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A gum fistula is a channel through which pus from an infection at the root apex drains to the surface. A common cause is chronic periodontitis. Diagnosis includes examination, probing, and CT. Treatment depends on the clinical picture: conservative endodontics or apicoectomy. The decision is made by the dentist.
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How much does the initial examination and treatment plan cost
The initial examination and treatment plan are free (0 ₸). The dentist examines the gum and tooth and, if necessary, orders an X-ray. Based on the results, a treatment plan is made. The cost of the procedure itself depends on the chosen method and the extent of intervention; it is quoted after the examination.
Understand which approaches are used for a fistula and how they differ in their effect on the source of infection.
The dentist removes the root canal filling or opens the tooth, cleans and fills the root canals, eliminating the source that feeds the fistula tract. Access to the source is gained through the tooth itself, without incising the gum. This method is considered first when the root is preserved and the canals can be negotiated along their full length.
Surgical method: through a small incision in the gum, the dentist removes the root apex together with the pathological tissue around it, while the tooth remains in place. Unlike endodontics, the source is approached from the outside. It is considered when repeat root canal treatment is impossible or the source at the apex persists after it.
A method in which the source of inflammation is eliminated together with the tooth, after which the fistula tract closes. Unlike endodontics and apicoectomy, the tooth is not preserved. The dentist considers extraction when the root is destroyed, there is a crack, or the tooth cannot be saved based on the X-ray and clinical picture.
At the first appointment, the dentist examines the oral cavity and assesses the condition of the gum and tooth. To confirm the diagnosis, a cone-beam CT scan is ordered. This helps determine the cause of the fistula and plan treatment.
Before the procedure, the oral cavity is sanitized and, if necessary, tartar and plaque are removed. If there are acute inflammatory signs, anti-inflammatory therapy is prescribed first. The dentist discusses the plan and cost with the patient.
Depending on the cause, treatment may be conservative or surgical. Conservative treatment includes root canal treatment and filling. Surgical treatment includes opening the fistula, removing pathological tissue, or apicoectomy. In complex cases, a microscope with 25× magnification is used.
After the procedure, the dentist gives recommendations for oral care and schedules a follow-up examination. If necessary, repeat visits are arranged to assess healing. Good hygiene and regular check-ups help prevent recurrence.
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A fistula on the gum is a narrow channel that connects a source of inflammation in the bone or at the root of a tooth with the oral cavity. Pus drains through it. This passage appears when the infection has found a way out.
A fistula tract is not a standalone formation, but a consequence of prolonged inflammation. Deep down, at the root apex or within the jawbone, microbes, their metabolic products, and destroyed tissues accumulate. The body tries to contain the focus: a capsule forms around it, and the contents seek an outlet. If pus breaks through the bone and mucosa, a channel forms. Its walls are lined with granulation tissue, and the opening on the gum looks like a small bump or ulcer. Purulent exudate periodically discharges from it, sometimes mixed with blood. The patient may experience an unpleasant taste or odor. The tract does not heal as long as the source of infection remains. On its own, it does not resolve or close permanently. Temporary quiescence gives way to a new exacerbation. Therefore, treatment begins not with covering the opening, but with finding and eliminating the cause. The doctor assesses the condition of the tooth, surrounding tissues, and bone. Imaging and examination are needed. The approach depends on the clinical picture.
These three conditions are often confused: all are associated with inflammation at the root apex. They behave differently, and the treatment approach depends on what exactly is found on the image.
| Condition | Location | What is visible externally | Is there a tract to the outside |
|---|---|---|---|
| Cyst | In the bone at the root apex | Often nothing | No |
| Abscess | In the soft tissues, under the periosteum | Swelling, puffiness of the cheek | No |
| Fistula | A tract from the focus to the surface | A spot on the gum, sometimes with pus | Yes |
A cyst grows slowly. It forms in the bone tissue around the root apex, and externally it shows nothing for a long time. A person may not know about it for years until an image is taken for another reason. When the shell thins, the contents seek an outlet. If the path goes through the bone and gum, a fistula tract forms. This is not a separate disease, but a consequence of the focus opening on its own. Sometimes the rupture goes toward the maxillary sinus or into soft tissues — then the picture changes, and the doctor figures it out from the image. Treatment in such a situation begins with finding the source, not with the spot on the gum itself. It does not hurt on its own, but this calm is deceptive: until the channel is treated, the tract may close and open again. It is impossible to distinguish a cyst from a fistula by examination alone; visualization is needed.
