (scaling, polishing, sandblasting, and fluoridation) |
400 zł |
Whitening
Dead tooth whitening |
500 zł |
Each additional visit |
100 zł |
Overlay whitening (with custom trays) |
1800 zł |
Additional syringes (4 pcs) |
350 zł |
Photowhitening |
2000 zł |
Periodontology
Pocket irrigation |
200 zł |
Treatment of mucosal lesions (1 visit) |
200 zł |
Tooth splinting |
from 600 zł |
Pediatric dentistry
Adaptation visit |
from 200 zł |
Fluoridation (1 tooth) |
50 zł |
ICON (1 tooth) |
400 zł |
Fissure sealing (1 tooth) with varnishing |
250 zł |
Expanded fissure sealing (1 tooth) with varnishing |
350 zł |
Silver diamine fluoride application |
150-200 zł |
Fluoride varnish (both arches) |
200 zł |
Canal removal in a milk tooth |
200 zł |
Milk tooth canal filling |
from 300 zł |
Composite filling for milk tooth |
from 300 zł |
Glass ionomer filling for milk tooth |
from 250 zł |
Enamel remineralization (GC Tooth Mousse) |
100 zł |
Treatment visit for a baby tooth |
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Therapeutic visit for milk tooth (pulp amputation, chamber trepanation) |
from 250 zł |
Endodontic treatment of milk tooth |
from 350 zł |
Tooth splinting after trauma |
from 600 zł |
Restoration of a broken tooth with composite |
from 450 zł |
Conservative dentistry
Medicinal dressing |
250 zł |
Temporary filling (glass ionomer) |
from 250 zł |
Small light-cured composite filling |
from 350 zł |
Medium light-cured composite filling |
from 400 zł |
Large light-cured composite filling |
from 450 zł |
Direct composite overlay |
from 550 zł |
Composite onlay/inlay |
1500 zł |
Ceramic onlay/inlay |
2000 zł |
Restoration with fiberglass post |
from 400 zł |
Composite veneer |
from 750 zł |
Direct pulp capping |
250 zł |
Pulp devitalization |
from 300 zł |
Tooth trepanation |
from 250 zł |
Broken tooth restoration |
from 350 zł |
Treatment under rubber dam |
50 zł |
Surgery
Extraction of permanent tooth with anesthesia |
300-450 zł |
Extraction of deciduous tooth with anesthesia |
from 300 zł |
Abscess incision |
from 300 zł |
Gum plastic surgery |
250 zł |
Suturing |
150 zł |
Surgical dressing |
100 zł |
Surgical extraction of permanent tooth |
400-550 zł |
Closure of oral-antral communication |
300 zł |
Surgical removal of wisdom tooth |
from 800 zł |
Frenulum incision (upper lip) |
from 450 zł |
Frenulum incision (tongue) |
350-550 zł |
Recession coverage or soft tissue graft |
from 350 zł |
Root tip resection: |
|
Incisors and canines |
700 zł |
Premolars |
800 zł |
Molars |
1000 zł |
Implantation
Implantology / surgical consultation |
150 / 200 zł |
Implant placement |
2700 zł |
Implant prosthetic component |
2500-3500 zł |
Implant uncovering and healing abutment placement |
200 zł |
Gum graft near implant |
1000-1200 zł |
Bone reconstructions with biomaterial: |
|
|
2000 zł |
|
3500 zł |
|
5000 zł |
Sinus lift |
|
|
3000 zł |
|
4000 zł |
|
5000 zł |
Endodontics
Endodontic consultation |
150-200 zł |
Preparation for endodontic treatment: |
|
|
350 zł |
|
250 zł |
Root canal treatment: |
|
|
1000 zł |
|
1100 zł |
|
1600 zł |
Retreatment of root canals |
|
|
1200 zł |
|
1400 zł |
|
1900 zł |
Removal of broken instrument from canal |
300-400 zł |
Post removal |
200-400 zł |
Perforation closure (MTA) |
250 zł |
Tooth reinforcement with fiberglass post |
400 zł |
Final restoration (endocrown) |
from 950 zł |
Orthopedics
Diagnostic impression |
250 zł |
Working impression |
100 zł |
Digital 3D impression |
300 zł |
Full acrylic denture |
2500 zł |
Full nylon denture |
3000 zł |
Partial acrylic denture |
2000 zł |
Partial nylon denture |
2500 zł |
Skeletal denture |
2800 zł |
