State Autonomous health institution

“Children's clinical dental polyclinic №2”

(SAHI "Children's clinical dental polyclinic N2")

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Orthodontic treatment services

Appendix to the order of GAUZ "DKSP No. 2" dated 01.03.2022 No. 98-osn

 

"Price list for paid services in the orthodontic department"

 

THE CODE

SERVICE

Cost, rub.)

В01.063.001

01000DS

Primary appointment (examination, consultation) with an orthodontist

390

В01.063.001

A 01.04.001

A 01.07.007

01001DS

Reception (examination, consultation) of an orthodontist primary patient with musculo-articular dysfunction

1482

В01.063.001

01002DS

Primary appointment (examination, consultation) with an orthodontist (filling in medical documentation, drawing up a treatment plan)

741

В01.063.002

01003DS

Repeated appointment (examination, consultation) with an orthodontist

390

B 04.063.001

01004DS

Dispensary reception (examination, consultation) of an orthodontist after removing the equipment

390

A 01.07.002.001

01005DS

Visual examination in the pathology of the oral cavity, including the cranio-maxillofacial region (medical photography)

234

A 02.07.010.001

01006DS

Taking an impression from one jaw with the material "Kromopan"

529

A 02.07.010.001

01178DS

Taking an impression from one jaw with the material "Hydrocolor 5"

548

A 02.07.010.001

01007DS

Taking an impression from one jaw with the material "Speedex"

794

A 02.07.010.001

01180DS

Removal of an impression from one jaw with material ''Elite''

1113

A 02.07.010.001

01198DS

Removal of an impression from one jaw with the material "Hydrogum"

538

 

01054DS

Orthodontic correction. The use of the material "Cemion" for 1 tooth for occlusal overlays

211

A 23.07.002.027

01008DS

Making a control model, working or diagnostic plaster model

487.5

A 02.07.010

01009DS

Research on diagnostic models of jaws

487.5

A 06.07.004

01010DS

Orthopantomography (description and interpretation)

487.5

A 06.04.001

01011DS

X-ray of the temporomandibular joint (description and interpretation)

487.5

A 06.07.004

01012DS

Teleroentgenography (drawing, description and interpretation)

2223

A 02.07.006

01014DS

Determination of constructive bite (central ratio)

195

A 02.07.006

01015DS

Application of the sensor for the T-scan system

637.2

A 02.07.006

01016DS

Determination of bite (occlusion analysis using the T-scan device)

1351

А05.02.001.002

01017DS

Cutaneous electromyography

1605

A 01.07.002.001

01018DS

Visual examination in the pathology of the oral cavity, including the cranio-maxillofacial region. Clinical diagnostic tests of Eshler-Bitner and Ilyina-Markosyan

487.5

A 02.07.006.001

01019DS

Determination of the type of closure of the dentition using the facial arch

1856.19

A 02.07.006

01158DS

Determination of bite (muscle deprogramming)

390

A 02.07.006

01156DS

Bite definition. The use of the material "Okklufast" to determine the constructive occlusion (central ratio).

315

 

Orthodontic correction using braces, fixed appliances

A 16.07.048

01020DS

Orthodontic correction using the Spirit bracket system for 1 jaw, light-curing glue

15420

A 16.07.048

01021DS

Orthodontic correction using Damon System Q bracket system for 1 jaw, light curing glue

35040.00

A 16.07.048

01022DS

Orthodontic correction using a lingual bracket system 1 jaw, light-curing adhesive

18698

A 16.07.048

01024DS

Orthodontic correction using bracket system "Clear" for 6 teeth, light curing glue

37368.00

A 16.07.048

01025DS

Orthodontic correction using bracket system "Clear" for 10 teeth, light curing glue

62280.00

A 16.07.048

01026DS

Orthodontic correction using braces. Installation of an element of the Damon Q fixed system for 1 tooth on light-curing glue