A gum abscess is inflammation in the soft tissues. Pus accumulates under the periosteum, the cheek swells, becomes hot and painful. A fistula is an already formed drainage path. One turns into the other: if the abscess is not opened in time, it may rupture outward through the gum or skin. Then the acute symptoms subside, the swelling goes down, but the focus in the bone remains. Thus, these two conditions turn out to be stages of the same process. The difference is that an abscess is an accumulation, and a fistula is a drainage. The appearance of a fistula tract after an abscess does not mean the problem is solved. On the contrary, it is a signal that the inflammation has become chronic. What happens next depends on the clinical picture: where the focus is located, how much bone is destroyed, and whether the tooth can be saved.
A gum fistula is not a standalone disease, but a channel through which pus exits outward. Antibiotics act on microbes but do not eliminate the cause that led to the fistula.
An antibiotic suppresses bacterial reproduction in soft tissues. It relieves acute inflammation, reduces swelling and pain, and sometimes temporarily closes the fistula tract. But if the source of pus is a focus in the bone or tooth root, the pills do not reach it. Taking the drug without eliminating the cause gives temporary relief, and then the fistula returns. The doctor looks at the image to understand where the discharge is coming from. Cone-beam computed tomography shows the focus in three projections, and a microscope with 25× magnification helps to see the fistula opening and root cracks. Sometimes the cause is a gum cyst, and treatment in such a case begins with eliminating its connection to the root. Here, the antibiotic is an auxiliary means, not the main one. It does not replace root canal treatment, does not remove a broken instrument fragment, and does not treat a periodontal pocket. The regimen and dosage are selected by the doctor; self-treatment blurs the picture and hinders diagnosis.
A person buys an antibiotic at the pharmacy, takes it for a few days, and the pain goes away. The fistula closes. It seems the problem is solved. But the source at the root or in the bone remains. Weeks or months later, discharge appears again, sometimes in a different place. Uncontrolled use blurs the picture: the doctor can no longer see exactly where the inflammation was. The dosage and length of the course are chosen based on weight, age, and kidney function, not "by eye." The wrong regimen does not kill the microbes completely, but it teaches them to resist. Then the next time the same drug may not work. The doctor decides: whether an antibiotic is needed now, which one, and for how many days. Without an examination and an X-ray, that choice cannot be made.
Pus from a fistula is a sign of active inflammation, not a temporary inconvenience. The danger is not in the discharge itself, but in where the infection travels next through the tissues.
The fistula tract connects the source of inflammation to the gum surface. Pus drains through it, but the channel does not close as long as the source remains. The infection follows the path of least resistance. Most often, into the bone tissue around the root apex. From there, the process spreads to neighboring teeth, to the periodontal ligament, to the periosteum. When the lower teeth are affected, pus travels into the submandibular space; when the upper teeth are affected, toward the maxillary sinus. This depends on the anatomy and on which tooth is involved. The spread happens over days and weeks, not hours. A person may feel reasonably well while the source is enlarging. Cone-beam computed tomography shows the boundaries of destruction in the bone. The scan is needed to understand how far the process has gone and which structures are affected. Without imaging, it is impossible to assess the depth from a single fistula. The doctor decides after an examination and a scan.
Bad breath with a fistula is common. Pus and the products of tissue breakdown have a sharp odor, and mouthwashes mask it only temporarily. Added to this are a taste of pus in the mouth, a metallic taste, and a feeling of pressure over the tooth. The gum above the fistula looks swollen, and contents may be released when it is pressed. Sometimes the process subsides on its own: the discharge stops, the pain goes away. This is not recovery, but a lull. The fistula closes, pus accumulates inside, and after a while the flare-up repeats. Such waves deplete the bone and make treatment more difficult. If general weakness, fever, or swollen lymph nodes are added to the local signs, that is a reason to seek care without delay. Diagnosis includes an examination, probing of the fistula tract, and a scan. A microscope with 25× magnification helps to see the fistula opening and assess the condition of the surrounding tissues. After that, the approach depends on the clinical picture: keep the tooth or remove it. The doctor decides.
