Treatment of dental caries

Treatment of dental caries: Modern, Painless and Professional.

Tooth decay is the most common dental disease that can cause not only aesthetic problems but also pain and serious complications. At our Smile Centrum Praha dental practice, we offer painless cavity treatment using state-of-the-art technology, gentle methods, and high-quality fillings. Our professional dentistry focuses on preserving natural teeth, maintaining oral function, and the beauty of your smile.

Treatment of dental caries

How does cavity treatment proceed?

Initial examination and diagnosis using modern technology (including digital X-ray).
Initial examination and diagnosis using modern technology (including digital X-ray).
Anesthesia – application of local anesthetic for painless treatment.
Anesthesia – application of local anesthetic for painless treatment.
Drilling and removal of damaged tissue.
Drilling and removal of damaged tissue.

Disinfection of the tooth cavity.

Disinfection of the tooth cavity.

Application of suitable filling material (filling) to restore strength, shape and aesthetics of the tooth.
Application of suitable filling material (filling) to restore strength, shape and aesthetics of the tooth.

Our work – before and after

How to recognize tooth decay, and what is the prevention and treatment?

Early cavities often manifest as increased sensitivity to sweets, cold or hot, or possibly pain when chewing. Deep cavities can already cause significant toothache and affect the dental pulp, which requires professional treatment and endodontics (root canal treatment).

Tooth decay most commonly occurs on posterior teeth (molars), where access for cleaning is more difficult. Therefore, regular dental hygiene, proper brushing technique, using high-quality fluoride toothpaste, and regular preventive check-ups with a dentist are important.

Deep Cavity Treatment – Root Canal Treatment

If the cavity reaches the dental pulp, endodontic treatment is necessary. Root canal treatment consists of removing the damaged pulp, disinfecting the canals and filling them with a special material. After this treatment, we recommend a crown to ensure long-term tooth preservation.