3504.00

A 16.07.048

01200 DS

Orthodontic correction using braces. Installation of a self-adjusting element of the fixed system "TINO" for 1 jaw on light-curing glue

13512.00

A 16.07.048

01201 DS

Orthodontic correction using braces. Installation of the element of the non-removable system "TINO" self-adjusting for 1 tooth on light-curing glue

1351.00

-А 16.07.048

01202 DS

Orthodontic correction using braces. Setting 1 lock on the first (second) molar 0.022 ", glue of chemical curing

955.00

A 16.07.048

01027DS

Orthodontic correction using braces. Placement of a lingual technique element on 1 tooth on a light-curing adhesive

1558

A 16.07.048

01028DS

Orthodontic correction using the Quick bracket system for 1 jaw, light-curing glue

19632

A 16.07.048

01160DS

Orthodontic correction using the H4 bracket system for 1 jaw with locks, light-curing glue

24948

A 16.07.048

01029DS

Orthodontic correction using the TINO bracket system for 1 jaw, light-curing glue

9710

A 16.07.048

01159DS

Orthodontic correction using braces. Installation of an element of the fixed system "TINO" for 1 tooth on a light-curing glue

971

A 16.07.048

01030DS

Orthodontic correction using the TINO bracket system for 1 jaw, chemical curing glue

6992

A 16.07.048

01031DS

Orthodontic correction using braces. Setting 1 lock on the first (second) molar 0.022", light-curing adhesive

1183.00

A 16.07.048

01033DS

Orthodontic correction using braces. Placement of 1 Damon lock per first molar 0.022" SNAP, light-curing adhesive

3931.00

A 16.07.048

01034DS

Orthodontic correction using braces. Setting 1 lock on the second molar "Damon" 0.022" with light-curing glue

2334

A 16.07.048

01035DS

Orthodontic correction using braces. Setting 1 lock on the first molar 0.022 "Quick" light-curing glue

2030

A 16.07.048

01036DS

Orthodontic correction using braces. Installation of vestibular braces of various designs on a plaster model

2145

A 16.07.048

01037DS

Orthodontic correction using braces. Installation of lingual braces of various designs on a plaster model

2145

A 16.07.048

01038DS

Orthodontic correction using braces. Application of EsFlow photopolymer for indirect placement of 1 bracket

671

A 16.07.048

01041DS

Orthodontic correction using braces. Reinforcing 1 bracket with Enlight light-curing adhesive.

804

A 16.07.048

01042DS

Orthodontic correction using braces. Reinforcement of 1 interlock per molar with Enlight light-curing adhesive.

871

A 16.07.048

01043DS

Orthodontic correction using braces. Setting the spring nitinol opening (no more than 1 cm).

330

A 16.07.048

01044DS

Orthodontic correction using braces. Setting the nitinol closing spring.

645

A 16.07.018

01045DS

Orthodontic bonding with metal wire (use of 1 metal short ligature).

43

A 16.07.048

01046DS

Orthodontic correction using braces. Applying an elastic ligature.

41

A 16.07.048

01047DS

Orthodontic correction using braces. The imposition of an elastic chain on the dentition (power module).

272

A 16.07.018

01048DS

Orthodontic bonding with metal wire (use of 1 metal long ligature to bind several teeth of one dentition)

392

A 16.07.048

01049DS

Orthodontic correction using braces. Preparation and setting of the stopper on the arc with a four-walled hook (0.022x0.028).

366

A 16.07.048

01050DS

Orthodontic correction using braces. Preparing a stopper for an arc with a three-walled hook.

149

A 16.07.048

01051DS

Orthodontic correction using braces. Hook setting for Damon bracket.

139

A23.07.001

01052DS

Orthodontic appliance maintenance services. Activation of 1 element of non-removable equipment.

