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General dentistry

Periodontitis Treatment in Almaty: Modern Methods, Stages, and Cost

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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30+years treating patients in Almaty
up to 5 yearswarranty on work
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How much does periodontitis treatment cost in Almaty

Full price list
TreatmentDuration & warrantyPrice
Periodontitis treatmentfrom77 000 ₸Message on WhatsApp
General dentist consultation and treatment plan0 ₸Message on WhatsApp
Initial examination and treatment plan0 ₸Message on WhatsApp
Caries treatmentfrom15 000 ₸Message on WhatsApp
Treatment of superficial cavitiesfrom15 000 ₸Message on WhatsApp
Treatment of moderate cariesfrom25 000 ₸Message on WhatsApp
Treatment of deep cavitiesfrom35 000 ₸Message on WhatsApp
Caries treatment using the Icon methodfrom25 000 ₸Message on WhatsApp
Treatment of a wedge-shaped defect, one toothfrom23 000 ₸Message on WhatsApp
Pulpitis treatment, single canalfrom65 000 ₸Message on WhatsApp

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.

By approach

What approaches are used in the treatment of periodontitis

This classification helps to understand how the approaches differ from one another and what determines the choice.

Instruments and materials for this type of treatment, laid out on a light surface — an illustration for the section "Acute periodontitis"

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.

Chairside appointment: dentist at work, over-the-shoulder view of the assistant — illustration for the section "Chronic periodontitis"

Root-end resection

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 doctor shows the patient an image on the screen and explains the treatment plan — an illustration for the section "When there are no symptoms"

Tooth extraction

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.

Stages of periodontitis treatment in Almaty

Consultation: doctor and patient at a screen with an X-ray — illustration for the section "Examination and Diagnostics"
Step 01

Diagnostics and planning

At the first stage, an examination and X-ray diagnostics are performed, and the degree of inflammation is determined. A treatment plan is drawn up.

Preparation: the assistant lays out sterile instruments, the dentist puts on gloves — illustration for the section "Anesthesia and access to the canals"
Step 02

Mechanical cleaning of the canals

Under local anesthesia, the dentist removes infected tissue, widens and cleans the root canals.

The treatment stage itself: the doctor's gloved hands working inside the oral cavity — an illustration for the section "Root canal treatment and obturation"
Step 03

Medication therapy

Anti-inflammatory medications are placed into the canals, and antibiotics are prescribed if necessary.

Follow-up visit: the doctor checks the result with a mirror while the assistant holds the saliva ejector — illustration for the section "Surgical stage if needed"
Step 04

Canal filling

After the inflammation subsides, the canals are filled, and a temporary filling is placed if necessary.

End of appointment: the doctor sits with the patient to go over aftercare instructions — illustration for the section "Tooth restoration and follow-up"
Step 05

Follow-up and restoration

A follow-up X-ray is scheduled, and retreatment is performed if necessary. Then the tooth is restored with a crown or filling.

Our Doctors

Who provides this treatment

The clinic's doctors who see patients for this service. A treatment plan is drawn up after the examination.

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Zhumabekov Nurlan Asylbekuly — dentist at Dental-Center dental clinic in Almaty, portrait in work uniformThe estimate is reviewed by the clinic's general dentistTakes 20 seconds — you'll get a reply from our administrator during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installments: Jusan bank — 24 months, Kaspi — 12

What is periodontitis?

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.

Definition and causes

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.

Comparison with pulpitis

CriterionPulpitisPeriodontitis
LocationInside the tooth, in the pulpOutside, around the root
PainSharp, paroxysmalAching, constant
Reaction to coldIntensifiesUnchanged
Reaction to heatIntensifiesIntensifies
PercussionPainlessPainful
Tooth discolorationPossible laterOften immediately
TreatmentPulp removalRoot canal and periodontal treatment

Precision of treatment under a microscope: what are the advantages?

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.

How the microscope works

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.

When a microscope is indispensable

  • Complex canal anatomy: narrow, curved, or branching canals are easier to locate and treat under magnification.
  • Retreatment: if a canal was previously filled, the microscope helps carefully remove the old filling material and detect missed branches.
  • Detecting perforations: the microscope allows identification and sealing of a pathological opening in the root wall.
  • Removal of broken instruments: under magnification, the dentist can see the fragment and retrieve it with minimal trauma.
  • Quality control: after obturation, the dentist assesses the density of canal filling at each stage.

