Dr Mark Stetson · dentist since 1997

Russian-speaking dentist in central Sofia

Adult dental care — from a single-tooth problem to complex rehabilitation.

Dr Mark Stetson
Dr Mark Stetson
medical education in Russia qualification recognised in Bulgaria since 2005 250 m from the National Library 3D and X-ray diagnostics in the clinic

Tell us what is bothering you

Appointment request

Choose a convenient time — we will confirm the appointment and contact you before your visit. Acute pain, swelling or pain when biting? Message us — we will try to find an urgent time.

Not sure where to start?

If you live outside Sofia or already have scans and documents, you can send them to the dentist in advance. Send a text, voice message or attach the files.

Severe swelling, fever, difficulty swallowing or breathing is an emergency. Seek urgent medical care.

Adult patients only. Paediatric dentistry and orthodontics are not our services.

Dentist working with a patient and assistant

Initial examination

The first examination starts with a discussion of what is bothering you and what treatment you have had before. The dentist then performs a clinical examination and reviews any available imaging.

Additional tests are prescribed only when genuinely needed for a decision. In straightforward cases treatment can sometimes start the same day; complex cases are planned separately first.

Digital intraoral scanning and 3D model of the teeth

3D model of your teeth

When one or more teeth need restoring, the dentist can take a digital scan of both jaws.

The 3D model lets you view the teeth on screen, plan the restoration, discuss the result and send accurate data to the dental technician.

* Scanning is not needed for everyone — only when it genuinely helps diagnosis and planning.
CBCT unit in the clinic

CBCT: 3D imaging of the jaws

CBCT shows teeth, roots, bone and neighbouring anatomical structures layer by layer and in different planes.

It is prescribed only when a clinical examination or 2D image is insufficient for a safe, well-founded decision.

* CBCT is especially useful for implants, complex surgery, difficult or repeat endodontics and comprehensive planning.

Main areas of treatment

The scope of treatment is determined after examination and diagnosis.

How much will treatment cost?

Full fee guide

Choose a language and download the current PDF with all fees.

Price agreed in advance

After the examination, the dentist prepares a staged plan and cost estimate. No hidden surprises during treatment.

Transparent procedure pricing

Anaesthesia, control imaging and routine consumables are included where stated rather than added unexpectedly.

The exact fee depends on the clinical situation and is confirmed before treatment after examination and diagnostics. The full fee guide is available as a PDF.

Complex cases

About the dentist

Dr Mark Stetson

Dentist for adults. In practice since 1997 — from focused treatment to complex rehabilitation.

Qualified as a dentist at Kuban State Medical Academy. His professional qualification has been recognised in the Republic of Bulgaria since 2005; he is a member of the Bulgarian Dental Union.

First understand what the patient actually needs. If a local problem can be treated safely as a local problem, there is no reason to turn it into a large treatment plan.
since 1997dental practice RU · BG · ENconsultation languages Bulgariaqualification recognised since 2005
Dr Mark Stetson in the treatment room
Dr Mark Stetson discussing a complex treatment plan at the monitor

Complex cases

Complex treatment plans are discussed away from the dental chair

When treatment requires several stages, the dentist first gathers objective data, compares the options and only then discusses them calmly with the patient.

What can be preservedWhich teeth and restorations have a reasonable prognosis, and what genuinely needs replacement.
What are the optionsThe advantages, limitations and consequences of each clinically justified option.
Stages and timingThe sequence of treatment and what determines its duration.
Costs and decisionThe patient receives enough information to make a calm, informed decision.

Diagnostics on site, without unnecessary trips

On-site equipment helps obtain the necessary information promptly and plan treatment without unnecessary steps.

Fees

Clear fees without hidden extras

A published fixed fee for a specific procedure is final. Where cost depends on complexity, extent or technique, this is shown in advance as a range, a “from” fee or an individual plan.

Below are key price points before your first call. The full fee guide includes diagnostic, restorative, surgical and prosthodontic procedures.
Initial examination€35
OPG€40
CBCT€70 / €110
Professional hygiene€80 / 100 / 120
Composite restorationfrom €80
Root canal treatmentfrom €80 / canal
Tooth extractionfrom €90
Full-contour zirconia crown€450–500
Implantology€680 / €750
Implant crown€600–700

Review appointments prescribed by the dentist after treatment are free of charge. Additional radiographic examinations, when required, are charged separately.

Waiting area Dr Stetson’s Dental Care

Clinic

A calm space without a production-line feel

The clinic is arranged so patients can not only receive treatment but also discuss complex plans, ask questions and make decisions without being rushed.

Waiting area Comfortable chairs, tea and coffee. The dentist’s diplomas and professional documents are displayed on the walls.
Dedicated discussion of complex plans Diagnostics and treatment options are reviewed at a desk with a monitor, not between procedures in the dental chair.
Instrument processing Instruments undergo a complete cleaning, disinfection and sterilisation cycle.

Patients on treatment with Dr Mark Stetson

These reviews are based on real patient video interviews. The text has been shortened and edited for publication and is not a verbatim quotation.

Request an appointment

Describe the problem in your own words — we will arrange a suitable time and type of visit.

How to find us

Address1 Krakra Street, Apt. 3, Sofia 1504
Landmark250 m from the SS. Cyril and Methodius National Library
Appointmentsby prior appointment
Get directions
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Fillings and tooth restoration

Treatment of decay and restoration of damaged teeth. Existing fillings can be replaced, tooth form and function restored, and materials selected for the individual case. The scope is determined after examination.

Root canal treatment

The aim is not simply to treat the canals, but to preserve a tooth that can then be restored predictably.

When it is needed

For inflamed pulp, chronic inflammation around the root tip, or when previously filled canals need retreatment. Lack of pain does not always mean a previously treated tooth is healthy.