The timeline is not tied to the calendar. One case closes within a few weeks, another takes months. The clinical picture decides everything, not the wish to speed up the process.
The fistula tract is a consequence, not a disease in itself. As long as the source of inflammation remains, the opening will keep closing and reopening. That is where the range of timelines comes from. If the cause is pulpitis or periodontitis, the inflammation in the canal is resolved first, and only then does the fistula heal over. With a cyst or granuloma, the size of the formation affects how long the cavity takes to resolve. The location of the tooth also matters: upper incisors are easier to access, lower molars are more difficult. The condition of the gum around the tract is a separate factor. Dense, scarred tissue heals more slowly than fresh tissue. Age, smoking, and diabetes slow tissue recovery. None of these factors acts alone. The doctor assesses them together and only then gives an estimate. No one can name an exact date in advance — this is not a weather forecast.
| Stage | What happens | Typical timeframe |
|---|---|---|
| Diagnosis | Examination, X-ray, identification of the source | One visit |
| Relief of inflammation | Root canal treatment or opening of the cavity | From several days |
| Main treatment | Root canal filling, removal of the lesion | Depends on the clinical picture |
| Gum healing | Closure of the fistula tract | Determined by the doctor on examination |
| Follow-up | Repeat X-ray, assessment of tissues | Scheduled by the doctor |
Assessment does not come down to whether the opening has closed. The gum may appear to heal over while inflammation in the bone persists. That is why several signs are evaluated together. Swelling subsides, the color of the mucosa changes, tenderness on pressure disappears. An X-ray shows how bone tissue around the root apex is regenerating. This process is slower than the healing of soft tissues. Sometimes on a follow-up X-ray the picture looks better than the patient feels, and vice versa. In that case, the decision is made based on the overall picture. Cone-beam computed tomography provides a three-dimensional view, and a microscope with 25× magnification helps to see fine details within the canal. The 3Shape intraoral scanner captures the condition of the dentition digitally. These devices do not speed up healing — they make the assessment more accurate. If there is no progress within a reasonable timeframe, the treatment plan is reconsidered. A repeat visit to the surgeon may be necessary. From there, it depends on the circumstances.
Diagnosing a fistula on the gum relies on three steps: examination with probing, imaging, and work on the canals under magnification. Each one clarifies where the discharge is coming from and which tooth is responsible.
The doctor examines the gum and looks for the fistula opening — a small hole from which pus or bloody fluid is discharged. Sometimes there is one, sometimes several, and then the picture becomes confusing. Using a thin probe, the doctor carefully follows the fistula tract, assessing its direction and depth. Along the probe's path, it is possible to estimate which tooth the tract leads to. The tooth itself is also checked: its reaction to cold, to tapping, and the condition of the filling or crown. Palpation of the gum reveals whether there is swelling and tenderness. A sample of the discharge is taken for culture if there are signs of acute inflammation or if treatment has already been attempted and failed. The examination does not provide the full picture, but it sets the direction: which tooth to investigate specifically. Sometimes the tract leads somewhere other than where its opening is visible — a fistula can be tortuous. In that case, imaging is essential. Probing does not replace visualization — it only complements it. The doctor makes the decision based on the combination of signs.
A periapical X-ray shows the condition of the roots, canals, and bone tissue around the apex. It reveals a radiolucency — an area of bone destruction that is often what feeds the fistula. But an X-ray is flat: it provides no depth and does not always distinguish adjacent structures. Cone-beam computed tomography provides a three-dimensional picture: it shows which root is affected, how far the process has spread, whether there is a root fracture, and whether the adjacent tooth is involved. This is important when a fistula stubbornly returns after treatment or when an implant is nearby. CT also shows the anatomy: where the mandibular canal runs, where the sinus is, and how close the lesion is to them. This affects the treatment plan. Imaging is not done "just in case" but to answer a specific question: where the discharge is coming from and what is happening with the bone. The choice of method depends on the clinical picture, and the doctor decides what is needed right now.
Canals can be narrow, curved, with branches. Some of them cannot be seen with the naked eye, nor made out on an X-ray. A microscope with 25× magnification gives the doctor a view in which canal orifices, cracks, and remnants of old filling material are visible. Under magnification, it is easier to find the cause: an extra canal that was missed, or a fragment of an instrument stuck deep inside. This changes the course of treatment — sometimes it is enough to retreat the canal rather than extract the tooth. The microscope does not guarantee a result and does not replace imaging: it helps to see what would otherwise remain hidden. Working under magnification requires time and precision. The doctor assesses how suitable the case is for this approach. Sometimes a canal is so destroyed that the issue is resolved differently. Diagnosis is complete when the cause of the fistula is clear and the treatment path has been chosen.
