
Non-surgical treatment
Treatment through root canals only: mechanical and medicamental treatment, temporary medicinal filling, then obturation. Considered when the canals are patent and the tooth crown is preserved.
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Periodontitis is inflammation of the tissues around the tooth root caused by infection from the root canal. Treatment includes mechanical and chemical cleaning of the canals, often using a microscope or laser. Modern methods are available in Almaty, and the choice depends on the clinical picture. The cost is determined individually after diagnosis.
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Microscope-assisted periodontitis treatment
The cost of periodontitis treatment in Almaty depends on the complexity of the case and the chosen method. Check prices for periodontitis treatment in Almaty during a consultation, as each case is individual.
This classification helps to understand how the approaches differ from one another and what determines the choice.

Treatment through root canals only: mechanical and medicamental treatment, temporary medicinal filling, then obturation. Considered when the canals are patent and the tooth crown is preserved.

Tooth-preserving surgery: the canals are obturated, and the root apex with the lesion is removed through the gum. Considered in cases of curved or non-patent canals and a lesion that persists after root canal treatment.

The tooth is removed together with the inflammation site. Considered when the tooth cannot be preserved: the root is destroyed or cracked, and repeat root canal treatment and apicoectomy do not yield results.
The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.
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Periodontitis is inflammation of the tissues around the tooth root. It is often a consequence of untreated pulpitis. Understanding the difference between these conditions helps you see a doctor in time.
Periodontitis is inflammation of the periodontal ligament, the complex of tissues that hold the tooth in its socket. These include the ligaments, root cementum, and bone tissue. The process begins when infection from the tooth canal penetrates through the root apex into the surrounding tissues. The main cause is deep caries that progresses to pulpitis and then to periodontitis. Inflammation can also be triggered by tooth trauma, errors during root canal treatment, or poor-quality filling. In dentistry, periodontitis treatment is aimed at eliminating the infection and preserving the tooth. Without intervention, inflammation can lead to cyst formation or tooth loss. Early diagnosis and timely therapy help avoid complications. The doctor selects the treatment method individually, taking into account the stage of inflammation and the anatomical features of the tooth.
| Criterion | Pulpitis | Periodontitis |
|---|---|---|
| Location | Inside the tooth, in the pulp | Outside, around the root |
| Pain | Sharp, paroxysmal | Aching, constant |
| Reaction to cold | Intensifies | Unchanged |
| Reaction to heat | Intensifies | Intensifies |
| Percussion | Painless | Painful |
| Tooth discoloration | Possible later | Often immediately |
| Treatment | Pulp removal | Root canal and periodontal treatment |
The microscope has changed the approach to root canal treatment. It gives the doctor magnification and illumination unavailable to the naked eye. This affects the precision and predictability of the result.
A dental microscope provides magnification of up to 25 times. At this magnification, the dentist can see the canal orifices that remain invisible without optics. Dentinal cracks, perforations, and instrument fragments are clearly distinguishable. The lighting and optics allow work in the most hard-to-reach areas of the root. This is especially important in the treatment of periodontitis, when the source of infection is deep in the bone. The microscope does not replace the dentist's skill, but it becomes a precise tool. Monitoring each stage reduces the risk of errors and retreatment. Using a microscope requires special training and skills, so it is important that the dentist has experience working with it. Proper setup and sterilization of the equipment also affect the quality of the procedure.
Laser treatment of periodontitis is a method that complements the classic treatment regimen. It helps clean infected canals and stimulate tissue regeneration. Laser application is not possible in all cases; the decision is made by the dentist after diagnosis.
Laser radiation is directed into the root canal after standard mechanical preparation. The light flow destroys bacteria in hard-to-reach areas where instruments cannot penetrate. At the same time, the laser seals small dentinal tubules, reducing the risk of reinfection. The thermal effect stimulates blood circulation in the periapical tissues, which accelerates healing. The procedure takes several minutes and usually does not require additional anesthesia if the canal has already been treated. It is important to understand: the laser does not replace mechanical cleaning and obturation, but serves as a complement to them. The choice of wavelength and power depends on the clinical picture and is decided by the dentist. The effectiveness of the method is confirmed by clinical observations, but the outcome of treatment is determined by many factors: the condition of the tooth, the form of inflammation, and the quality of previous therapy. Laser exposure is performed using special tips, which are selected individually and undergo sterilization.