Our Benefits

Guarantee

Guarantee

A guarantee of quality and pain-free treatment

Top-tier equipment

Top-tier equipment

Advanced equipment for superior care

Comprehensive Care

Comprehensive Care

Comprehensive care for our patients

Opening Hours

Opening Hours

Extended opening hours including Saturdays

Contracts

Contracts

Contracts with health insurance providers

Dental laboratory

Dental laboratory

Our own modern dental laboratory

Location

Location

Excellent transport accessibility

Reception Services

Reception Services

A pleasant and calm environment

Languages

Languages

We speak more than five languages

Availability

Availability

We have short waiting times for appointments

Our team

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Alona Nehrya

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Ukrainian

Russian

Endodontics

Prophylaxis

Prosthetics

Initial examination

Details

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Vitalii Lysenko

Dentist

Not accepting clients

Smile Centrum Letňany

Smile Centrum Horní Počernice

Smile Centrum Mini – Prosek

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Initial examination

Details

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Tatiana Belkovskaia

Dentist

Accepting clients

Smile Centrum Šumperka

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Extraction

Details

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Laura Kováčiková

Dentist

Accepting clients

Smile Centrum Vysočany

Czech

English

Slovak

Prophylaxis

Details

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Dmytro Zakharovskyi

Dentist

Accepting clients

Smile Centrum Vinohrady

Smile Centrum Mariánské Lázně

Czech

Ukrainian

Russian

Prophylaxis

Implantation

Prosthetics

Details

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Taras Zakharovskyi

Dentist

Accepting clients

Smile Centrum Vinohrady

Smile Centrum Mariánské Lázně

Czech

Ukrainian

Russian

Prophylaxis

Details

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Volodymyr Kovalchyn

Senior dentist

Accepting clients

Smile Centrum Vinohrady

Czech

English

Ukrainian

Russian

Endodontics

Prophylaxis

Details

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Serhii Marikutsa

Senior dentist

Accepting clients

Smile Centrum Holešovice

Czech

Ukrainian

Russian

Endodontics

Ceramic veneers

Tooth decay treatment

Prophylaxis

Dental surgery

Implantation

Prosthetics

Initial examination

Details

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Oleksandr Shevchenko

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

Ukrainian

Russian

Prophylaxis

Prosthetics

Details

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Tatiana Pribulová

Dentist

Accepting clients

Smile Centrum Eliška

Czech

English

Slovak

Prophylaxis

Pediatric dentistry

Details

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Sergii Klanovets

Senior dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

English

Ukrainian

Russian

Prophylaxis

Initial examination

Details

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Olha Matyash

Senior dentist

Accepting clients

Smile Centrum Vysočany

Czech

English

Ukrainian

Russian

Prophylaxis

Prosthetics

Details

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Martin Michálek

Dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

Prophylaxis

Prosthetics

Initial examination

Details

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Marianna Palok

Dentist

Accepting clients

Smile Centrum Horní Počernice

Czech

Ukrainian

Russian

Prophylaxis

Prosthetics

Initial examination

Details

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FatemehParandis Shahbaz

Dentist

Accepting clients

Smile Centrum Vinohrady

Czech

English

Persian

Prophylaxis

Details

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Soroosh Mirshafiei

Dentist

Accepting clients

Smile Centrum Šumperka

Czech

English

Arabic

Endodontics

Prophylaxis

Prosthetics

Details

Dynamic Content Image

Anna Lysenko

Dentist

Accepting clients

Smile Centrum Letňany

Smile Centrum Mini – Prosek

Czech

Ukrainian

Russian

Endodontics

Prophylaxis

Prosthetics

Initial examination

Details

Filling Materials: Which are the best?

Our dentists always choose the material according to the type of cavity, its extent and location, so that the result is both functional and aesthetic.
Composite fillings (white fillings) – the most common choice due to their aesthetic appearance and high strength.
Composite fillings (white fillings) – the most common choice due to their aesthetic appearance and high strength.
Glass ionomer filling – suitable for children or as a base under composite fillings.
Glass ionomer filling – suitable for children or as a base under composite fillings.
Amalgam or gold fillings – options for occlusal (posterior) teeth.
Amalgam or gold fillings – options for occlusal (posterior) teeth.

Tooth Decay Prevention and Oral Hygiene Care

Regular dental hygiene and proper tooth brushing at least twice daily.
Regular dental hygiene and proper tooth brushing at least twice daily.
Use of fluoride toothpaste.
Use of fluoride toothpaste.
Limiting the consumption of sugar and sugary drinks.
Limiting the consumption of sugar and sugary drinks.
Regular preventive check-ups with a dentist and visits to a dental hygienist.
Regular preventive check-ups with a dentist and visits to a dental hygienist.
Comfortable, painless treatment and expert care in a specialized dental practice.
Comfortable, painless treatment and expert care in a specialized dental practice.
Do not underestimate the first signs of pain or sensitivity.
Do not underestimate the first signs of pain or sensitivity.
Avoid smoking and overeating.
Avoid smoking and overeating.

Prices for initial examination

Administrative fees

Administrative Fee / Medical Record Extract

550 Kč

Missed or Uncanceled Appointment (per 30 minutes)

950 Kč

Initial Examination including Panoramic X-ray

Covered by Health Insurance

Preventive Check-up 2x per year

Covered by Health Insurance

Initial Examination for Uninsured Patients / No Health Insurance Claim

1950 Kč

Emergency Fee for Uninsured Patients / No Health Insurance Claim

950 Kč

 

X-ray – Examination

Evaluation of OPG and X-ray

Covered by Health Insurance

Intraoral X-ray (for self-payers) - Taking + Evaluation

250 Kč

OPG X-ray (for self-payers) - Taking + Evaluation

890 Kč

CBCT Quadrant Scan

1190 Kč

CBCT One Jaw Scan

1490 Kč

CBCT Scan

1790 Kč

 

(*) price including 21% VAT

Indications and Contraindications for Cavity Treatment

Cavity removal and replacement with fillings is the most common dental procedure aimed at restoring tooth function and aesthetics. Here you will find an overview of situations when this procedure is appropriate, and when it is necessary to consider another approach or postpone treatment temporarily.

Indications (When is the treatment suitable?)

1. Diagnosed tooth decay

Whether the cavity is visible to the naked eye or revealed by an X-ray (interdental cavities).

1. Diagnosed tooth decay

Whether the cavity is visible to the naked eye or revealed by an X-ray (interdental cavities).

2. Sensitivity to cold/hot/sweet stimuli

Painful reactions of the tooth signaling that the cavity is already close to the pulp or that the dentin is exposed.

2. Sensitivity to cold/hot/sweet stimuli

Painful reactions of the tooth signaling that the cavity is already close to the pulp or that the dentin is exposed.

3. Tooth pain

Mild to moderate pain indicating advanced decay or inflammation.

3. Tooth pain

Mild to moderate pain indicating advanced decay or inflammation.

