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Many people are afraid of dental treatment. This is a “genetic” fear of the inhabitants of the former USSR before outdated equipment and work technologies that were used in a great, powerful state that was not focused on caring for people. Technology has changed, "grinding" machines are a thing of the past, anesthesia today allows for painless therapy. But all the same, citizens prefer dentists-surgeons to dentists-therapists. There is no need to sit in a chair with your mouth open for hours, worry about what manipulations the doctor will perform, whether it will hurt, whether the drill is buzzing loudly. The surgeon made an injection, the jaw became numb and lost sensitivity, with a deft movement of the hand, the professional doctor deprived you of a tooth. The procedure, together with freezing, takes a quarter of an hour. Everything is simple, clear and fast. So, you can not worry about the health of your teeth, do not comply with hygiene requirements, do not treat your teeth. It is possible to go to the surgeon and remove, at least all the teeth at once. In fact, the question of how many teeth can be removed at one time is quite controversial and ambiguous.

Tooth extraction - features of the procedure

32 teeth in an adult's mouth is the benchmark used in advertising for toothpastes and dental services. Most people never have a complete set of teeth throughout their lives. In youth, wisdom teeth did not come out. When they have successfully erupted, which happens in isolated cases, the rest of the teeth deteriorate, and they have to be removed.

The human dentition is not simple. All teeth are different, all perform different functions.

Table. Names and functions of teeth

Name	Description and functions
incisors	Frontal teeth located on the upper and lower jaw in the center, 4 each. They are the first to be cut in children. Used for gripping and biting. They have a flat "blade" shape.
fangs	There are only four of them in the mouth. Grow immediately behind the incisors on the sides. The shape is cone-shaped, pointed. Designed to tear pieces of food that are captured by the incisors into smaller fragments. Also, fangs hold food, sending it further to the chewing teeth.
premolars	They are called small indigenous or small chewing. In fact, the main function of the premolars is to hold food and send it even further, to feed directly on the large chewing teeth. Located behind the fangs, two on each side above and below - eight in total.
molars	Thanks to them, the food is ground and sent to the esophagus in a crushed and ready-to-digest state. Ideally, there are 12 of them, but 4 rear, wisdom teeth, do not grow in everyone, and do not perform chewing functions, because they are too deep in the jaw. Large chewing teeth, two on each side above and below, bear the brunt of grinding food.

The classification of teeth and their structure are important for understanding the features of the extraction procedure.

The number of roots in the teeth different people the same, except for the wisdom teeth.

1. The incisors and canines consist of a crown and one root.
2. The first upper premolars have two roots.
3. All other premolars have one root, but it can be bifurcated.
4. Upper molars have three roots.
5. The lower molars are limited by two roots.
6. As for the back molars, the number of roots in them is individual for each person, and can range from two to five.

The number of channels is not equivalent to the number of roots.

1. Incisors and canines usually have one canal.
2. But the fangs of the lower jaw can also consist of two channels.
3. Premolars and molars can have two to four canals.

By the way. The complexity of tooth extraction directly depends on the number of roots and channels in it, as well as on the degree of destruction of the crown.

Upper incisors and canines

The simplest procedure is the extraction of the upper incisors and canines. They do not break out, but, as it were, twist out of the jaw with the help of straight forceps, with a rotational movement. This allows you to quickly and painlessly have a single cone-shaped root. The patient does not feel how the front tooth is being removed. During the period of a medical appointment, theoretically, it is possible to unscrew at least all the incisors and canines, if this, of course, if necessary, and if the crown has been preserved so much that it is easy to grab it with forceps.

lower incisors

Their removal also does not belong to the category of difficult. The tool used is forceps, curved in the form of a beak. Since the roots of the incisors are flattened on the sides from below, the tooth is reached by swinging movements back and forth with elements of twisting, but at a small amplitude.

lower fangs

The forceps are the same as for the lower incisors, only the "beak" is wider. The root of the lower canine is longer than that of the upper, and has a rounded shape. Movements are also made according to the principle of the pendulum, twisting only at the end of the procedure, for the complete release of the ligaments.

Upper premolars

The presence of two or one forked root causes the use of forceps in the shape of the letter S. The first small chewing teeth from the center are removed by swinging and twisting movements. The second, more often having one root, only twisting.

lower premolars

Single root, rarely bifurcated. The shape of the root is rounded. The forceps are beak-shaped, as for the lower fangs. The tooth is twisted quite easily and quickly.

