Aesthetic and functional test
Bondings, per tooth
¢50000.00
Bone graft with mesh or membrane
Coarse Scraping with Cavitron
Delivery of Dental Prostheses
Dental Cleaning
¢45000.00
Dental consultation with x-ray and cleaning
Dental control and prophylaxis
¢100.00
Dental Extractions
¢35000.00
Dental x-rays (fin, occlusal, periapical)
Diastema closure with resins
Diastema closures with resins
Digital radiovisiography
¢40.00
Drainage of abscess, intraoral
Elaboration of provisional
Elimination of caries at the mesial occlusal level
Exodontia indicated by Orthodontics
Extraction of wisdom teeth
Extraction of wisdom tooth (nonsurgical)
¢35000.00
Fabrication of mouthguard
¢100.00
Filling (Permanent Tooth)
¢50000.00
General consultation with dental cleaning
¢100.00
Gingivectomy or gingivoplasty, per tooth
Immediate dental implants hybrid prosthesis
Impacted tooth extraction
¢1.00
Initial Physical Therapy Evaluation
¢40.00
Inlay, porcelain/ceramic, 1 surface
Opening of Clinical History
Orthodontic records (diagnostic cast, x-rays, photographs)
¢1.00
Periodontal scaling & root planing, per quadrant
¢60.00
Permanent tooth extraction
¢1.00
Porcelain veener, per tooth
Resin-based filling
¢40000.00
Root canal therapy, anterior, excluding final restoration
Root canal therapy, biradicular
Root canal therapy, molar, excluding final restoration
¢200.00
Teeth Whitening with Lamp (in the clinic)
$180.00
Temporal tooth extraction
Temporary Restorations (glass ionomer, zinc oxide, basic restorations)
Tooth bleaching without lamp (clinical)
Zirconium Crown
¢300000.00