390

A 16.07.048

01053DS

Orthodontic correction using braces. Curvature of the archwire (retainer, 1st, 2nd or 3rd order bending)

487.5

A 16.07.048

01058DS

Orthodontic correction using braces. Setting 1 arc nitanium 0.018x0.018 "

1221.00

A 16.07.048

01068DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.013"

3017.00

A 16.07.048

01069DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.014"

3017.00

A 16.07.048

01072DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.014x0.025"

3161.00

A16.07.028

01164DS

Orthodontic correction. The use of the material "Transbond" for 1 tooth for occlusal overlays

697

A16.07.028

01177DS

Orthodontic correction. The use of the material "Transbond" for 1 tooth for occlusal overlays of increased volume and functional occlusal overlays

960

A16.07.002.011

01187DS

Restoration of a tooth with a filling made of photopolymers (direct contouring of the tooth shape, temporary modeling of tubercles with Bright Light Flow material)

780

A16.07.028

01188DS

Orthodontic correction. Production of orthodontic attachments for teeth and orthodontic appliances from "Filtek flow"

399

A16.07.028

01189DS

Orthodontic correction. Application of "Bright Light Flow" for additional elements within 1 tooth

399

A16.07.028

01190DS

Orthodontic correction. Using the material "Bright Light Flow" for 1 tooth for the manufacture of elements using Mini-Mold

594

A16.07.028

01191DS

Orthodontic correction. Strengthening the retainer for 1 tooth (material "Bright Light Flow").

594

A 15.07.001

01192DS

The imposition of an immobilizing dressing (splinting) for dislocations (subluxations) of the teeth (material "Bright Light Flow"

2352

A16.07.028

01193DS

Orthodontic correction. Placement of a retainer for 6 teeth using the Bright Light Flow material.

2352

A16.07.028

01196DS

Orthodontic correction. The use of the material "Dent Light" for 1 tooth for occlusal overlays

501

A16.07.028

01197DS

Orthodontic correction. The use of the material "Dent Light" for 1 tooth for occlusal overlays of increased volume and functional occlusal overlays

542

A 16.07.048

01194DS

Orthodontic correction using braces. The use of photopolymer "Bright Light Flow" for indirect setting of 1 bracket

522

 

Preparation and setting of orthodontic arches

A 16.07.048

01056DS

 

1145

A 16.07.048

01059DS

Orthodontic correction using braces. Setting 1 arc nitinol 0.012"

997

A 16.07.048

01060DS

Orthodontic correction using braces. Setting 1 arc of nitinol 0.014"

997

A 16.07.048

01057DS

Orthodontic correction using braces. Setting 1 arc of nitinol 0.016"

997

A 16.07.048

01058DS

Orthodontic correction using braces. Setting 1 arc nitanium 0.018x0.018 "

1076

A 16.07.048

01061DS

Orthodontic correction using braces. Setting the arc CuNiTi 0.014

1524

A 16.07.048

01062DS

Orthodontic correction using braces. Setting the arc CuNiTi 0.016

1524

A 16.07.048

01063DS

Orthodontic correction using braces. Arc setting CuNiTi 0.016 x 0.022"

1585

A 16.07.048

01064DS

Orthodontic correction using braces. Arc setting TMA 0.017 x 0.025"

1685

A 16.07.048

01065DS

Orthodontic correction using braces. Arc setting TMA 0.019 x 0.025"

1685

A 16.07.048

01066DS

Orthodontic correction using braces. Arc setting SS 0.016

1019

A 16.07.048

01067DS

Orthodontic correction using braces. Wire setting SS 0.016 x 0.022"

1019

A 16.07.048

01068DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.013"

2315

A 16.07.048

01069DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.014"

2315

A 16.07.048

01070DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.016"

2346

A 16.07.048

01071DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.018"

2346

A 16.07.048

01072DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.014 x 0.025"

2423

A 16.07.048

01073DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.016 x 0.025"

2388

A 16.07.048

01074DS

Orthodontic correction using braces. Arc setting CuNiTi Damon 0.018 x 0.025 "