Upper molars

Three roots, which are placed in different directions, make the removal procedure quite complicated. Forceps are used in the shape of the letter S. Rotation is not used, the tooth can be removed only by swinging in different directions at a large amplitude. This applies to the first and second upper molars.

lower molars

The first and second large chewing teeth on the lower jaw have two roots, but they are often twisted. S-shaped forceps should be used with care when removed. These teeth often split in half when they are extracted. Therefore, the procedure can become more complicated and take longer, and the consequences can be painful.

third molars

Here the number of roots can be different. The crown often barely peeks out from the gum, so that it is difficult to grasp it. Therefore, special bayonet tongs are used. Since the roots, in most cases, are fused or intertwined, the removal takes a long time, twisting, swinging movements are used. Extraction of wisdom teeth is the most difficult procedure.

How teeth are removed

There is nothing complicated in the removal mechanics. To pull out a tooth, in contrast to its preservation or restoration, even a student of the Faculty of Dentistry can. The main thing is to use the right tools, give accurate anesthesia and be able to make the necessary movements.

By the way, if the dentist-therapist sends you for extraction, do not be alarmed, this is the name of the procedure for removing a tooth from the gums in a professional language.

But before depriving a patient of a tooth, doctors try their best to save it. This is the generally accepted medical rule: "Do no harm."

However, many patients themselves ask to be sent to the surgeon, they say, to pull out and not to suffer. To think that the absence of even a single tooth generates big problems for the chewing apparatus and digestive tract, leads to displacement and loss of other teeth, a change in the shape of the jaw, is not accepted in our society.

Therefore, the question of the number of teeth that a surgeon can remove at a time is extremely relevant among patients in dental clinics.

Extraction of a tooth occurs in several stages.

1. Preparation for anesthesia.
2. Preparation of the oral cavity.
3. Anesthesia.
4. Extraction of a tooth.
5. post-surgical treatment.

Video - Tooth extraction

The situation when the tooth must be extracted occurs in the following cases.

1. It cannot be treated.
2. Misplaced - the tooth interferes with the growth or function of adjacent teeth.
3. The tooth injures the oral cavity.
4. In the oral cavity there was an inflammatory process.
5. The tooth is loosened and practically does not hold in the gum due to periodontal disease.
6. The situation of injury in an accident when a tooth is damaged.
7. Abscess.
8. Caries destroyed the roots and penetrated deep into the dental canals.

Minimum and maximum

Most professional dentists believe that light extractions can be done as many as you like in one session. Various anesthetics can effectively anesthetize the operated area. In addition to injections, there is a special gel that reduces sensitivity before the introduction of a needle with anesthesia. The duration of anabolic action can be up to two hours, depending on the dose. If the usual simple removal takes no more than a quarter of an hour, at one time, which lasts 2-3 hours, it is really possible to carry out a dozen simple removals without harm to the patient.

But complex extractions last from 40 minutes to three or more hours. Therefore, it is not possible to immediately remove, for example, four wisdom teeth that have grown into the gum and intertwined with roots, even in case of emergency and the work of surgeons in four hands is not possible. Anesthesia will have to be completed, which will not have the best effect on the patient's condition, including psychological.

By the way. Even a simple surgical operation is a trauma. In addition to the possibility of extracting a large number of teeth in a certain time period, it is necessary to take into account the degree of injury and the time of subsequent healing of the cavity.

In addition to the theoretical calculation of opportunities, there are rules and regulations, as well as the conditions of insurance companies that dictate their own rules.

According to the standards that apply to both public and private clinics, if the patient is in good health, age allows, there are no chronic diseases, up to three light teeth can be removed at one time with a single anesthesia.

If we are talking about complex removal, in one visit, according to the norms, the doctor can remove only one tooth. In an emergency, with repeated anesthesia, you may have another one removed. But this will already be associated with certain risks, including postoperative complications. The healing period will also be long and difficult.

Where do these norms come from, and is it really necessary to comply with them? Many dentists on the forums of specialized sites complain that health insurance companies do not allow more than 2-3 teeth to be removed at the same time. Moreover, this is not even explained by concern for the safety and health of the patient. Dentists joke that insurance companies seem to be afraid that waiting lines will disappear in dentistry if surgeons start extracting all the teeth at one time.

Most professional dental surgeons still agree that, if necessary, four or more difficult teeth can be removed at the same time. And the record for easy removals in one go is 18.

As far as concern for the consequences for the patient is concerned, no one pulls out teeth just on a whim. Sometimes there really are cases when it is necessary to carry out the extraction of the entire dentition, and urgently. If the risk to the health or life of the patient is higher than the postoperative consequences, doctors go for such an operation and remove as many teeth as necessary.