A fistula on the gum is a consequence of inflammation in or around the root. To eliminate the cause, the doctor needs instruments for canal treatment and monitoring.
Alongside the main equipment, simpler instruments are kept in the operatory. Hand and rotary files of various sizes are selected to match the canal diameter. Irrigation syringes with fine needles deliver solution into the canal. A rubber dam — a latex sheet — isolates the tooth from saliva: without a dry field, filling material adheres poorly. Paper points are used to measure canal length. Class B autoclaves sterilize instruments between appointments; this is a requirement for any operatory, not a feature of one clinic. Some instruments are single-use, others are reusable and undergo processing. The set for each case is assembled individually: it depends on how many canals the tooth has, how negotiable they are, and whether there is a nearby lesion in the bone. What exactly will be needed in a specific situation is decided by the doctor after examination and imaging.
A fistula is a consequence, not a disease in itself. It opens where the source of inflammation has found a way out through the bone and gum. Prevention comes down to ensuring that no such source forms.
A crown, bridge, or implant by itself does not cause a fistula. The problem appears at the junction between the restoration and living tissue. If the crown margin does not fit tightly, food debris gets underneath, and inflammation smolders there for years. The gum around it may look calm while a lesion at the root apex grows. This cannot be seen with the naked eye, so follow-up examinations and imaging are important. The 3Shape intraoral scanner helps compare the position of the restoration with the baseline, and cone-beam computed tomography shows the condition of the bone around the root or implant. The patient should pay attention to bleeding when brushing, bad breath, mobility of the crown, and aching pain when biting. Any of these signs is a reason to come in for a check-up without waiting for a scheduled visit. The earlier a leaking margin or inflammation around an implant is found, the easier it is to correct the situation. Sometimes redoing the crown is enough; sometimes root intervention is required. The doctor decides after examination and imaging.
There are conditions when you should not postpone a visit. The gum or cheek is swollen, there is a purulent odor from the mouth, the tooth hurts when biting, is loose, or the gum bleeds when brushing for more than a week. Separately — a fistula has already occurred and closed: this does not mean the source is gone. Often it has simply stopped having an outlet, and the inflammation continues inside. An appointment should also be planned in the absence of complaints if you have not seen a dentist for a long time or have an old crown. The doctor will examine the oral cavity and, if necessary, refer you for imaging. Cone-beam computed tomography provides a three-dimensional picture of the bone, and a microscope with 25× magnification helps examine small details on the tooth surface and in the canals. Seeking help early usually means a smaller scope of intervention, but the prognosis always depends on the clinical picture. Self-treatment with antibiotics or rinses without diagnostics masks the symptoms and prevents the doctor from assessing the situation. Appointments can be made daily from 9:00 to 20:00.
Blood on the toothbrush and loose teeth are a reason to see a doctor, not to change toothpaste. Below we will look at how this relates to a fistula and what is appropriate at home before the appointment.
Gums bleed when their edge is inflamed and the periodontal attachment is breaking down. Gum recession and tooth mobility indicate that the process has gone deeper than the gum margin. A fistula and a periodontal pocket are different things, but they often share the same cause: infection in the tissues around the root. Through the fistula tract, pus drains out, and for a while it feels better. This does not mean the source has closed. If the gums bleed and recede, and there is a fistula nearby, the doctor examines both the periodontium and the root apex: without this, it is impossible to tell where the discharge is coming from. Sometimes a fistula opens against the background of advanced periodontitis, and sometimes the cause lies in the tooth itself. This cannot be determined by the appearance of the gums. The doctor decides after examination and imaging. Before your appointment, do not apply heat to the area, press on the gum, or try to squeeze out the contents: this spreads the infection through the tissues. Rinsing with a warm solution of baking soda or chlorhexidine is acceptable, but it is a temporary measure.