4. Damaged or leaky fillings

If there is secondary decay under an old filling, or the filling is cracked or fallen out and does not fulfill its function.

4. Damaged or leaky fillings

If there is secondary decay under an old filling, or the filling is cracked or fallen out and does not fulfill its function.

5. Aesthetic requirements

Repairing small cavities that spoil the overall impression of a smile, or replacing old amalgam fillings with aesthetic white ones.

5. Aesthetic requirements

Repairing small cavities that spoil the overall impression of a smile, or replacing old amalgam fillings with aesthetic white ones.

6. Prevention of cavity spread

Early removal of the cavity will prevent its spread to adjacent teeth and deeper penetration into the tooth.

6. Prevention of cavity spread

Early removal of the cavity will prevent its spread to adjacent teeth and deeper penetration into the tooth.

7. Broken or chipped tooth

If the tooth is broken or chipped and the damage is not too extensive, it can be repaired with a filling.

7. Broken or chipped tooth

If the tooth is broken or chipped and the damage is not too extensive, it can be repaired with a filling.

Contraindications (When caution is needed?)

1. Extensive tooth destruction

If the tooth is so destroyed by decay or fracture that it cannot be reliably restored with a filling alone and requires a crown, extraction, or other prosthetic replacement.

1. Extensive tooth destruction

If the tooth is so destroyed by decay or fracture that it cannot be reliably restored with a filling alone and requires a crown, extraction, or other prosthetic replacement.

2. Irreversible inflammation of the pulp (pulpitis) or necrosis

If the cavity has already penetrated the pulp and caused irreversible damage, root canal treatment (endodontics) is necessary, not just a filling.

2. Irreversible inflammation of the pulp (pulpitis) or necrosis

If the cavity has already penetrated the pulp and caused irreversible damage, root canal treatment (endodontics) is necessary, not just a filling.

3. Acute uncontrolled abscess or swelling

Severe acute inflammation in the mouth accompanied by swelling or purulent discharge requires immediate treatment and stabilization of the condition first.

3. Acute uncontrolled abscess or swelling

Severe acute inflammation in the mouth accompanied by swelling or purulent discharge requires immediate treatment and stabilization of the condition first.

4. Acute systemic infectious disease

Feverish conditions, flu, severe cold or other acute infections should lead to postponing the procedure.

4. Acute systemic infectious disease

Feverish conditions, flu, severe cold or other acute infections should lead to postponing the procedure.

5. Uncontrolled systemic diseases

Very unstable diabetes, uncontrolled high blood pressure, recent myocardial infarction - requires consultation with the attending physician and possible premedication.

5. Uncontrolled systemic diseases

Very unstable diabetes, uncontrolled high blood pressure, recent myocardial infarction - requires consultation with the attending physician and possible premedication.

6. Allergies to materials used or anesthetics

Known allergy to components of composite resins, local anesthetics, or other materials.

6. Allergies to materials used or anesthetics

Known allergy to components of composite resins, local anesthetics, or other materials.

7. Severe dental phobia/anxiety

In case of extreme anxiety, a special approach (e.g., analgesia) may be necessary, which should be arranged in advance.

7. Severe dental phobia/anxiety

In case of extreme anxiety, a special approach (e.g., analgesia) may be necessary, which should be arranged in advance.

Important note: This list is general and indicative. Each case is unique and requires careful assessment by a dentist. It is always crucial to inform your dentist of your complete medical history and current health condition so that he/she can choose the safest and most effective treatment plan.

Patient Experiences

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Patient feedback after a full-mouth restoration on implants.

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Feedback from a female patient after a full-mouth restoration on implants.

Patient feedback after a full-mouth restoration on implants.

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Treatment of dental caries FAQ

On this page, you’ll find answers to the most frequently asked questions from our patients. If you don’t see what you’re looking for, feel free to reach out — our team is always happy to help.

Tooth decay can manifest as sensitivity to sweets, cold or hot stimuli, toothache, or a visible dark spot. Early cavities are often not visible with the naked eye, which is why preventive check-ups and digital diagnostics at the dental practice are important.

If the cavity reaches the pulp of the tooth, endodontics – root canal treatment – is necessary to save the tooth. This procedure is performed by a dentist as part of specialized care.

Smile Centrum Ratings

92% of our patients recommend us, leaving reviews on independent portals and social networks. We cannot influence these reviews, which is why they are so valuable to us.

4,9

4,9

5,0

5,0