Treatment of periodontitis requires accurate diagnosis and careful work. The choice of dental clinic determines how comfortable the process will be and what the result will be. What should you look at first?
| Equipment | What it provides | When it is used |
|---|---|---|
| Microscope | Magnification up to 25x | Canal location, cleaning |
| CT scanner | 3D image of the jaw | Complex canal anatomy |
| Laser | Antiseptic treatment | Additional sterilization |
| Autoclave | Instrument sterilization | Every appointment |
Before starting therapy, it is necessary to undergo an examination and prepare the oral cavity. This determines how the manipulations will proceed and how comfortably you will tolerate the procedures. Preparation includes several stages, which we will describe below.
A few days before the procedure, it is advisable to have professional oral hygiene performed. Tartar is removed, plaque is eliminated, and the enamel is polished. This reduces the number of bacteria and lowers the risk of complications. If there is gum inflammation, the dentist may prescribe antiseptic rinses or anti-inflammatory gels. Immediately before treatment, you should not eat for two hours if anesthesia or surgical intervention is planned. Also avoid alcohol and smoking for 24 hours to improve healing and reduce discomfort.
Serous periodontitis is the initial stage of inflammation of the tissues around the tooth root. It is important to recognize it in time to prevent it from progressing to the purulent form.
Serous periodontitis develops when infection from the tooth canal penetrates into the periodontium — the ligamentous apparatus that holds the tooth in its socket. Inflammation at this stage is reversible, but without treatment it progresses to a purulent form. The patient feels a constant aching pain that intensifies when biting down. The tooth feels raised and foreign. The gum may be slightly swollen, but there is no pronounced redness or facial swelling yet. The general condition is usually unaffected, and body temperature remains normal. A characteristic sign is that the pain worsens with heat, while cold brings temporary relief. On an X-ray, there may be no changes in the bone tissue, which distinguishes serous periodontitis from later forms. The diagnosis is made based on the patient's complaints, examination findings, and electric pulp testing.
Before starting treatment, it is helpful to clarify the details. These questions will help you understand what will happen at each stage. Below is a list of topics worth discussing during the consultation.
Ask what examinations are needed in your specific case. Usually this includes a clinical examination, X-ray, or cone-beam computed tomography to assess the condition of the root canals and surrounding tissues. Find out which equipment is used and what magnification the microscope provides. Then discuss the plan: how many stages, what materials, and how long each visit will take. The doctor should explain why they choose a particular technique and what alternatives exist. If the plan includes several visits, clarify what will be done at each appointment. This will help avoid uncertainty and unrealistic expectations. It is also worth asking what measures are taken to reduce discomfort and how recovery proceeds after each stage.
Periodontitis is inflammation of the tissues around the tooth root that does not resolve on its own and, without treatment, leads to tooth loss. Modern endodontics makes it possible to treat it conservatively: a microscope provides the doctor with magnification and illumination, a laser helps treat the root canals, and high-quality diagnostics with a CT scanner clarifies the picture before the intervention begins. The outcome depends on many factors: the stage of inflammation, root anatomy, tissue condition, and how precisely all stages are performed. The doctor decides which method and instrument to use in a specific case. That is why systematic work matters more than promises: examination, imaging, a treatment plan, and careful execution. The patient should understand that even with thorough treatment, recurrences are possible, so regular dental follow-up is necessary.
Treatment of periodontitis is a sequence of steps, not a single procedure. First diagnostics, then mechanical and medicinal treatment of the canals, then filling. The microscope and laser are the doctor's aids, but not a guarantee of results. The choice of clinic should be based on equipment, the experience of specialists, and transparency of information. In Almaty, there are dental clinics that use a microscope with 25× magnification and a cone-beam CT scanner. In some places, the initial examination and treatment plan are provided free of charge. Clarify the details during the consultation: the doctor will explain the prognosis, timelines, and possible difficulties. The decision is always yours, but it is better to rely on facts rather than advertising promises. It is important to remember that every clinical case is unique, and universal guarantees do not exist.