By the appearance of the gums alone, it is impossible to distinguish periodontitis from a periapical infection. Bleeding and recession occur in both conditions, but their treatment is different. Therefore, pocket depth is measured, tooth mobility is checked, and imaging is performed. Cone-beam computed tomography shows the bone around the roots and hidden lesions that cannot be seen with the naked eye. A microscope with 25× magnification helps examine the gum margin and the fistula tract without unnecessary incisions. The 3Shape intraoral scanner records tooth position and bite so the condition of the supporting structures can be understood. A laser is used to treat tissues and the gum margin when appropriate for the clinical picture. Without imaging, treatment is blind: periodontal pockets may be cleaned while the cause lies at the root apex, and vice versa. Hence the rule: diagnostics first, then the plan. What exactly to do — therapy, surgery, or extraction — is decided by the doctor based on the examination and tomography results. Sometimes removing calculus and teaching hygiene is enough; sometimes the tooth itself needs treatment.
A fistula on the gum is not a disease in itself, but a tract through which pus from the source of inflammation drains outward. While it is open, the discharge finds a path, and the pain may subside. This does not mean the process has stopped. The source remains inside: most often it is inflammation at the root apex, less often the bone margin after extraction, the area around an implant, or a deep periodontal pocket. If only the opening is closed, fluid will accumulate again and find another path. Therefore, treatment begins with finding the cause, not with sealing the fistula. The doctor examines where the discharge is coming from, whether the tract is connected to a specific tooth, and how the gum responds to probing. The answer determines whether treatment will involve root canal therapy, an incision, tooth extraction, or work on the tissues around an implant. Different causes require different interventions, and there is no universal scenario here. Sometimes the fistula closes on its own after the source is eliminated. Sometimes a separate incision is needed to release the pus. The doctor decides based on the clinical picture.
To the eye, a fistula looks like a small bump or dot on the gum from which fluid is released when pressed. But by appearance alone, it is impossible to tell which tooth created the tract, how deep the process has gone, or whether there is a second source nearby. Therefore, the examination is supplemented with imaging. Cone-beam computed tomography provides a three-dimensional view of the jaw and helps visualize the source in three projections. A microscope with 25× magnification is needed when working inside the tooth: it shows what cannot be seen with the naked eye. The 3Shape intraoral scanner is used when planning a prosthetic restoration: it captures an accurate digital model instead of an impression. Sometimes a fistula is discovered incidentally on an image taken for another reason. The tract can be long and tortuous, and then the probe does not reach the end. In such cases, tomography data are used for guidance. Without imaging, treatment is blind — there is a risk of opening the wrong tooth or missing a second source. Diagnostics take time, but they set the entire further plan.
A fistula is almost always the end result of a process that has been progressing unnoticed. Decay reaches the pulp, the pulp dies, inflammation spreads beyond the root apex — and only then does a tract form. In the early stages, this can be treated with a filling or root canal treatment. Once a fistula has formed, the scope of intervention is usually greater. That is why the basics matter: brush your teeth twice a day, have a dental check-up every six months, and treat decay before it starts to hurt. Teeth that have already been treated are a separate story. If a canal is not filled all the way to the apex, inflammation can smolder for years without showing any signs. Such a tooth should be checked on an X-ray, especially if there was ever pain or swelling. After extraction and implantation, it is important to follow the doctor's instructions: do not apply heat to the cheek, do not poke at the socket, and come in for follow-up visits. Smoking and uncontrolled diabetes slow healing, and this should be mentioned to the doctor in advance. These factors cannot be eliminated, but they are taken into account when planning treatment.
Yes, in most cases a gum fistula can be treated without tooth extraction if at least part of the root remains and there is no extensive bone destruction. A fistula is not a disease in itself but a channel through which pus drains from an inflammatory focus at the root apex or from a periodontal pocket. During the examination, the dentist identifies the cause on an X-ray and chooses the method: endodontic (root canal) treatment, surgery, or a combination. Extraction is considered only when the root is completely destroyed, there is a vertical crack, or significant bone loss makes the tooth unrestorable.
Treatment of a dental fistula begins with diagnosis: the dentist examines the gum, assesses the condition of the tooth, and takes an X-ray to find the source of inflammation. If the cause lies in the root canals, endodontic treatment is performed — the tooth is opened, the canals are cleaned and filled, after which the fistula tract closes on its own within a few weeks. For a periodontal fistula, professional hygiene, pocket curettage, and, if necessary, laser treatment are performed; in complex cases where conservative treatment is ineffective, an apicoectomy (root-end resection) or tooth extraction may be required. After treatment, a follow-up examination and X-ray are scheduled to confirm that the focus has been eliminated, and if symptoms persist, the plan is revised. For accurate diagnosis, our clinic uses cone-beam computed tomography (CBCT), which shows the size and location of the lesion.