Laser in the treatment of periodontitis

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.

How the laser works

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.

Indications and limitations

  • Chronic apical periodontitis: the laser helps disinfect the infection site when medication-based treatment does not provide a lasting result.
  • Fistula tract: targeting granulation tissue and bacterial flora in the fistula area accelerates tract closure.
  • Serous periodontitis: in the initial stage, laser treatment of the canal prevents progression to the purulent form.
  • Retreatment: with poorly filled canals, the laser allows cleaning them of residual old material and microorganisms.
  • Limitations: the laser is not used for a large cyst requiring surgical intervention, or during an exacerbation with pronounced swelling — acute inflammation is first resolved.

How to choose a clinic?

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?

Selection criteria

  • Diagnostics: before treatment begins, an examination, canal probing, and imaging are performed — a periapical X-ray or CT scan — to visualize all canals and the inflammation site.
  • Equipment: having a microscope, CT scanner, and laser allows the dentist to work more precisely and gently, but the specialist's experience remains decisive.
  • Dentist: find out who will provide treatment — a general dentist or an endodontist. Ask about their experience with complex cases and how often they pursue continuing education.
  • Transparency of the plan: before starting, they should explain the stages, name the materials, and calculate the cost. If the treatment plan is vague, that is a reason for concern.
  • Reviews: study opinions on independent platforms, paying attention to recurring complaints and praise. Real patient stories will tell you a lot.
  • Comfort and service: convenient location, appointments at a convenient time, and staff attitude — all of this affects the overall impression of tooth periodontitis treatment.

Equipment and methods

EquipmentWhat it providesWhen it is used
MicroscopeMagnification up to 25xCanal location, cleaning
CT scanner3D image of the jawComplex canal anatomy
LaserAntiseptic treatmentAdditional sterilization
AutoclaveInstrument sterilizationEvery appointment

Preparation for treatment

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.

What to do before the visit

  • Imaging: if you had X-rays or a CT scan at another clinic, bring them or digital copies — this will speed up diagnosis.
  • Medical history: tell the doctor about chronic conditions, allergies, and medications you take, especially anticoagulants and antibiotics.
  • Eating: it's best to eat a couple of hours before your appointment, but avoid very hot or cold food if the tooth is sensitive.
  • Hygiene: brush your teeth and use mouthwash — this will reduce the number of bacteria in your mouth and make the examination easier.
  • Questions: write down the questions you want to ask the doctor so you don't forget anything during the consultation.

What to expect from the first appointment

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: features

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.

Clinical picture

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.

Treatment approach

  • Diagnosis: examination, percussion, X-ray, and if necessary — electric pulp testing.
  • Anesthesia: treatment is performed under local anesthesia, so the patient feels no pain.
  • Access opening: the dentist removes the affected tooth tissue and provides access to the root canals.
  • Mechanical preparation: the canals are cleaned and enlarged with special instruments, removing infected dentin.
  • Chemical disinfection: the canals are irrigated with antiseptic solutions to destroy bacteria.
  • Temporary filling: a medicated paste is placed in the canals and a temporary filling is applied for several days.
  • Permanent filling: if there are no symptoms, the canals are filled with gutta-percha and the tooth crown is restored.

Questions worth asking the doctor

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.

Diagnostics and plan

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.

Experience and equipment

  • Doctor's experience: ask how often they perform treatment under a microscope and what clinical cases they handle.
  • Microscope: what magnification the device provides, whether it is available at the clinic or used only in complex cases.
  • CT scanner: whether a cone beam CT scan is taken for accurate diagnosis before starting treatment.
  • Laser: whether a laser is used for canal treatment and how this affects the procedure.
  • Sterilization: ask how instruments are processed and whether class B autoclaves are used.
  • Materials: what filling materials are used and how they are justified in your case.

Key points

Key takeaways

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.

What to remember

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.

Questions about periodontitis treatment in Almaty

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.

Reviews about periodontitis treatment in Almaty

4,9
38 reviews on the site
38 ratings
ММадина Г.15 August 2026
★ 5,0

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.

ААлия У.3 August 2026
★ 5,0

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.

ААсем Г.27 July 2026
★ 5,0

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)

ССауле Е.1 July 2026
★ 5,0

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.

ЮЮлия Д.31 May 2026
★ 5,0

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 —.

ЕЕкатерина К.23 May 2026
★ 5,0

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.

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