2423

A 16.07.048

01075DS

Orthodontic correction using braces. Setting the arc TMA Damon 0.017 x 0.025

2569

A 16.07.048

01076DS

Orthodontic correction using braces. Setting the arc TMA Damon 0.019 x 0.025 "

2569

A 16.07.048

01077DS

Orthodontic correction using braces. Arc setting SS Damon 0.016x0.025"

1992

A 16.07.048

01078DS

Orthodontic correction using braces. Setting the arc SS Damon 0.019 x 0.025 "

1992

A 16.07.048

01079DS

Orthodontic correction using braces. Setting the arc of nitinol TITANOL S round

2026

A 16.07.048

01080DS

Orthodontic correction using braces. Installation of the nitinol arc TITANOL S rectangular

2275

A 16.07.048

01081DS

Orthodontic correction using braces. Arc setting with Nitinol Biostarter (0.013")

2219

A 16.07.048

01082DS

Orthodontic correction using braces. Arc setting with Nitinol Biostarter (0.014")

2219

A 16.07.048

01083DS

Orthodontic correction using braces. Arc setting with Nitinol Biostarter (0.016")

2219

A 16.07.048

01084DS

Orthodontic correction using braces. Arc setting with Nitinol Biostarter (0.018")

2219

A 16.07.048

01085DS

Orthodontic correction using braces. Setting the arc Nitinol Biotorque (0.014x0.025")

2471

A 16.07.048

01086DS

Orthodontic correction using braces. Setting the arc Nitinol Biotorque (0.016x0.025")

2471

A 16.07.048

01087DS

Orthodontic correction using braces. Setting the arc Nitinol Biotorque (0.018x0.025")

2471

A 16.07.048

01088DS

Orthodontic correction using braces. Setting the arc of the nitinol Biofinisher (0.017x 0.025")

2081

A 16.07.048

01089DS

Orthodontic correction using braces. Setting the arc of Nitinol Biofinisher (0.021x0.025)

2081

A 16.07.048

01090DS

Orthodontic correction using braces. Setting the arc of the nitinol reversal

1925

A 16.07.048

01170DS

Orthodontic correction using braces. Arc setting H4 Pitts NiTi 0.014

2297

A 16.07.048

01171DS

Orthodontic correction using braces. Arc setting H4 Pitts NiTi 0.018

2297

A 16.07.048

01172DS

Orthodontic correction using braces. Arc setting H4 Pitts NiTi 0.014 x 0.025"

2339

A 16.07.048

01173DS

Orthodontic correction using braces. Arc setting H4 Pitts NiTi 0.018 x 0.025"

2339

A 16.07.048

01174DS

Orthodontic correction using braces. Arc setting H4 Pitts beta-titanium 0.019x0.025

2339

A 16.07.048

01175DS

Orthodontic correction using braces. Arc setting H4 Pitts TMA

2423

 

Orthodontic correction

A 16.07.047

A 23.07.003

01091DS

Orthodontic correction with a removable orthodontic appliance (fitting and application of a removable orthodontic appliance)

487.5

A 16.07.035

A 16.07.023

01092DS

Prosthetics with a partial (full) removable laminar prosthesis (fitting and imposition of a removable laminar prosthesis)

487.5

A 16.07.046

A 23.07.003

01093DS

Orthodontic correction with a non-removable orthodontic appliance (fitting and application of non-removable orthodontic appliances (with Hirex screw, Quadhelix springs)

975

A 23.07.003

01094DS

Fitting and applying the orthodontic appliance after repair

487.5

A 16.07.028

01095DS

Orthodontic correction (correction of the basis with self-hardening plastic)

741

A 23.07.001.001

01096DS

Removable orthodontic appliance correction

487.5

A 16.07.053.002

01097DS

Sawing an orthodontic appliance through a screw

97.5

A 16.07.053.001

01098DS

Placement of an orthodontic ring

390

А16.07.053

01099DS

Placement of an orthodontic crown

390

А16.07.053

01100DS

Orthodontic standard crown placement

1085

A 16.07.025

01101DS

Selective grinding of hard tissues of teeth (separation of one tooth)

253.5

A 23.07.002.064

01102DS

Making a pin stump construction from wax

390

A 16.07.028

01181DS

Orthodontic correction with aligners (1 aligner)

3390

A 16.07.028

01182DS

Orthodontic correction with aligners (1 matrix)

3390

 

Completion of orthodontic treatment

A 16.07.048

01103DS

Orthodontic correction using braces. Removal of braces from one jaw and polishing (12 teeth).