If a dental fistula is left untreated, the purulent process continues to destroy the bone tissue around the root and can lead to tooth loss, the formation of a cyst or phlegmon, and the infection from the oral cavity can spread to neighboring teeth, the maxillary sinuses, and soft tissues, causing swelling, pain, and fever. In advanced cases, emergency surgery is required, and sometimes hospitalization, because delay increases the extent of the damage. A fistula does not resolve on its own: it may close temporarily, but without eliminating the cause the inflammation returns, and the pain then intensifies due to the accumulation of pus inside. Therefore, when a fistula appears, you should see a dentist as soon as possible, without waiting for the acute stage.
A gum cyst is a fluid-filled cavity at the root apex or in the periodontium, while a fistula is a channel through which the contents of the cyst drain outward; therefore, a fistula is often a consequence of a cyst, when the inflammation finds an outlet through the gum or skin. Treatment depends on the size of the formation and the condition of the tooth: small cysts are treated non-surgically through the root canals, while large ones may require surgical removal with apicoectomy (root-end resection). At our clinic, cone-beam computed tomography (CBCT) is used for diagnosis, which allows the size and location of the formation to be determined precisely, and after treatment a follow-up X-ray is scheduled to confirm there is no recurrence. If the formation is small and the tooth is preserved, the non-surgical stage is sufficient, while a cyst of significant size requires surgery.
In this case, you should see an implant surgeon as soon as possible, without trying to treat the fistula at home with rinses or ointments. After implantation, a fistula may indicate inflammation around the implant, insufficient primary stability, or infection of the socket; after extraction, it may indicate incomplete curettage of the socket or a remaining root fragment. Self-treatment is dangerous because the purulent process can spread to the bone and neighboring teeth. During the examination, the dentist will assess the condition of the tissues, take an X-ray if necessary, and propose a course of action: conservative treatment, revision of the socket, or implant replacement.
Yes, treating a fistula on the gum during pregnancy is possible and necessary, because the source of infection is more dangerous for the unborn child than the procedure itself. The doctor chooses a gentle approach taking into account the trimester: most often this is therapeutic root canal treatment under local anesthesia approved during pregnancy, without using medications contraindicated during this period. Surgical methods are usually postponed to the second trimester or after childbirth if there is no acute purulent process. Before treatment, be sure to inform the doctor about your pregnancy and its stage, as well as any medications you are taking, so that the treatment plan can be adjusted.
At our clinic, the guarantee for treatment is up to 5 years, and it covers the therapeutic and surgical stages performed by us. The specific period depends on the treatment method, the condition of the tooth, and compliance with the doctor's recommendations, so the exact terms are fixed in the contract after the examination. The guarantee does not apply if the patient does not attend follow-up examinations, does not follow hygiene instructions, or seeks further treatment elsewhere. To find out how the guarantee applies to your specific case, book a consultation: the doctor will examine the tooth and explain the terms.
You can book a consultation by calling +7 747 093 89 86 or through the booking form on the website by choosing a convenient date and time. The clinic is open daily from 9:00 to 20:00, is located at 133/6 Kanyash Satpayev St., JAZZ Residential Complex, and has free parking. The initial examination and treatment plan are provided free of charge, so at the consultation you will immediately receive answers regarding your situation and treatment options. If the fistula is accompanied by pain, swelling, or fever, mention this when booking — you will be seen as soon as possible.
If a child develops a fistula on the gum, they should be seen by a pediatric dentist without attempting self-treatment, because in children a fistula often occurs on primary teeth with pulp inflammation or periodontitis and can damage the bud of the permanent tooth. The doctor will examine the oral cavity, take an X-ray if necessary, and choose gentle treatment: therapeutic treatment or extraction of the primary tooth if it cannot be saved. Our clinic has a pediatric dentist who is experienced in working with children and selects treatment taking into account the child's age; after treatment, it is important to maintain hygiene and attend follow-up examinations. If the fistula appears on a permanent tooth, the plan is made so as to preserve it and not damage the neighboring tooth buds.