In Almaty, periodontitis treatment can be done at our clinic, where a microscope and modern methods are used. We are located at 133/6 Kanysha Satpaeva St., JAZZ Residential Complex. You can schedule an appointment by calling +7 747 093 89 86; we are open daily from 9:00 to 20:00. During the initial examination, the doctor will perform diagnostics and draw up a treatment plan, and will also clarify the cost.
Periodontitis treatment is usually painless because local anesthesia is used. In the first stage, the doctor removes the inflamed pulp and performs mechanical treatment of the root canals, which may cause discomfort if the inflammation is severe. After the procedure, mild soreness is possible for several days, which is relieved with painkillers. If the pain persists longer, you should consult a doctor.
Our clinic provides a warranty of up to 5 years for periodontitis treatment. The warranty period is valid provided regular follow-up with the doctor and adherence to care recommendations. If complications related to the treatment occur during this period, we will perform the procedure again free of charge. To maintain the warranty, it is important to undergo preventive examinations at least twice a year.
Periodontitis treatment during pregnancy is possible, but only in the second trimester (from 14 to 27 weeks). During this period, it is safe to take X-rays with a protective apron and use local anesthetics. In the first and third trimesters, treatment is carried out only in emergency cases, for example, with acute inflammation. Before starting treatment, be sure to consult your obstetrician-gynecologist.
If periodontitis is not treated, the inflammation will spread beyond the root of the tooth, which can lead to the formation of a cyst or granuloma. Over time, this can cause destruction of the bone tissue around the tooth, and the tooth will have to be removed. In addition, the source of infection can cause diseases of other organs, such as the heart or joints. When the first symptoms appear, it is important to consult a dentist immediately to avoid serious consequences.
We are open daily from 9:00 to 20:00, seven days a week. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Phone for appointments — +7 747 093 89 86. Initial examination and treatment plan — 0 ₸.
Address: Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Parking for patients is free. Phone for appointments — +7 747 093 89 86. Appointments are available daily from 9:00 to 20:00.
Warranty up to 5 years. The clinic has been operating since 1995, with a rating of 4.9 based on 312 reviews on 2GIS, Google and Yandex. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00.
Installment plan for 24 months with Jusan bank or 12 months with Kaspi. Initial examination and treatment plan — 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 747 093 89 86.
Initial examination and treatment plan: 0 ₸. There is no separate fee for the first visit. Warranty on work: up to 5 years. Installments for 24 months with Jusan bank or 12 months with Kaspi.
Parking is free. The clinic is in Almaty, 133/6 Kanysh Satpayev St., JAZZ residential complex. Appointments are available daily from 9:00 to 20:00. Phone for appointments — +7 747 093 89 86.
Before this, I had only come in for promotional offers and never really got proper treatment. The nighttime pain stopped right after my first visit. I had a cavity treated on a molar, with anesthesia, and felt nothing.
Strange, but I wasn't even tired after the appointment, and I never once regretted it. They treated a cavity on a molar and took a follow-up X-ray at the end — and that was exactly what I had been afraid of. The office is bright, the equipment is new, the way it should be. The filling isn't visible, the color matched. They arranged the installment plan on the spot, without running around to banks, just as we had agreed. The contract and receipt were given without me having to ask, and that wins you over. They booked me at a convenient time, without "come at nine and wait." I would come back here for a second tooth too. The receptionist called back when she promised. The hallway doesn't smell like a hospital, but like something neutral.
The night pain stopped right after the first visit; it feels like my own tooth, even though it was pulpitis and took two visits. I was nervous the whole way there)
Lechili karies na zhevatelnom. Zub ne bespokoit reakcii na holodnoe net, sravnivayu s tem, chto bylo ranshe. Korotko: horosho. Vernus na profgigienu. Rassrochku oformili na meste, bez begotni po bankam. Ceny nazvali srazu, v konce nichego ne dobavilos.
Aruzhan showed me everything on the X-ray. That's what won me over. The only downside was that the parking lot was full. I was treated for pulpitis, two visits, the canal was irrigated thoroughly and for a long time — and that was exactly what I was afraid of —.
Had a cavity treated on a molar. They messaged me the next day to ask how I was feeling — that's how it should be. Ayauylm is a thorough doctor, attentive to every detail. Overall, no regrets. They booked me at a convenient time, no "come at nine and wait." The contract and receipt were provided without me having to ask.
