Treatment of caries of primary and permanent teeth

Treatment of caries in children in dentistry is not only getting rid of toothache, but also an important step for oral health for many years. Modern methods make it possible to treat caries of primary and permanent teeth quickly and practically painlessly. Early detection and elimination of pathology prevents the development of pulpitis and periodontitis, which lead to gum inflammation, severe pain and discomfort. K+31 doctors will take care of your child’s smile!
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Causes of caries on children's teeth

Baby teeth are more vulnerable to caries than permanent teeth. This is due to thin enamel and wide dentinal canals. The immaturity of the child’s immune system also contributes to the rapid spread of pathology.

Factors that provoke the development of caries include:

  • Cariesogenic flora in the oral cavity. The main role is played by the bacterium Streptococcus mutans, which is transmitted from relatives. Lactobacilli also contribute to the development of caries because they produce lactic acid
  • Inadequate hygiene. Many parents do not realize the importance of caring for baby teeth, which leads to plaque accumulation and enamel destruction
  • Excess sugar. Sweets and carbonated drinks contain large quantities of carbohydrates, which provide food for bacteria and cause demineralization of enamel
  • Fluoride deficiency. This mineral strengthens the enamel and prevents its destruction. Lack of fluoride makes teeth more vulnerable
  • Pregnancy. Due to hormonal changes, lack of vitamins and minerals, a woman accumulates soft plaque on her teeth. Also during this period, the biochemical composition of saliva changes. The risk of developing caries in children increases in the case of premature birth and the presence of chronic diseases in the mother
  • Diseases of the gastrointestinal tract. Dysbacteriosis or gastritis lead to changes in the composition of saliva and reduce its protective functions, which increases the risk of developing caries
  • Metabolic disorders. Diabetes mellitus and other endocrine disorders affect the composition of saliva and sugar levels in the body, increasing the risk of the proliferation of cariogenic bacteria

Caries in children is common. Already at 1.5 years old, 10% of children are affected by at least one tooth, and by five years this figure increases to 70%. The main reasons are changes in eating habits and active communication with other children, which increases the risk of the spread of cariogenic bacteria. From the age of three, children begin to care for their teeth on their own, but often do not do it carefully enough.

Causes of caries on children's teeth

How to identify caries

Caries on children's teeth can be detected during a routine visit to the dentist. At an early stage, the disease manifests itself as a small white spot on the surface of the tooth. As the disease progresses, a brown cavity forms on the tooth, in which food debris accumulates. If tooth decay is left untreated, it results in bad breath and a coating on the tongue.

Children over three years old often complain of toothache associated with caries. It may worsen after eating sweet, sour or hot foods. If the nerves in baby teeth become inflamed and acute pain occurs, you should immediately consult a doctor.

Negative consequences of caries of primary teeth in children

Caries in children threatens the development of serious complications. The most common is dental pulpitis (inflammation of the tissues inside the tooth), which can develop within 3-4 months after the onset of caries. In children under three years of age, the front teeth are usually affected; in older children, the chewing teeth are affected. Acute pulpitis causes severe pain, fever and refusal to eat, while chronic pulpitis has less severe symptoms. It often develops under fillings or in teeth heavily damaged by caries.

The second unpleasant complication is periodontitis or inflammation of the tissue around the tooth root. In children, acute periodontitis quickly worsens the general condition, causing severe pain, especially when eating hot food or pressing on the tooth. The child's temperature can rise to 39 degrees. Chronic periodontitis is less painful, manifests itself mainly during chewing, and is accompanied by swelling and redness of the gums near the affected tooth.

Types of caries of primary and permanent teeth in children

In addition to these types, there is bottle caries, which usually affects baby teeth in young children. This type of tooth decay develops due to frequent and prolonged contact of teeth with sugar-sweetened drinks during bottle feeding, especially during sleep. Bottle caries progresses quickly and can lead to serious tooth decay.

Depending on the location, there are three main types of caries in children:

  • Fissure It develops in the grooves and recesses of the chewing surface of the teeth, where food accumulates and favorable conditions are created for the growth of bacteria. It is most often found on molars and premolars
  • Approximal Occurs in the interdental spaces where brushing with a toothbrush is difficult. It often goes unnoticed until it affects the deeper layers of the tooth
  • Cervical caries Appears in the neck of the tooth, where the enamel comes into contact with the gum. Often associated with poor oral hygiene and gum recession

General information about the procedure

Caries treatment of primary and permanent teeth in children

It is necessary to treat caries of primary teeth in children in order to form a correct bite. Also, timely therapy helps prevent early tooth extraction. If a baby tooth is removed prematurely, it will lead to problems with chewing, changes in diction and improper growth of permanent teeth.

