1	Educational and hygiene visit (plate staining/fluoridation) PLN 100/150
2	Medical examination with treatment planning/with models PLN 60/100/150
3	Medical advice/medical examination/prescription with advice PLN 60
4.	X-ray/RVG radiological examination PLN 35/PLN 35
5	3D tomography examination, large field of view/small field of view, PLN 300/260 3D tomographic examination, large field of view, two arches (maxilla and mandible – 2 examinations PLN 400
6	Radiological examination Pantomogram/Cephalometer/Set PLN 75/75/140
7	Computer anesthesia -THE WAND/ordinary PLN 50/30

1. Therapeutic dressing PLN 150
2. Dressing when pulp is exposed PLN 100
3. Tooth preparation and filling from PLN 270
4. Filling with aesthetic/fiber insert PLN 450
5. Filling with a metal/temporary crown-root insert PLN 350
6. Filling with a peripulpal insert PLN 280
7. Use of a device with Ozone – PROZONE PLN 100

1. Tooth trepanation with dressing PLN 150
2. Devitalization of tooth pulp PLN 200
3. Temporary reconstruction of walls for endodontic treatment PLN 100
   Treatment of a single-canal tooth PLN 550-650
4. Treatment of a two-channel tooth PLN 700-900
5. Treatment of a three-channel tooth PLN 900-1,100
6. Repeated root canal treatment/canal unblocking (additional fee for each canal) PLN 200-250
7. Removal of a broken tool or insert PLN 400

Whitening

• One jaw/full (overlay or office method) PLN 600-1,100
• A single tooth (applies to dead teeth) per visit (up to three) PLN 100
• ICON – reminalization with the preparation (1 tooth) PLN 100
• Removal of tartar (scaling + polishing)
• Entire mouth/in case of two visits/Doctor PLN 150/180
  Sandblasting/Scale removal (Hygienist) PLN 100
  Sandblasting + scaling + fluoridation (Doctor/hyginiest) PLN 200
  Stone removal + sandblasting (Higiniesta) PLN 160
  Instruction + polishing (Hygienist) PLN 60

Rails

• Relaxation, repositioning splint PLN 400
  NTI relaxation splint PLN 400
  Protector for athletes PLN 450

Inhalation sedation

• First visit with a mask/next visit PLN 250/200

Removal of amalgams using the full protection method

• Removal of 1-2 amalgams PLN 250
  Physiotherapy
• Use of a device with Ozone – PROZONE PLN 100
• Laser therapy 3 visits PLN 300
• Photoactive disinfection for around PLN 350
• Dental rehabilitation (1 treatment) PLN 180

1. Installation of CHLOSITE (gingival pockets) Periimplantitis PLN 700
2. Filling the bone loss without a membrane/with a membrane PLN 2,000/3,000
3. EMDOGAIN one tooth/arch 2500/3000
4. SGS/BEGO/OSSTEM/DENTSPLY IMPLANTS
   Implants from PLN 2,800
5. Computerized treatment planning (SIMPLANT)/for a plan with a template plus the price of the template PLN 500/PLN 1,000
6. SIMPLANT rail/template PLN 1,800-4,000
7. Crowns on implant from PLN 2,850
8. Individual titanium connector PLN 1,000
9. Aesthetic zirconia connector additional fee (per point) / individual PLN 1,000/1,500
10. Bar for denture (per point) PLN 1,700
11. Installation of a healing screw PLN 300
12. Reinstallation of the implant PLN 1,500
13. Lifting the bottom of the sinus from the lower/lateral approach PLN 2,500/3,200
14. Orthodontic microimplant PLN 1,000

