Prevention
Prevention and professional cleaning
Generations of care. One high standard.
Cleaning is useful when it answers a specific diagnostic problem. So we make the diagnosis first and set the interval afterwards, not the other way round.
Plaque, calculus and what sits below the gum
Bacterial biofilm builds up every day. Part of it mineralises into calculus, which a brush cannot remove. The problem, though, is not the calculus itself but the inflammation that accompanies it: red gums, bleeding on brushing and, in some patients, loss of attachment and bone.
Gingivitis is reversible. Periodontitis is not: regaining lost bone is not predictable, and treatment aims to stop the process and keep it stable. The difference between the two is established by measuring pockets and assessing radiographs, not by how the gum looks.
What the evidence says, including the inconvenient part
A Cochrane review of two trials with 1,711 participants found that in adults without severe periodontitis who attend regularly, routine scale and polish makes little or no difference to gingivitis, probing depths or quality of life over two to three years. The certainty of the evidence is high. Only a small reduction in calculus was seen, of unclear clinical importance.
For patients who do have periodontitis the picture is different. Subgingival instrumentation is efficacious: pocket depth is reduced by an average of 1.4 mm (95% CI 1.0 to 1.7) at six to eight months, and around 74% of pockets close. The EFP guideline describes a stepwise approach in which each further step follows the response to the last. No significant difference in outcome is found between hand and ultrasonic instruments.
What we actually do
Professional cleaning costs EUR 70 and includes ultrasonic removal of calculus, Air Flow air-powder removal of staining and biofilm, polishing and home care instructions based on what is genuinely visible in your mouth rather than on general advice.
If measurement shows pockets and loss of attachment, this is no longer preventive cleaning but periodontal treatment, with a different scope, number of appointments and follow-up. We will tell you plainly which of the two situations applies before we start.
Generations of care. One high standard.
Whitening: a separate topic with separate expectations
Whitening costs EUR 180 and is carried out after cleaning, with healthy gums and no active decay. It changes the colour of natural enamel but has no effect on fillings, crowns, veneers and bridges, which keep their previous shade and sometimes need replacing to match.
Temporary sensitivity is a common consequence and usually settles within a few days. The result depends on the starting shade, enamel thickness and the cause of the discolouration, and cannot be promised in advance. We do not use whitening to answer an aesthetic problem that in fact has a different cause.
Stages of treatment
How the appointment runs
Four steps. The first is diagnostic and determines everything after it.
Assessment
Examination, measurement of pocket depths and, where needed, a radiograph. Only then is it clear whether this is prevention or treatment.
Cleaning
Removal of calculus and biofilm with ultrasonic and hand instruments plus Air Flow air-powder treatment for coffee, tea and tobacco staining, followed by polishing. Price EUR 70. Where sensitivity is an issue, we work under local anaesthesia.
Individual instructions
We show you the specific sites that are not being cleaned well and select tools, brush, interdental brushes, floss, toothpaste, according to what actually applies to you.
Setting the interval
Frequency follows risk: gum condition, smoking, general health, medication and how you responded to previous treatment. We do not offer the same interval to everyone.
What the evidence shows
1.4 mm
pocket depth reduction after non-surgical therapy
Systematic review commissioned for the European Federation of Periodontology S3-level clinical practice guideline: subgingival instrumentation produced a weighted pocket depth reduction of 1.4 mm (95% CI 1.0–1.7 mm) at 6–8 months, with an estimated 74% of pockets closing.