There are several ways to treat childhood caries of primary teeth. They are chosen depending on the degree of caries and the age of the child.

  1. Fluoridation to strengthen teeth. Suitable for early stages of caries. Dentists use special solutions, gels and resins containing calcium and fluoride. They help get rid of stains on teeth and help restore tooth enamel
  2. Filling tooth gaps to prevent caries. The doctor carefully cleans the tooth crevices and fills them with a special composition, which hardens when exposed to light, providing long-term protection for the teeth.
  3. Installation of a filling for caries. Traditional approach to the treatment of moderate and deep caries. The dentist removes the affected areas of the tooth and places a filling. In some cases, it is enough to use simple hand tools, without a drill
  4. Use of anesthesia if simultaneous treatment of several teeth is required. Often used for small children aged 2-3 years. During treatment, the child is in medicated sleep, which allows the dentist to carry out the necessary manipulations without discomfort and stress for him

Treatment of caries of permanent teeth is often similar to the treatment of milk teeth, but has a number of features. For example, when treating a tooth that has not yet fully erupted, a two-stage method is used: first, the affected tissue is removed, then the cavity is filled with therapeutic materials and a temporary filling is placed for further maturation of the tooth. Subsequently, the temporary filling is replaced with a permanent one.

How to prevent the development of caries in children

To prevent caries, it is recommended to provide proper oral care. At an early age, it is useful to use sanitary napkins with xylitol to clean the baby’s teeth and gums from food debris. This healthy sweetener protects against tooth decay-causing bacteria and supports healthy gums. It is best to wipe your mouth with a tissue after each feeding or at least twice a day - morning and evening.

It is extremely important to teach a child aged 4-5 years to brush their teeth independently. After this age, you need to control the process and help the baby when he commits erroneous actions. It is worth choosing a toothbrush with soft bristles so as not to damage delicate gums and tooth enamel. The size of the brush head should be appropriate for the child's age and provide easy access to all places in the mouth.

Dentists recommend choosing toothpaste with a low fluoride content (up to 500 ppm for children under 3 years old and up to 1000 ppm for children over 3 years old) to avoid changes in the color and structure of the enamel due to excess fluoride. The paste should contain calcium and phosphates, which strengthen the enamel. To ensure that your child is willing to brush his teeth, you should choose a toothpaste with a pleasant taste, but without very sweet or strong flavoring additives. They can distract your baby from brushing or cause excessive toothpaste consumption.

It is also important not to transfer germs from an adult’s mouth to a child’s mouth, for example by sharing a spoon. From one year on, it is advisable to gradually reduce night feedings.

For dental health, older children should reduce the amount of sugary drinks they drink before bed. It is also worth reducing your intake of sweets and carbohydrates, as they contribute to tooth decay. Your child’s diet should include foods containing calcium: dairy products, eggs and berries. They strengthen tooth enamel and promote bone development.

If a child has a calcium deficiency in the body, he is prescribed nutritional supplements containing the mineral. This is especially important during periods of growth and development.