How treatment proceeds

Treatment usually takes several stages: access to the canal system, mechanical and chemical preparation, medication between visits when needed, then final filling of the canals and restoration of the tooth.

When additional diagnostics are needed

An intraoral radiograph is often sufficient for straightforward anatomy. CBCT is especially useful for complex anatomy, molars, retreatment, suspected additional canals and unclear periapical pathology.

When referral to a microscope endodontist is appropriate

If an additional canal cannot be located and treated safely, or the risk of perforation is too high, referral to a microscope endodontist may be the safer option.

What to know in advance

Retreatment is more complex than primary treatment and its prognosis is less predictable. With apical periodontitis, outcome is assessed not only by symptoms but also by follow-up radiographs months later.

Professional hygiene

Removal of dental deposits and personalised oral care. Regular professional hygiene supports gum and dental health and helps reduce the risk of decay and inflammation.

Tooth extraction

Extraction is considered when a tooth cannot be preserved predictably or its prognosis is no longer reasonable.

When extraction may be appropriate

Examples include a vertical root fracture, non-restorable destruction, failed endodontic treatment without a reasonable prognosis, or a problematic wisdom tooth. A healthy, normally positioned wisdom tooth is not removed simply because it is a wisdom tooth.

How extraction is performed

Local anaesthesia is given and its effect is checked. More complex cases may require surgical access, management of inflamed tissues and sutures.

Why diagnostics matter

An intraoral radiograph, OPG or CBCT is selected according to the anatomy. CBCT is particularly important when roots are close to the sinus or mandibular canal, or when anatomy is complex.

Preserving tissues

If an implant may be considered later, the dentist aims to preserve as much alveolar bone and socket structure as possible, keeping future restoration options open.

After the procedure

After a complex extraction, the patient receives aftercare instructions. Sutures are usually removed after about a week.

Crowns, bridges and inlays

Before making a crown, the first question is whether the tooth underneath provides a reliable foundation.

A full crown is not always necessary

If a vital tooth can be preserved predictably with a more conservative approach, the dentist may prefer a direct restoration, inlay, onlay or overlay instead of automatically preparing the tooth for a full crown.

Bridge or implant

A bridge can be reasonable when the adjacent teeth already need crowns. If they are intact, an implant is often considered so healthy teeth do not have to be prepared to replace one missing tooth.

Materials

Zirconia is the main choice for many single crowns. E.max may be used in the anterior region when aesthetic demands are high; pressed ceramic may be used for inlays, onlays and overlays.

How the prosthodontic stage works

After tooth preparation, a Panda digital scan is taken and sent to the laboratory. Once the tooth is fully prepared, two clinical visits are usually enough: scanning, then checking and fitting the finished restoration.

What defines a good result

Accurate fit, correct contact points and occlusion, a properly finished margin and the ability to maintain healthy gums.

Dental implants

Implant treatment starts not with the implant, but with the question of whether the natural tooth can be preserved with a good prognosis.

When an implant is particularly logical

For a single missing tooth next to healthy teeth, an implant can avoid preparing intact neighbouring teeth for a bridge.

Conventional implant treatment

Diagnostics → implant placement → osseointegration → soft-tissue shaping when needed → digital scan → fabrication and fitting of the crown.

Immediate loading when indicated

A fixed provisional restoration can be placed immediately only when bone quality, primary stability, implant number and position, and load distribution make this safe.

When additional surgery may be needed

When bone volume is insufficient, a closed or open sinus lift or another augmentation procedure may be needed. The strategy is determined after examination and CBCT.

The dentist’s responsibility

Assessment of bone, choice of implant system, positioning and surgical protocol are the dentist’s responsibility, not the patient’s. This is why CBCT is used for implant planning rather than an approximate assessment from a conventional image.

If an implant fails to integrate or is lost before osseointegration is complete, or within six months after the crown is fitted, replacement is provided at the clinic’s expense: implant, surgical stage and a new crown. This does not apply in cases of trauma, smoking, failure to follow clinical advice or missed review appointments.

What to know in advance

Implant treatment cannot provide an absolute guarantee: long-term results depend on biological conditions, hygiene and follow-up. Planning and placement are the dentist’s responsibility; maintaining the result is a shared responsibility of dentist and patient.

Complex rehabilitation

A comprehensive plan is useful when several problems are interrelated and treating one tooth in isolation will not solve the overall problem.

Where the plan begins

The dentist first establishes what result the patient wants and what scope of treatment they are prepared for. The biological situation is then assessed, and only after that is a realistic treatment pathway built.

What is assessed

The condition of teeth that may be preserved, existing restorations, periodontal tissues, bone, missing teeth, previously endodontically treated teeth, occlusal support and future prosthodontic restorations.

How the strategy is built

What the patient wants → what biology allows → what is realistically possible within the budget. The sequence of endodontics, periodontal treatment, surgery, implant treatment and prosthodontics is then established.

Extraction and replacement are not always the answer

If a natural tooth has a reasonable prognosis, the dentist aims to preserve it. An implant is a good replacement for a lost tooth, but not a reason to remove a tooth that can still function.

How long treatment takes

There is no standard duration for complex rehabilitation. Timing depends on the scope of treatment, healing, endodontics, surgery, implants and laboratory stages. The plan may be adjusted if new clinical information appears during treatment.

Second opinion

A detailed review of available images, investigations and previously proposed treatment. You receive an independent view of the situation and a clear explanation of the available options.

Jaw clicking or pain

Clicking, crepitus, pain or restricted mouth opening may be related to the temporomandibular joint, muscles, bite or missing teeth. A functional assessment can help identify possible causes and guide the next steps.