A fistula on the gum looks like a small bump or opening from which pus may be discharged, sometimes with an unpleasant odor, and nearby there is often swelling, redness, and pain when pressing on the gum or chewing. The tooth itself may react to cold and hot, and sometimes the fistula is accompanied by fever and general malaise if the inflammation is acute. If the fistula closes, the pain may worsen because pus accumulates inside, so a temporary lull does not mean recovery. If such symptoms appear, you should consult a dentist for diagnosis and treatment, and for an accurate picture our clinic uses cone-beam computed tomography.
We are open daily from 9:00 AM to 8:00 PM, no days off. The clinic is in Almaty, at 133/6 Kanyš Satpaev Street, JAZZ residential complex. Phone for appointments: +7 747 093 89 86. Initial examination and treatment plan: 0 ₸.
Address: Almaty, 133/6 Kanyš Satpaev Street, JAZZ residential complex. Free parking for patients. Phone for appointments: +7 747 093 89 86. We are open daily from 9:00 AM to 8:00 PM.
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 ₸. We are open daily from 9:00 AM to 8:00 PM.
Installment plan for 24 months with Jusan bank or 12 months with Kaspi. Initial examination and treatment plan: 0 ₸. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.
Initial examination and treatment plan: 0 ₸. There is no separate fee for the first visit. Warranty up to 5 years. Installment plan for 24 months with Jusan bank or 12 months with Kaspi.
Parking is free. The clinic is in Almaty, at 133/6 Kanyš Satpaev Street, JAZZ residential complex. We are open daily from 9:00 AM to 8:00 PM. Phone for appointments: +7 747 093 89 86.
It got to the point where it kept me awake at night. It really did. We were treated as a family, and they showed us the image on the screen)
Came in for a consultation, ended up staying for treatment. They didn't push anything unnecessary. Happy with the result, no complaints so far. Parking in the courtyard, found a spot. They gave us the contract and receipt without us having to ask, thanks for that too. They set up an installment plan on the spot, no running around to banks. The office is bright, the equipment is new — a small thing, but nice. They scheduled us at a convenient time, no "come at nine and wait" — no complaints about that (I couldn't believe it myself). The receptionist called back when she promised — a small thing, but nice...
I hadn't been to the dentist for about three years after the pandemic. Let me put it this way: the only scary part was before I got in the chair. I booked through the website and they called back about ten minutes later. Honestly, I wasn't expecting that. Nurlan explained why it wasn't worth putting off. Our whole family got treated here, everything by appointment, no waiting!
My previous doctor moved away, so I had to find a new one. We chose the clinic based on reviews. Ayaulym explains everything calmly and to the point. Honestly, I didn't expect that. They did what was planned, without anything unnecessary.
Came in for a consultation, stayed for treatment, everything by appointment, no waiting — happy with the result, and that's what matters most (I asked twice to confirm))
After the pandemic, I hadn't been to the dentist for about three years. I'm one of those people who asks again three times — they were patient with me. Our whole family received treatment here, without unnecessary visits...
Our whole family received treatment here, everything by appointment, no waiting. Only one thing we didn't like: the hallway is a bit cramped when everyone is waiting.
Sdelali to, chto planirovali, bez lishnego, ulozhilis v plan. Kartu zaveli srazu, pasport sprosili odin raz, tak i dolzhno byt. Seychas vse v poryadke. Plan lecheniya raspisali po etapam i po dengam. Sterilnost na vidu, instrumenty vskryvali pri mne. Zapisali na udobnoe vremya, bez «prihodite k devyati i zhdite». Nichego lishnego ne navyazyvali, i eto podkupaet. V koridore pahnet ne bolnicey, a chem-to neytralnym, meloch, a priyatno. Dogovor i chek vydali bez napominaniy
I was surprised that everything was shown on the screen. Our whole family received treatment here, everything by appointment, no waiting — that's a separate story —. Parking in the courtyard, we found a spot...
Seychas vse v pordyake, prishli na konsultaciyu, ostalis lechitsya, vse sdelali v odin zahod. Obratilsya po rekomendacii kollegi.
Our whole family received treatment here, without unnecessary visits, we were seen right on time, no waiting, no complaints about that. Everything is fine now, the difference is noticeable.