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova Valentina Frantsevna
Experience 30 years
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Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Elfimova Natalya Vladimirovna
Experience 12 years
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Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov Alexei Andreevich
Experience 18 years
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Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Bogdashin Sergey Vladislavovich
Experience 25 years
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Bogdashin
Sergey Vladislavovich
Orthopedic dentist
Artyomov Yanislav Alexandrovich
Experience 12 years
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Artyomov
Yanislav Alexandrovich
Dentist therapist
Samoilova Nana Nugzarovna
Experience 13 years
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Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich Sergei Georgievich
Experience 30 years
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Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Podshekoldina Elena Nikolaevna
Experience 16 years
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Podshekoldina
Elena Nikolaevna
Dentist Therapist
Matevosyan David Aramovich
Experience 11 years
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Matevosyan
David Aramovich
Dentist orthopedist
Samartseva Natalya Victorovna
Experience 19 years
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Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Eloev Arthur Tamerlanovich
Experience 13 years
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Eloev
Arthur Tamerlanovich
Dentist surgeon
Vataev Vladislav Olegovych
Experience 16 years
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Vataev
Vladislav Olegovych
Dentist orthopedist
Pivovarova Natalya Sergeevna
Experience 6 years
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Pivovarova
Natalya Sergeevna
Dentist, hygienist
Bagaev Omar Makhachevich
Experience 19 years
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Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Zakharyan Georgy Karenovich
Experience 16 years
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Zakharyan
Georgy Karenovich
Dentist-surgeon
Kuznetsova Larisa Nikolaevna
Experience 28 years
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Kuznetsova
Larisa Nikolaevna
Hygienist
Sukhareva Darima Tsyrenovna
Experience 10 years
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Sukhareva
Darima Tsyrenovna
Dentist therapist
Grigoryeva Regina Bogdanovna
Experience 23 years
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Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Melkumyan Ivan Mikhailovich
Experience 5 years
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Melkumyan
Ivan Mikhailovich
Dentist-surgeon
Golubev Vitaly Viktorovich
Experience 23 years
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Golubev
Vitaly Viktorovich
Dentist-orthodontist
Pavliy Yulia Vitalievna
Experience 14 years
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Pavliy
Yulia Vitalievna
Dentist-therapist
Najaryan Liana Artyomovna
Experience 5 years
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Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Sharifov Eldar Rasimovich
Experience 6 years
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Sharifov
Eldar Rasimovich
Dentist-therapist
Sanikidze Nino Nugzarovna
Experience 13 years
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Sanikidze
Nino Nugzarovna
Dentist Orthodontist
Ibragimova Olesya Kayinbekovna
Experience 17 years
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Ibragimova
Olesya Kayinbekovna
Dentist-therapist, microscopist
Sahakyan Arpine Argishtovna
Experience 8 years
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Sahakyan
Arpine Argishtovna
Dentist, pediatric dentist
Geraskina Inna Igorevna
Experience 10 years
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Geraskina
Inna Igorevna
Orthodontist
Nikolaeva Irina Yuryevna
Experience 30 years
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Nikolaeva
Irina Yuryevna
Dentist surgeon, periodontist
Avdeeva (Sokolova) Anastasia Eduardovna
Experience 11 years
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Avdeeva (Sokolova)
Anastasia Eduardovna
Dentist, pediatric
Shapran Sergey Olegovich
Experience 9 years
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Shapran
Sergey Olegovich
Dentist-surgeon
Lebedeva Natalia Mikhailovna
Experience 5 years
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Lebedeva
Natalia Mikhailovna
Orthodontist
Ozerova Elena Valerievna
Experience 23 years
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Ozerova
Elena Valerievna
Dentist
Lebedeva
Taisia Mikhailovna
Dentist-therapist, pediatric dentist
Gulyutkin Alexander Mikhailovich
Experience 5 years
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Gulyutkin
Alexander Mikhailovich
Dentist-therapist
Mitroshenkov Pavel Nikolaevich
Experience 40 years
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Mitroshenkov
Pavel Nikolaevich
Maxillofacial surgeon
Dergunova Anna Olegovna
Experience 10 years
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Dergunova
Anna Olegovna
Dentist-therapist
Pavlovskaya Evgeniya Olegovna
Experience 12 years
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Pavlovskaya
Evgeniya Olegovna
Dentist-orthopedist, dentist-therapist
Shchepetina Anastasia Yurievna
Experience 5 years
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Shchepetina
Anastasia Yurievna
Orthodontist
Khachatryan Ripsime Grigorievna
Experience 7 years
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Khachatryan
Ripsime Grigorievna
Dentist-therapist
Zakharova Ksenia Sergeevna
Experience 7 years
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Zakharova
Ksenia Sergeevna
Dental surgeon, periodontist
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Reviews 50

Our favorite doctor. Our daughter has been going to him for several years since childhood.
02.12.2025
V. Elizaveta Vladislavovna

About doctor:

Bagaev Omar Makhachevich

My son is 3 years old, we had a great conversation, the doctor put me at ease with himself and the procedures. My first visit to the dentist went great!
29.11.2025
Ch. Roman Vitalievich

About doctor:

Bagaev Omar Makhachevich

Wonderful doctor! He was compassionate and attentive, explained each step of the treatment in detail, and answered all my questions. I had no discomfort after the treatment. Thank you for your professionalism!
25.11.2025
Oksana
I had an appointment with Artur Tamerlanovich. He thoroughly discussed everything before (he had a wisdom tooth removed), during the surgery, and aftercare measures to speed up recovery and minimize pain. The tooth extraction itself took less than 10 minutes and was completely painless. I highly recommend Artur Tamerlanovich as a highly qualified specialist!
24.11.2025
S. Nikolay Alekseevich
The appointment went great! They did a cleaning and created a treatment plan. I received comprehensive answers to my questions.
23.11.2025
F. Eduard Floridovich
Thank you for the professional treatment, the reception, the friendly and easy-going atmosphere during the treatment!
18.11.2025
M. Olesya Nikolaevna
The doctor was very caring during the appointment, there was no pain.
16.11.2025
S. Maksud Rustamovich
A wonderful doctor, with a gentle touch and expert treatment. It's immediately obvious that he knows what he's doing and what he's talking about. The treatment immediately brought relief to a long-troubling tooth, and any pain or discomfort disappeared. The treatment is performed under a microscope, and the doctor always monitors the results with interim dental x-rays and is very thorough in assessing the results. I plan to have all my problematic teeth treated again with Eldar Rasimovich. I especially want to note how empathetic he is, how he connects with everyone, and how he always has a very positive attitude.
14.11.2025
G. Diana Ivanovna
I am very satisfied and will return to the doctor again!
11.11.2025
K. Olga Valerievna
I really liked the doctor, she was attentive and professional!
11.11.2025
N. Vera Andreevna
Wonderful doctor!! Highly professional, qualified, and can solve absolutely any problem!
09.11.2025
I. Inna Valerievna
I want to express my deepest gratitude to the best dentist, Eldar Rasimovich Sharifov, for his work. He is a talented doctor with golden hands. He is friendly, attentive, and highly professional. Thank you for your sensitivity, attention, and high-quality treatment.
08.11.2025
Galina F.
I was very pleased with the inspection results and the work done. Thank you very much.
30.10.2025
B. Alexey Viktorovich

About doctor:

Pavliy Yulia Vitalievna

The doctor was attentive and polite. She gave recommendations for further treatment.
28.10.2025
D. Olga Alexandrovna
Excellent doctor. Very sensitive and attentive.
28.10.2025
T. Natalya Yurievna
Excellent result. The doctor is a pro.
27.10.2025
K. Alexander Anatolyevich
A wonderful specialist, he removed two teeth, one of which was a wisdom tooth. The procedure was painless, and most importantly, there was no swelling after the extraction, and I didn't even take any painkillers. This is the first time I've had no pain after an extraction.
27.10.2025
A. Elman Iftakhovich
Excellent doctor! I've never experienced such thorough oral hygiene in my life. She explained in detail how to brush my teeth properly and provided a thorough consultation.
24.10.2025
S. Maria Mikhailovna
A professional, he explained everything thoroughly and clearly, what he would do and how to do it! He did the job quickly, completely painlessly, and very carefully! He gave comprehensive recommendations afterward! Thank you very much!
24.10.2025
P. Egor Alexandrovich
Thank you so much! Everything was neat, painless, and highly professional!
19.10.2025
B. Stanislav Sergeevich
The best dental hygienist I've ever had! A professional and attentive doctor who explains everything clearly, explains everything, and demonstrates everything in a timely manner!
18.10.2025
G. Antonina Alexandrovna
The cleaning was comfortable and painless.
18.10.2025
G. Maxim Vadimovich
Amazing doctor! I had all my wisdom teeth removed by Artur Tamerlanovich. The procedures were quick and painless, and the healing was smooth; there wasn't even any swelling. He explained his recommendations in detail and calmly answered all my questions. Overall, everything went just great!
17.10.2025
E. Yulia Sergeevna
Yulia is a wonderful, responsive and efficient doctor!
16.10.2025
B. Marina Andreevna

About doctor:

Pavliy Yulia Vitalievna

I recommend him, the doctor is fantastic. He removed a difficult tooth…. Thanks for the work.
16.10.2025
N. Ivan Sergeevich
The medical service was provided efficiently and in a timely manner. I recommend this doctor.
10.10.2025
G. Irik Azamatovich
very professional and neat
09.10.2025
S. Ismat Soltan kyzy

About doctor:

Pavliy Yulia Vitalievna

A wonderful doctor! Clear and professional, he carefully and thoughtfully outlines treatment plans, removals, and implantations. He's thorough and friendly. Patient and always smiling. A big thank you to Alexey Andreevich for his excellent work!
08.10.2025
S. Elen
A wonderful doctor. During the procedure, he explains every step and discusses any possible sensations. I had a cavity treated, and it was so calm I wanted to sleep. Thank you, doctor! I recommend him.
06.10.2025
A. Vera Petrovna
I want to express my gratitude to Liana Artemovna for her professionalism. She performed my surgery and saved a tooth that other doctors insisted on removing! It's been a year since the surgery, and everything is great. Thank you for your work and emotional support during the treatment.
05.10.2025
B. Kristina Artemovna
Thanks to Liana Artemovna for carefully considering my request and providing recommendations.
04.10.2025
M. Lina Alexandrovna
Natalia Mikhailovna is a true professional! Thank you and highly recommend her!
03.10.2025
ZMS
She's a wonderful doctor; I'm her patient, and I treat my daughter with her. She always takes a responsible approach to her work. Her extensive experience is evident.
03.10.2025
B. Inna Viktorovna
The treatment was very comfortable!
03.10.2025
H. Natalia Yuryevna
As usual, everything is at the highest level.
02.10.2025
K. Artem Yuryevich

About doctor:

Pavliy Yulia Vitalievna

The doctor is wonderful, I came for the first time on the recommendation of colleagues and I don’t regret it!
26.09.2025
D. Valeria Viktorovna
A pleasant and sensitive doctor who worked carefully and efficiently.
21.09.2025
A. Lyudmila Alekseevna

About doctor:

Pavliy Yulia Vitalievna

Yanislav Aleksandrovich was recommended to me by a friend and I have never regretted working with him! He explained and answered all my questions methodically and thoroughly, treated my caries with a light professional hand and did a cleaning. I will definitely recommend him to anyone who is looking for a general dentist and wants to take good care of their teeth again. Yanislav Aleksandrovich is a great professional and a good person)
14.09.2025
Dmitry
Yanislav Aleksandrovich is a wonderful specialist! It's always not scary at the reception, calm and even a little funny. He will calmly tell and show everything, quickly and efficiently cure, and refer you where necessary. Thank you for your work))
14.09.2025
E. Zoya Alekseevna
I am very pleased with the examination by Natalia Sergeevna. She explained in detail how to perform oral hygiene, clearly and understandably. I will definitely come back
13.09.2025
M. Valeria Alexandrovna
The best doctor! Explained everything, did everything carefully, surgeon from God!
13.09.2025
M. Ksenia Alexandrovna
I have already visited the wonderful Natalia Sergeevna many times. An excellent specialist, everything is always very neat and precise. Very attentive and caring, after the appointment she asks several times about how you feel. The clinic management should encourage such employees :))
11.09.2025
K. Ivan Alekseevich
Good day! I had a complex, multi-faceted treatment with Elena Nikolaevna. I am very delighted with the specialist's work and would like to share my positive impressions! Elena Nikolaevna is a very competent and experienced dentist, with a large set of professional skills and competencies. Thanks to this, the complex treatment was painless and as effective as possible. I would also like to note the high level of care for the patient and the focus on his comfort. Elena Nikolaevna is always in a good mood, friendly and looks great, it is very interesting and pleasant to talk to her. Many thanks to Elena Nikolaevna for her work, and to the K31 clinic for having such high-level specialists!
11.09.2025
Z. Daniil Gennadievich
Thanks to Eldar Rasimovich! Attentive, sensitive, a professional in his field!
09.09.2025
P. Alexander Nikolaevich
Professional and well-coordinated work of the doctor and assistant. Thank you
09.09.2025
K. Galina Mikhailovna
Very good doctor, thank her very much
09.09.2025
J. Dmitry Igorevich
Delighted with the doctor! The most comfortable appointment in my entire history of visiting dentists in different clinics.
09.09.2025
K. Victoria Alexandrovna
Excellent doctor, consulted and helped
07.09.2025
P. Sergey Konstantinovich
For the first time I didn't feel pain or fear during dental procedures
29.08.2025
O. Daria Vladislavovna
They did my dental hygiene very carefully and efficiently!
26.08.2025
V. Irina Yuryevna
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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
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Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours on holidays

01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

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