4680

A 16.07.025.001

01104DS

Selective polishing of the tooth with a polishing disc, cup "Enhanace".

156

A 16.07.025.001

01105DS

Selective polishing of the tooth with a Sof-lex strip.

19

A 16.07.025.001

01106DS

Selective tooth polishing with Detatrin paste.

70

A 16.07.025.001

01106DS

Selective polishing of the tooth with Polish paste.

45

A 16.07.025.001

01183DS

Selective tooth polishing with Mira paste.

44

А22.07.002

01108DS

Ultrasonic removal of supragingival and subgingival plaque in the tooth area.

105

A16.07.020

01186DS

Removal of supragingival and subgingival plaque (using "Vector")

265

A16.07.028

01109DS

Orthodontic correction. Placement of a retainer for 6 teeth using the Filtek material.

3248

A 11.076.012

01112DS

Deep fluoridation of tooth enamel. Local application of the fluorine-containing preparation "Fluocal" on 1 jaw.

361

A 15.03.011

01114DS

Removing a splint from one jaw

1560

A 16.07.053.001

01115DS

Removal of a crown, orthodontic ring, bracket, retainer from one tooth

390

A16.07.002.011

01165DS

Restoration of a tooth with a filling made of photopolymers (direct contouring of the tooth shape, temporary modeling of tubercles with the material "Filtek flow")

972

A16.07.028

01167DS

Orthodontic correction. Production of orthodontic attachments for teeth and orthodontic appliances from "Filtek flow"

528

A16.07.028

01168DS

Orthodontic correction. Application of "Filtek flow" for additional elements within 1 tooth

528

A16.07.028

01157DS

Orthodontic correction. The use of the material "Filtek flow" for 1 tooth for the manufacture of elements using Mini-Mold

723

A16.07.028

01111DS

Orthodontic correction. Strengthening the retainer for 1 tooth, "Filtek flow".

723

A 15.07.001

01113DS

Application of an immobilizing dressing (splinting) for dislocations (subluxations) of teeth (using the Respond arc and the Filtec flow material)

3248

 

Orthodontic correction using mini-implants.

A 06.30.002

01116DS

Description and interpretation of radiographic images. Clinical and radiological assessment of the area of ​​proposed implantation (width of the attached gingiva, thickness of the mucous membrane)

1462.5

A 16.07.028

01117DS

Orthodontic correction. Fixation of orthodontic elements to the mini-implant.

487.5

В01.063.002

01118DS

Reception (examination, consultation) of an orthodontist repeated (after installation of a mini-implant).

487.5

A 16.07.028

01119DS

Orthodontic correction. Removal of orthodontic elements fixed to the mini-implant.

487.5

 

THE CODE

Type of dental work

Cost, rub.)

A 23.07.002.027

01120DS

Production of a control, working model of 1 jaw from plaster

369.6

A 23.07.002.027

01121DS

Making a control, working model of 1 jaw from supergypsum

462

A 23.07.002.044

01122DS

Making a wax roller

369.6

A 23.07.001

01123DS

Orthodontic appliance maintenance services. Model engraving.

369.6

A 23.07.001

01124DS

Orthodontic appliance maintenance services. Gypsum plastering of models in an occluder, cuvette.

369.6

A 23.07.002.042

01125DS

Production of one element for a removable plate (clasp, spring, hook, artificial tooth, lever, installation of an orthodontic screw).