At first I just wanted to look around and compare prices. Now everything is fine—the difference is obvious. Our whole family has been treated here, everything is by appointment, no waiting. What I especially liked was that they don't stay silent, they walk you through every step. I was nervous the whole way. I've already recommended it to friends. The treatment plan was laid out in stages and by cost. Parking is in the courtyard, I found a spot—that was never the case anywhere before.
Everything is fine now — I came in for a consultation and ended up getting treatment. It was quick. Farrukh explains things calmly and to the point. I was nervous until the very last moment. I was happy with the result. They gave me the price right away, and nothing was added at the end.
My previous doctor moved away, so I had to find a new one. Let me put it this way: the recommendations here aren't just for show. Everything is fine now — it feels like my own. We came in for a consultation and stayed for treatment; everything is by appointment, no waiting. In short: good. We found a clinic near our home.
Dolgo iskali kliniku ryadom s domom. Rezultatom dovolny. Prishli na konsultaciyu, ostalis lechitsya
Our whole family received treatment here, without unnecessary visits. Ayaulym stays in touch even after the appointment — and that was exactly what I was afraid of —.
After the pandemic, I hadn't been to the dentist for about three years. I came on a colleague's recommendation (I couldn't believe it myself). Aruzhan showed me everything on the X-ray. Our whole family received treatment here, always by appointment, with no waiting...
I spent a long time choosing a clinic and read reviews all over the city. To be honest, I went in feeling like I was heading to my own execution. We came in for a consultation and ended up getting treated here, without any extra visits. We're happy with the result. Five out of five. They took us right on time, no waiting, and I want to call that out specifically. The receptionist called back when she said she would. They scheduled us for a convenient time, no "come at nine and wait." They answered our questions even after the appointment, over messenger — a small thing, but nice. It seems like a small thing, but that's exactly what stuck with me.
It got to the point where it wouldn't let me sleep at night. We came together with the child. Ayauylm is a master of her craft...
I needed a second opinion, came in for a consultation, and stayed for treatment. Without any unnecessary visits, Nurlan showed me everything on the X-ray. Everything is fine now, comparing it to how it was before. I'm satisfied. Shoe covers, a cup, a napkin — small things, but all provided. The receptionist called back when she promised. The hallway doesn't smell like a hospital, but like something neutral — thanks for that too. They arranged an installment plan on the spot, no running around to banks, which I'd never seen anywhere before. They gave the prices upfront, and nothing was added at the end — a small thing, but nice...
So far, we're happy with the result and have no complaints — we came in for a consultation and ended up getting treatment here, without any unnecessary visits. . . Farrukh didn't pressure us and gave us time to think it over (I couldn't believe it myself). Honestly — I didn't expect that. I have a low pain threshold, and they took that into account.
I hadn't been to the dentist for about three years after the pandemic. They did what was planned, without any extras. There was some inconvenience — the hallway is a bit cramped when everyone is waiting. A minor thing. I'll put it this way: it was only scary until I got in the chair. We're happy with the result. Shoe covers, a cup, a napkin — little things, but everything was there, and I'll mention that separately (I asked twice))
Came here on my sister's recommendation — that's a whole story in itself —. . . Came in for a consultation, ended up getting treatment, no unnecessary visits. No stress. The receptionist called back when she said she would, no complaints there.
Came in for a consultation, stayed for treatment, without unnecessary visits. They scheduled me at a convenient time, no "come at nine and wait" — a small thing, but nice. We're happy with the result, no complaints so far. They didn't push anything extra on us. What I especially liked was that they don't stay silent — they walk you through every step. The hallway doesn't smell like a hospital, but like something neutral.
I've disliked dentists since childhood. What won me over was that they didn't push anything unnecessary. They did exactly what was planned, nothing extra, everything on schedule, no waiting. They arranged an installment plan right there, no running around to banks. Everything is fine now, compared to how it was before. They set up my file right away, asked for my passport only once, and I'm grateful for that too.
I put it off for about a year. We had treatment as a family, and they didn't hide that there was a choice. I had to confirm the appointment twice.
Tell us how your treatment went. The review appears on the site once the front desk has checked it.
Message us on WhatsApp or give us a call — the clinic is open daily from 9:00 to 20:00. Initial examination and treatment plan — 0 ₸, free parking.