Denture repair (adding tooth, bonding, relining, clasp addition) |
450 zł |
Individual metal post |
from 750 zł |
Prefabricated metal post |
from 800 zł |
Metal-ceramic crown |
1800 zł |
Porcelain crown |
2000 zł |
Relaxation splint |
1000 zł |
Crown/bridge removal (per tooth) |
350 zł |
Protective crown |
250 zł |
Porcelain crown on metal |
2000 zł |
Zirconia crown |
2200 zł |
Orthodontics
Diagnostics |
|
Orthodontic consultation |
200-250 zł |
Orthodontic check-up without braces |
150 zł |
Diagnostic impressions |
250 zł |
Working impressions |
100 zł |
Digital 3D impressions |
300 zł |
Panoramic X-ray (OPG) |
100 zł |
Cephalometric X-ray |
100 zł |
Cephalometric analysis (two methods) |
100 zł |
Full diagnostics (photos, scans, OPG, cephalometric + analysis) |
600 zł |
Treatment plan |
400 zł |
CBCT scan analysis |
50-100 zł |
Articulation |
450 zł |
Articulation during treatment |
400 zł |
Mounted models |
|
Diagnostics |
|
Orthodontic consultation |
200-250 zł |
Orthodontic check-up without braces |
150 zł |
Diagnostic impressions |
250 zł |
Working impressions |
100 zł |
Digital 3D impressions |
300 zł |
Panoramic X-ray (OPG) |
100 zł |
Cephalometric X-ray |
100 zł |
Cephalometric analysis (two methods) |
100 zł |
Full diagnostics (photos, scans, OPG, cephalometric + analysis) |
600 zł |
Treatment plan |
400 zł |
CBCT scan analysis |
50-100 zł |
Articulation |
450 zł |
Articulation during treatment |
400 zł |
Mounted models |
300-400 zł |
Final documentation |
300 zł |
Documentation for oral surgeon consultation |
100 zł |
Oral cavity scan |
300 zł (1 arch - 150 zł) |
Printed models based on scan |
150 zł |
Removable |
|
Removable appliance check-up |
150 zł |
Single-jaw removable appliance (Schwarz plate) |
1000 zł |
Double-jaw removable appliance (activator, twin-block) |
1800 zł |
Pediatric denture |
1000 zł |
Removable appliance repair |
200-300 zł |
Orthocaps appliance (1 arch) |
approx. 8000 zł |
SureSmile® Comprehensive |
18000 zł |
SureSmile® Express |
7000 zł |
SureSmile® Light |
11000 zł |
Check-ups during SureSmile® treatment |
0 zł |
Viviera retainer (1 arch) |
1500 zł |
Viviera retainer (2 arches) |
2000 zł |
Elastic appliance (trainer) |
500 zł |
Fixed |
|
Fixed metal braces (1 arch) |
2600 zł |
Fixed ceramic/crystal-metal braces (1 arch) |
3400 zł |
Fixed ceramic braces (1 arch) |
3800 zł |
Cannon metal system braces (1 arch) |
2800 zł |
Cannon aesthetic-metal system braces |
3400 zł |
Partial metal appliance |
1700 zł |
Impression for occlusal splint |
50 zł |
Occlusal splint |
5500 zł |
Attachment of 1 element of fixed appliance |
100-300 zł |
Reattachment of detached bracket, tube, or ring |
100-150 zł |
Fixed appliance check-up (1 arch) |
200 zł |
Fixed appliance check-up (2 arches) |
300-350 zł |
Retention check-up |
50-150 zł |
Separation |
50 zł |
Removal of fixed appliance (1 arch) |
250 zł |
Retainer (3-3) |
450 zł |
Retention plate |
800 zł |
Retention splint |
450 zł |
Retainer removal |
150 zł |
Palatal arch (TPA) |
400-600 zł |
Heavy arch appliance (Bihelix, quadhelix) |
500-700 zł |
Lingual arch |
600 zł |
Band selection with impressions for appliance |
150 zł |
Hass, Hyrax appliance |
1600-1700 zł |
Pendulum appliance |
500 zł |
Nance appliance |
600 zł |
Extraoral traction |
700 zł |
Delair mask |
800 zł |
Herbst appliance |
1800-2000 zł |
Flex Developer / Forsus (both sides) |
1500 zł |
Flex Developer / Forsus (one side) |
800 zł |
Orthodontic mini-implant |
800-1000 zł |
Miniplate |
1500 zł |
Beneslider / Mesialslider |
4500-5000 zł |
BARME |
4500-5000 zł |
Orthodontic equilibration |
50-200 zł |
Bite blocks |
400 zł |
Turbo bites |
150 zł |
Space maintainer |
500 zł |