I came on the recommendation of a colleague. Had root canal treatment, everything was completed in a single visit. Aruzhan explained everything.
I kept putting it off because of work, there was never time — I was treated for pulpitis, two visits. The waiting room was a bit cold — but that's just me, for the sake of honesty. Sanzhar didn't pressure me and gave me time to think. I would come back here for my second tooth too.
Came here on my sister's recommendation. I had a filling placed, the shade was matched, and a follow-up X-ray was taken at the end. Ayauylm really knows her stuff. I'm one of those people who asks again three times over — they were patient with me. The tooth doesn't bother me, no sensitivity to cold. I recommend it!
I've disliked dentists since childhood — but it didn't hurt at all. They treated a cavity on a molar and irrigated the root canal thoroughly and for a long time. Sterility was evident, and the instruments were opened in front of me. The nighttime pain stopped right after the first visit...
Plombu ne vidno, cvet sovpal, chego i hotel. Korotko: horosho. Perelechivali kanal pod mikroskopom, polirovali, poka ne perestalo ceplyatsya (ya peresprashival dvazhdy). Said na svyazi i posle priema!
Had pulpitis treated, two visits, just like that. . . They showed the X-ray before and after root canal filling. Ayaulym outlined the plan in detail.
Before this, I'd only ever gone in for special offers and never really got proper treatment — we came from another part of town. They redid the root canal under a microscope and took a follow-up X-ray at the end. The hallway doesn't smell like a hospital, more like something neutral — a small thing, but nice. I've already recommended it to friends. They answered my questions even after the appointment, over messenger — I want to call that out specifically. They set up my file right away and only asked for my passport once, which is how it should be. They messaged me the next day to ask how I was feeling — I'd never had that anywhere before...
Otkaldyvala iz-za raboty, vse bylo nekogda, a chestno — ne ozhidala. Lechili karies na zhevatelnom (ya peresprashivala dvazhdy). Nochnye boli proshli srazu posle pervogo vizita, uzhe privykla k mysli, chto vse pozadi!
Before this, I had only come in for a special offer and never really got proper treatment. I even feel awkward that I put it off — and that was exactly what I was afraid of. . . They placed a filling and matched the color. Sanzhar laid out the plan in detail.
My previous dentist moved away, so I had to find a new one — I had a cavity treated on a molar, with anesthesia, and felt nothing. Sanzhar knows his stuff. That's what won me over (I asked twice to be sure). They showed me the X-ray before and after the root canal filling, and I'm grateful for that too!
My previous dentist moved away, so I had to find a new one. I had a cavity treated on a molar, and they took a follow-up X-ray at the end. The tooth doesn't bother me, no sensitivity to cold, so far no complaints)
I hadn't been to the dentist for about three years after the pandemic. I made myself book the appointment. I was treated for pulpitis, two visits, done in one visit.
I initially just wanted to look around and compare prices. In my opinion, the price is fair for this kind of work. The nighttime pain went away right after the first visit. Quick. It was pulpitis treatment, two visits!
Root canal treatment for pulpitis took two visits, they polished until it stopped catching, and the night pain went away right after the first visit. Thank you. Honestly, I didn't expect that. They showed me the X-ray before and after the root canal filling, which I'd never seen anywhere before. Shoe covers, a cup, a napkin — small things, but everything was there. The hallway doesn't smell like a hospital, but like something neutral, which is how it should be. The receptionist called back when she promised, thanks for that too. The office is bright, the equipment is new. They took me right on time, no waiting — a small thing, but nice.
Came from another district. Got a filling, they matched the color. They used a rubber dam, my mouth stayed dry and calm, which I'd never experienced anywhere before (I asked twice to confirm). The receptionist took a long time to find my file — but that's just me being honest!
The tooth ached at night, and painkillers no longer helped. I was treated for pulpitis, two visits, and the filling was polished at the end. I took a long time choosing, and now I understand it was worth it. Farrukh laid out the plan in detail. Parking is in the courtyard, and I found a spot.
After the pandemic, I hadn't been to the dentist for about three years and thought it would take longer. They placed a filling and matched the color in a single visit — that's a story in itself —.
I put it off for about a year. Ayaulym explained my situation clearly. I had a filling done, and she showed me the image on the screen. Everything went according to plan. She was right on time. She didn't ask for more money than the estimate. She called the next day to check on how I was doing.