369.6

A 23.07.002

01179DS

Services for the manufacture of orthopedic (orthodontic) dental structures. Using Imported Orthodontic Screw

191

A 23.07.002.073

01126DS

Making a vestibular or lingual arch.

462

A 23.07.002.057

01127DS

Making a pad on a metal frame (labial bumper, vestibular or lingual pads, shields).

462

A 23.07.002.042

01128DS

Production of one element for a removable plate (inclined plane, occlusal lining, bite pad).

554.4

А23.07.001.001

01129DS

Repair or modification of the design of the orthodontic appliance (without bending the element).

369.6

A 23.07.001

01130DS

Orthodontic appliance maintenance services. Carrying out Set-up 1 tooth on the model.

231

A 23.07.002.036

01131DS

Tooth welding (soldering parts).

231

A 23.07.002.055

01132DS

Making an orthodontic crown.

924

А23.07.002.051

01133DS

Making an orthodontic ring.

924

A 23.07.002.030

01134DS

Making a plastic crown.

1016.4

A 23.07.002.032

01135DS

Production of a crown combined.

1848

A 23.07.002.002

01136DS

Production of a foot of a cast tooth (in a bridge prosthesis).

231

A 23.07.002.063

A 23.07.002.073

01137DS

Production of a removable plastic plate (retention plate after removal of the bracket system with a vestibular arch).

3234

A 23.07.002.063

01139DS

Making a removable plastic plate without elements.

1617

A 23.07.002.063

01140DS

Making a removable plastic plate (Andresen-Goipl activator).

4897.2

A 23.07.002. 061

01141DS

Production of a positioner (twin-block apparatus).

7114.8

A 23.07.002

01142DS

Services for the manufacture of orthopedic (orthodontic) dental structures (fixed Quadhelix apparatus (excluding the cost of the spring).

5266.8

A 23.07.002

01143DS

Services for the manufacture of orthopedic (orthodontic) dental structures (fixed apparatus with Hirex type screw) (excluding the cost of the screw).

6098.4

A 23.07.002

01144DS

Services for the manufacture of an orthopedic dental structure (manufacturing of a nasal liner).

1189.2

A 23.07.002.061

01145DS

positioner manufacturing. Making a retention mouthguard on the device with a pressure molding machine.

1514.85

A 23.07.002. 061

01146DS

positioner manufacturing. Production of an occlusal splint for the treatment of TMJ disease (splint).

4675.06

A 23.07.002. 061

01147DS

Manufacturing of a positioner

4460.65

A 23.07.002. 061

01148DS

positioner manufacturing. Making a mouthguard according to the Set-up model with a Set-up in the area of ​​up to 3 teeth.

2382.85

A 23.07.002.010

01149DS

Production of a clasp bent from steel wire (button clasp).

277.2

A 23.07.002.002

A 23.07.002.013

01150DS

Production of a cast metal tooth in a fixed structure - casting of 1 tooth, facets

241

A 23.007.008

01151DS

Production of a cast pin tooth (casting of a stump tab)

241

 

Materials used in an orthodontic appointment

A 23.07.002

01152DS

Services for the manufacture of orthopedic (orthodontic) dental structures. Using Imported Orthodontic Screw

191

A 23.07.002

01153DS

Services for the manufacture of orthopedic (orthodontic) dental structures. The use of colored plastic for the manufacture of the basis of a removable plate orthodontic appliance

566

A 23.07.002

01154DS

Services for the manufacture of orthopedic (orthodontic) dental structures. The use of colored plastic for repairing the base of a removable plate orthodontic appliance

141

A 02.07.010.001

01176DS

Taking an impression from one jaw with the material "Hydrocolor 5"

548

A 23.07.002

01184DS

Isolation of the working field using "Rubberdam OptraGate"

183

A 23.07.001

01195DS

Orthodontic appliance maintenance services. Plastering models in the articulator.

1848

         

 

 

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