Dear Sir/Madam! I would like to ask for your advice. My upper teeth are already in very poor condition. The upper left wisdom tooth is almost completely black, I no longer have the second and first molars, the second and first premolars have fillings, only half of the canine remains and there is caries, I no longer have the lateral incisor, both central incisors and the right lateral incisor have ten-year-old crowns that are already in very poor condition, there is gangrene in the canine, caries in the first premolar, I no longer have the second premolar and first molar, while the second molar and wisdom tooth have fillings. Because all the teeth are in very poor condition, I am considering an upper complete denture, although I am only 40 years old. Would it be possible at your practice to have the teeth extracted gradually and a complete denture made through health insurance, and what would the waiting time be? Do you also extract wisdom teeth? I am also interested in whether, for an additional payment, it is possible to get so-called 'temporary' teeth before the final denture is made. Thank you for your answer and kind regards.

Dear Madam!Tooth extraction and fabrication of a complete denture are covered by the insurance. These procedures certainly include extraction of a wisdom tooth as well, provided that we are able to perform it. A temporary denture is of course part of the treatment mentioned, but unfortunately you must cover the cost of making it yourself. The waiting time is currently short (1 month).Before deciding on this procedure, however, I definitely recommend obtaining another professional opinion regarding the type of prosthodontic treatment. In your place, I would put all my energy and will into a less radical approach, namely making at least a partial removable denture, if not fixed prosthodontics.Thank you and have a nice day.

Hello! First of all, compliments for your effort and all the useful information. Now to my problems: what is the approximate price at your practice for making a dental bridge, and what does the price depend on? Because the condition of my teeth had already become quite critical, I decided to visit a private dentist in Ljubljana (since you simply get nowhere with the 'official' system, and my former dentist also retired). After the procedure, i.e. extraction of the bad teeth and the fabrication of two upper bridges (one on the left and one on the right), I was charged almost EUR 3,000! They were supposedly made of metal-ceramic material, not all-ceramic. So I feel that the price for this service was perhaps somewhat too high? Before the procedure I was assured that the price would be considerably lower; otherwise I would not have chosen the treatment at all. Is there anything like a standard tariff for such services, or is it simply left to the 'free market'? Everything I have read about this topic on the internet so far points mainly to the latter... and now I fully understand the poor opinion that most people have of our dentistry! I am also interested in the following: the invoice I received contains no specification of items, neither for material nor for work, only the amount. I only have the dentist's verbal assurance that the work should last at least 5 years. Your comment? Any opinion or explanation from you would be a great help to me. Thank you in advance for your answer! Kind regards, J.

Dear Sir!For larger prosthodontic work, the patient should receive a quotation which, in my opinion, can be written without deviations from the actual invoice issued after completion of the treatment. The quotation and the invoice should also match in the specification of services (amalgam filling, porcelain crown, Bredent anchor, implant, crown on implant, denture with cast base ...). The names of the services should be identical on the price list and on the quotation. Ask the dentist for the items listed above and the process becomes very simple and clear. Guarantee periods are determined by the insurance company and are of course observed if you were treated by a concession provider. For self-paying services, these periods can of course be determined individually (different treatment conditions), but they need to be defined before treatment begins so that patient and therapist agree on everything. Prices of self-paying services are set freely and are market-driven, as is the case in all European countries. I believe that everything listed above is generally practised everywhere; however, the discussion about waiting times among concession providers remains quite open. In this respect, I believe the system is outdated and needs complete reform. In our practice we have around 3,000 registered patients, so it is completely clear that the working methods differ from those of a practice with one thousand registered patients... I can say that we make every effort to work efficiently and transparently, although at times that is almost an illusion. In Slovenia, a dark shadow has recently fallen over the organisation of the entire healthcare system, in my view justifiably, but not all the blame lies with us, the providers. Dentists have been pointing out the system's faults for years, yet so far nothing at all has changed.Have a nice day!

Dear Sir/Madam! For the last two years, the dental clinic has been performing root canal treatment on my lower first and second molars, because the previous treatment of these two teeth had been left unfinished (apparently an unprofessional procedure in a private practice). Before the procedures these two teeth did not actually hurt, but the doctor advised treatment as a preventive measure. Cleaning and filling the root canals of these teeth took more than two years. When the doctor finally completed and filled the last tooth as well (the first molar), it hurt considerably when I bit into harder food, and my gum also became inflamed. After another examination and X-ray, he found that the tissue was apparently rejecting the material of the white filling, so on one side he removed it and filled the area with another material. The inflammation subsided, and I now feel pain only when chewing hard food. Later the doctor told me that I have caries very deep down (on the root of the tooth), and because it is so deep, a surgical procedure would supposedly be necessary — removal of part of the gum and then the caries. In addition, because very little of the tooth remains (I previously already had quite a large filling there, and the new one is even larger), the tooth would have to be cut into two parts, each part ground into a point, and then after two months (as he said) the work would be handed over to a prosthodontist. I would like to know how it is possible that the doctor did not notice the caries before or during the treatment itself (which lasted two years)? Is such a procedure really necessary and what is it called, how long does the entire process take, and will the tooth hurt during the interim period (two months)? Do you think I should seek a second opinion? How much does such a procedure cost at your clinic? Thank you very much in advance for a prompt answer and advice!