DIAGNOSTICS

1. Consultation visit without diagnostic impressions PLN 200

2. Consultation visit with taking impressions/scans for diagnostic models and photographs PLN 350

3. Discussion of the cephalometric analysis and treatment plan, presentation of a cost estimate of PLN 300

MOVABLE APPARATUS

1. Inspection of a mobile device PLN 250

2. Repair of a mobile device PLN 250

3. Single-jaw removable appliance PLN 1,000

4. Two-jaw appliance (Twin-Block) PLN 1,800

5. Flexible braces PLN 700

6. Diagnostic and therapeutic splint PLN 700

7. Rail inspection PLN 150

FIXED APPARATUS

1. Thin-arch metal fixed appliance PLN 2,800

2. Ligatureless metal brace PLN 3,500

3. Aesthetic braces (porcelain/sapphire braces) PLN 4,300

4. Aesthetic ligatureless braces PLN 4,500

5. Fixed brace inspection – PLN 350

7. Inspection of braces with aesthetic arches PLN 400

8. Mini orthodontic implant PLN 1,000

9. NiTi Expander/Rotator PLN 1,000

10. Hyrax PLN 1,200

11. TPA device PLN 500

12. Nance’s apparatus PLN 450

13. Quad-helix/Bi-helix camera PLN 1,000

14. I-trook headgear device PLN 800

15. Forsus camera (double-sided) PLN 1,500

16. TWIN-FORCE camera PLN 1,500

17. Carierre distalizer PLN 1,500

18. Carierre distalizer with Essix rail PLN 1,800

17. Removal of fixed appliances without gluing the retention (enamel cleaning included) PLN 500

18. Removal of fixed appliances with gluing of retention top and bottom (overlay included in the price) PLN 1,500

18. Fixed retainer PLN 600

19. Removable retention appliance PLN 600

• Examination and consultation (includes 1 dental X-ray) PLN 200
• Root resection from PLN 700
• Hemisection, premolarization PLN 600
• Plastic surgery of the frenulum of the lip and tongue PLN 300
• Subgingival curettage of 1/2 arch PLN 900
• Soft tissue plastic surgery (for prosthetics) PLN 300
• Bone plastic surgery (for prosthetics) PLN 500
• Controlled tissue and/or bone regeneration with a membrane from PLN 2,500
• Bone reconstruction after tooth extraction (per socket) PLN 1,500
  Removal of the pathological lesion PLN 300 + examination costs
• Removal of a single-rooted tooth from PLN 250
• Removal of a multi-rooted tooth from PLN 350
• Difficult tooth extraction (surgical) / Minimally invasive from PLN 400
• Surgical tooth extraction with stitches from PLN 400
• Sewing as an independent procedure PLN 200
• Removal of a completely impacted eighth tooth/supernumerary tooth from PLN 500
• Germectomy (removal of a tooth bud) PLN 600
• Surgical exposure of an impacted tooth PLN 450
• Plastic surgery of the oral-sinus junction PLN 450
• Cyst enucleation + histopathological examination (depending on the extent) from PLN 800 + cost of the examination
• Incision and drainage of the abscess PLN 150

• Orientation impression and prosthetic treatment planning + model PLN 300
• Wax-up, Mock-up for PLN 90

ACRYLIC DENTURE

• total PLN 1,500
• from 3 to 6 teeth PLN 120
• microprosthesis PLN 1,000
• Skeletal prosthesis PLN 2,200

PROSTHETIC CROWN

• temporary crown (for one point) office/studio PLN 220/250
• full lana PLN 800
• cast, faced with composite PLN 950
• cast veneered porcelain/chrome cobalt PLN 1,200
• crown on cast gold (5-year warranty) PLN 1,200 + gold price

UNIFORM CROWN

• long-term uniform acrylic crown PLN 400
• composite PLN 950
• porcelain PLN 1,200
• glued bridge, 1/2 arch splinting/indirect method – PLN 1,500 per point

Veneers/Inlays/Onlays

• composite PLN 1,000
• porcelain PLN 1,500
• Crown-root insert (gold price * 2.5)
  – single PLN 600
  – foldable PLN 750

REPAIRS

• Relining of the denture PLN 500
• Crown (bridge) removal for one point PLN 300
• Repair one element/next element PLN 250

1. Adaptation visit PLN 150
2. Filling in a milk tooth PLN 250
3. Root canal treatment of a milk tooth PLN 330
4. Therapeutic/temporary dressing PLN 150
5. Painting one tooth PLN 70
6. Sealing one tooth PLN 180
7. Painting of all six PLN 400
8. Removal of a milk tooth PLN 200