My previous dentist moved away, so I had to find a new one (couldn't believe it myself). I was treated for pulpitis, two visits. Quick. The night pain went away right after the first visit, which is exactly what I wanted. I spent a long time choosing and now I understand it was worth it.
Do etogo hodil tolko po akcii i tolkom ne lechilsya (sam ne poveril) Vybirali kliniku po otzyvam. Lechili karies na zhevatelnom.
Kept putting it off because of work, never had the time. At first the quiet in the waiting room threw me off — then I understood why. I had a cavity treated on a molar, and they irrigated the canal for a long time and very thoroughly. Just like that. I would come back here for my second tooth too...
They re-treated the root canal under a microscope and irrigated it thoroughly for a long time. . . I think the people here simply love what they do. They arranged the installment plan on the spot, with no running around to banks.
Had a cavity treated on a molar. They showed me the X-ray before and after root canal filling, just as we had agreed. It seems to me that the people here simply love what they do. The tooth doesn't bother me, and there's no sensitivity to cold.
The filling isn't visible at all — the color match is perfect, and I've already gotten used to the idea that it's all behind me. I was treated for pulpitis over two visits. I ended up here by chance, I just happened to be nearby (I still can't believe it myself). Now I'll go nowhere else. The hallway doesn't smell like a hospital — it's something neutral, and I've never come across that anywhere before. They set up an installment plan right there on the spot, no running around to banks — thank you for that too. I was seen right on the minute, no waiting. Honestly, I wasn't expecting that. They kept answering my questions even after the appointment, over messenger. I spent a long time choosing and now I know it was worth it. They used a rubber dam, so my mouth stayed dry and I felt calm — thank you for that as well.
I didn't have confidence after previous treatment. I had a filling placed, and every step was explained to me in advance. I'm satisfied with the result.
I had root canal treatment for pulpitis, two visits, and the canal was irrigated thoroughly and for a long time. The anesthesia worked completely, I felt nothing, which is how it should be. To be honest, I'm still surprised that it was painless. I recommend this clinic!
I had pulpitis treated over two visits, and the filling was polished at the end. Sterility is clearly visible here — the instruments were opened in front of me. The nighttime pain went away right after the first visit, and the difference is noticeable. In my opinion, the main thing is that they don't pressure you into a decision. My file was set up right away, and they asked for my passport only once, so no complaints there. The hallway doesn't smell like a hospital, but rather like something neutral — I want to mention that separately. The receptionist called back when she said she would. They worked with a rubber dam, so my mouth stayed dry and calm, just as we had agreed.
The tooth ached at night, and painkillers no longer helped. I was nervous the whole way there. They placed a filling, matched the color, and took a follow-up X-ray at the end. The contract and receipt were given without me having to ask — a small thing, but nice. They know their stuff here. They quoted prices upfront, and nothing was added at the end. They messaged me the next day to ask how I was feeling — I'll note that separately. They arranged an installment plan on the spot, with no running around to banks, and that's a real plus. The anesthesia worked completely — I felt nothing. The hallway doesn't smell like a hospital, but like something neutral, and that's a real plus.
They placed a filling and matched the color, the canal was irrigated for a long time and thoroughly; in my opinion, the point is that no one here is rushed. Shoe covers, a cup, a napkin — small things, but everything is in place.
Before this, I had only come in for promotional offers and, in my opinion, never really got proper treatment. The main thing is that they don't pressure you into a decision. They redid a root canal under a microscope. The tooth doesn't bother me, and there's no sensitivity to cold. That's it. They used a rubber dam, so my mouth stayed dry and comfortable — thanks for that too.
Kept putting it off because of work, never had the time. They treated pulpitis, two visits, polished until it stopped catching. Parking in the courtyard, found a spot, and that's a selling point. I'll keep coming here, no question. They scheduled me at a convenient time, no "come at nine and wait," no complaints there. They set up an installment plan on the spot, no running around to banks. They quoted prices upfront, nothing was added at the end. They messaged me the next day to ask how I was feeling, I'll note that separately. The hallway doesn't smell like a hospital, more like something neutral, thanks for that too. They took me right on time, no waiting.
I was previously treated elsewhere. It was quick. The notification arrived late.
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