Dear Sir/Madam!The requested procedure is called premolarization. During the procedure, a two-rooted tooth is converted into a narrower tooth with only one root. The procedure is performed in cases of unsuccessful root canal treatment of one of the roots or when the bone in the area of the root furcation is affected. Of course, after premolarization is completed, the tooth must be restored with an artificial dental crown. The procedures are painless, but I should emphasise that in many cases premolarization does not succeed as we would wish, so I would need to examine your X-ray before making a decision. The procedure costs 60 Eur + crown 210 Eur.We look forward to your visit.

Dentist - Your questions

Visitor asks:

Dear Sir/Madam! I would like to ask for your advice. My upper teeth are already in very poor condition. The upper left wisdom tooth is almost completely black, I no longer have the second and first molars, the second and first premolars have fillings, only half of the canine remains and there is caries, I no longer hav

Dentist Tomaž Rotar answers:

Dear Madam! Tooth extraction and fabrication of a complete denture are covered by the insurance. These procedures certainly include extraction of a wisdom tooth as well, provided that we are able to perform it. A temporary denture is of course part of the treatment mentioned, but

Visitor asks:

Hello! First of all, compliments for your effort and all the useful information. Now to my problems: what is the approximate price at your practice for making a dental bridge, and what does the price depend on? Because the condition of my teeth had already become quite critical, I decided to visit a private dentist in

Dentist Tomaž Rotar answers:

Dear Sir! For larger prosthodontic work, the patient should receive a quotation which, in my opinion, can be written without deviations from the actual invoice issued after completion of the treatment. The quotation and the invoice should also match in the specification of servic

Visitor asks:

Dear Sir/Madam! For the last two years, the dental clinic has been performing root canal treatment on my lower first and second molars, because the previous treatment of these two teeth had been left unfinished (apparently an unprofessional procedure in a private practice). Before the procedures these two teeth did not

Dentist Tomaž Rotar answers:

Dear Sir/Madam! The requested procedure is called premolarization. During the procedure, a two-rooted tooth is converted into a narrower tooth with only one root. The procedure is performed in cases of unsuccessful root canal treatment of one of the roots or when the bone in the

Visitor asks:

Hello! About two years ago my dentist treated my lower right first molar. Since it could not be healed, she removed the nerve and left the tooth open, and I was put on a waiting list for extraction. In the meantime a piece of the tooth broke off and now I need a surgeon to extract it. Because pus is collecting under th

Dentist Tomaž Rotar answers:

Dear Sir/Madam! We look forward to your visit. Please book an appointment by calling 04/300660 or 040 294488.

Visitor asks:

Hello, who should I contact for a child who is not yet two years old and whose tooth enamel appears to be flaking off?

Dentist Tomaž Rotar answers:

Dear Sir/Madam! You can contact any dentist, who will refer you to a paediatric dentist (a specialist in children's dentistry) if necessary. We look forward to your visit.

Visitor asks:

My son was injured in a motorcycle accident and broke a tooth. The dentist suggested an implant. I would like to know whether this really has to be paid for, since he is still a minor and a secondary-school student.

Dentist Tomaž Rotar answers:

Dear Sir/Madam! According to our information, at present implant treatment is not paid for by any insurance company, regardless of the cause that created the need for it. I would be very pleased if you managed to arrange otherwise. We look forward to your visit.

Visitor asks:

Dear Sir/Madam! I would like to know about complete hygiene of my denture, because I have an implant, and whether I should sleep without the denture or whether it is better simply to clean the denture and the implant. Thank you and kind regards!

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Oral hygiene is very important with implant-supported treatment. Poor hygiene is precisely what contributes to the development of peri-implant mucositis and peri-implantitis, which are the main causes of implant loss. A denture supported by implants must be clean;

Visitor asks:

Hello, I would like to ask the following. A tooth in my upper left jaw has chipped — the third one from the back — and on top of that it is black. I would like to know what the treatment procedure would be, because I do not like going to the dentist, although I realize that sooner or later I will have to get everything

Dentist Tomaž Rotar answers:

Dear Sir! I assume that the tooth is non-vital, meaning that it has already received endodontic treatment, or root canal treatment. One consequence of such treatment is a change in the strength properties of enamel and dentin. Teeth become more prone to fracture or brittle. The t

Visitor asks:

Hello, I would like to know how much a conventional complete upper denture and a partial lower denture would cost. I currently have an upper bridge that is already coming loose. What is the waiting time even though I am not your patient? Do you also work under the public health insurance concession? Which number can I

Dentist Tomaž Rotar answers:

Dear Sir/Madam! A complete denture costs EUR 500. It has a 5-year guarantee and is made within fourteen days. There is no waiting time for self-paying patients. Partial dentures come in very different designs, so I would prefer to discuss prices after a clinical examination and r

Visitor asks:

Kind regards. I am 24 years old and have had problems with my teeth for eight years. Because of problems with dentists, I have not had an examination for several years and the current condition in my mouth is catastrophic. During this time, five teeth on the lower jaw have completely broken away, and one on the upper j

Dentist Tomaž Rotar answers:

Dear Sir/Madam! Please come to our practice as soon as possible. Make an appointment by calling 04/5300660 or 04029488. We look forward to your visit!

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