Sources
Suvan J, et al. Subgingival instrumentation for treatment of periodontitis: a systematic review. J Clin Periodontol 2020;47(S22):155–175. (opens in a new window) · Sanz M, et al. Treatment of stage I–III periodontitis — the EFP S3 level clinical practice guideline. J Clin Periodontol 2020;47(S22):4–60. (opens in a new window)
Who this is for
When it helps and when something else comes first
- Gums that bleed on brushing, or visible calculus
- Diagnosed periodontitis, where maintenance is part of treatment
- Preparation before prosthetic, implant or aesthetic treatment
- Smokers and patients with diabetes, whose risk is higher
Good to know
- Acute inflammation with swelling and pain, where the situation is settled first
- Expecting cleaning on its own to cure advanced periodontitis
- Expecting cleaning to whiten teeth, since it removes stains but does not change the natural shade
- Wanting a fixed six-month interval out of habit rather than according to measured risk
Good to know
Limitations, stated honestly
Temporary sensitivity to cold is possible after cleaning, particularly where root surfaces are exposed. Spaces between the teeth can also feel larger, because the calculus that was removed occupied space that inflamed gum no longer fills. That is a consequence of the existing condition rather than of the procedure.
Cleaning alone does not stop periodontitis and does not rebuild lost bone. Where periodontitis is established, treatment follows a stepwise protocol with regular follow-up, and the outcome also depends on home care and on smoking.
We do not diagnose from a photograph or a description of symptoms. In case of major facial swelling, difficulty breathing or swallowing, bleeding you cannot control or trauma, seek urgent medical help or call 112. The clinic does not accept emergencies outside working hours.
Alternatives
Related options
Periodontal treatment
When measurement shows pockets and bone loss. A different protocol, more appointments and mandatory follow-up.
A change in home care
In early gingivitis the most effective step is often correcting technique and introducing interdental cleaning rather than adding another procedure.
Whitening after cleaning
If you want a lighter shade and the tissues are healthy, EUR 180, with clear limits regarding existing restorations.
Price
See prices
We will get back to you within one working day to arrange the time that suits you best.
| Treatment | Price |
|---|---|
| Scaling — removal of calculus | from €70 |
| Teeth whitening | from €180 |
| Examination | from €25 |
Meet the dentist
Dr Damyan Karadjov
Doctor of Dental Medicine · Prosthetic and Aesthetic Dentistry
Prosthetic and aesthetic dentistry: digital smile design, veneers, crowns, implants, aligners, bonding. Consultations in English, French and Russian.
- DMD, Medical University of Varna
- Leads the clinic since 2022
- Prof. Giovanni Zucchelli: mucogingival aesthetic surgery, soft tissue around implants, 2021
- Dr Mauro Fradeani and Dr Leonardo Bacherini: aesthetic rehabilitation with ceramic veneers, 2020
- Prof. Gianluca Plotino: endodontics, 2019
Frequently asked questions
Frequently asked questions
It depends on diagnosis and risk. In regularly attending adults without severe periodontitis, the evidence does not support the belief that more frequent routine cleaning improves gum health. Where periodontitis is diagnosed, and in smokers and patients with diabetes, a shorter interval is justified. We set it after measuring rather than by habit.
Professional cleaning costs EUR 70. If measurement reveals periodontitis, treatment has a different scope, with more appointments and structured follow-up, and the price follows the plan. We will tell you which of the two situations applies before any work begins.
Cleaning removes external stains from coffee, tea and tobacco and returns the tooth to its natural shade, but does not change that shade. If you want a lighter result, that is a separate procedure: whitening at EUR 180, carried out on healthy tissues, with no effect on fillings, crowns or veneers.
Most patients tolerate it comfortably, but exposed root surfaces and inflamed gums can make it uncomfortable. Where needed we work under local anaesthesia. We plan carefully and show you what to expect at every stage. Tell us if you feel discomfort so we can change the approach.
Not when used properly. In periodontal treatment, systematic evidence shows no significant difference in outcome between hand and ultrasonic instruments, so the choice depends on access and the situation. Exposed root surfaces call for a gentler approach because of dentine sensitivity.
Bleeding on brushing signals inflammation and deserves an examination, though on its own it is not an emergency. It may indicate gingivitis, which is reversible, or periodontitis, which requires treatment. The difference is established by measuring pockets and assessing radiographs, not by appearance.
Related treatments
The Club awaits you
Discover the smile that suits you.
The examination shows whether you need cleaning at EUR 70 or periodontal treatment. The difference matters and we explain it clearly.
We reply within one working day.