After extraction

1. After extraction, a tampon with medicinal impregnation is installed, which stops bleeding. It must be kept for exactly 20 minutes. Then remove yourself. This will promote the formation of a blood clot, which will protect the wound from infection.

   

2. It is recommended to eat food after two hours. Better liquid or puree, at least during the day. Try not to get into the hole, do not chew, try not to leave food residue in the wound.

   

3. It is allowed to drink liquid after an hour, but do not manipulate it in the mouth, do not rinse the wound so as not to wash off the protective blood clot.

   

4. All drinks and food should be at medium temperature. Hypothermia, as well as overheating, after extraction is very dangerous.

   

5. Alcohol is not allowed on the day of the operation. You can also not smoke, two hours after removal.

   

6. You can brush your teeth only from the side opposite the extracted tooth.

   

If the removal was simple, a second visit is not required, after 3-4 days the gums will heal.

In case of complications, if the pain lasts more than a week, and the gum does not heal, it is necessary to contact the surgeon again to control the situation and prevent the inflammatory process.

Video - Removal of 10 teeth in 3 minutes

Myth #1: Dentistry is expensive

To treat teeth is not so expensive if you regularly engage in prevention, as expected: visit the dentist every six months and be sure to treat any disease in its initial stage, experts are sure. “Patients often come to us for a consultation, and I ask what they need to treat? You start listing: here is caries, here too, to which the patient replies: the hole is very small, there is no need to treat it yet. What happens in practice? Six months later, this patient comes to the doctor with deep caries or pulpitis, when the tooth is already disturbing, night pain appears and the cost of treatment increases significantly, ”gives an example doctordentist-therapistclinics"Dentalstandard"IrinaVlasov.

Meanwhile, you can save a lot on dental treatment if you take action on time. So, the treatment of caries in the clinic, depending on the complexity, will cost patients from 1200 to 1600 rubles, but pulpitis will already cost more - up to 4500 rubles. Again, if the tooth is lost, then the cost of implantation will be many times higher than the cost of therapeutic treatment, so there is a reason to think about prevention. If the restoration of the dentition has already become topical issue for the patient, you should not despair - high-quality dental services can be obtained at quite reasonable prices. Thus, an implant plus a crown of the well-established Israeli Alpha-Bio system in the Zubnoy Standard clinic costs only 19,990 rubles, and a ceramic-metal crown can be placed here for only 2,950. Savings will be especially sensitive for those who need total implantation or prosthetics.

Myth #2: Dental treatment hurts.

Even in the 21st century, there are patients who consider dental treatment a painful procedure, but doctors assure that this myth has nothing to do with modern dentistry. “Today, even an anesthetic injection does not cause pain, not to mention further treatment under anesthesia. Firstly, the injection site is necessarily anesthetized, the so-called application anesthesia is performed. Secondly, modern anesthetic needles are very thin, which makes the injection procedure completely painless, while the latest generation anesthetics perfectly anesthetize and do not cause discomfort, ”explains the doctor.

Moreover, even implantation today is performed under local anesthesia, which is very alarming and frightening for patients before the procedure, who still consider implantation as the most difficult operation. And after the procedure, as a rule, they begin to wonder why it didn’t hurt, why there are no stitches? Why is there pain after tooth extraction, but not after implantation? All this is provided by modern proven technologies created for people and in order to be treated comfortably.

Myth #3: Dentists most often "breed" patients

Of course, as in any other field, there are unscrupulous specialists in dentistry, but there is also opposition to them today. Experts advise, when coming to a consultation, to demand a treatment plan, which should indicate the procedures that the patient needs to perform and their cost. If the patient does not trust the doctor, he can go to another clinic and ask for a similar treatment plan there, and then compare. Perhaps these two plans will be slightly different (how many doctors, so many views on treatment), but they should not fundamentally not coincide.

At the same time, of course, it must be understood that in the course of treatment circumstances may arise that will affect the change in the original plan, for example, if it turns out that the patient does not have caries, but pulpitis. This, by the way, also always worries patients - many believe that the doctor groundlessly drilled a tooth in which there was only a small hole. “Unfortunately, today there are very often cases when the tooth is completely affected inside, and looks quite healthy on the outside - this is the merit of modern pastes that strengthen the enamel,” explains Irina Vlasova. - In this case, caries develops deep into the tooth like a cone. When opening a tooth, the dentist expands the cavity not by eye, now there are special caries markers that are applied to the tooth tissue. If the marker does not wash off, this indicates that the tissue needs to be removed, it is necrotic dentin that is infected.

It happens that the dentin is stained to the very pulp, we can not leave it in any case. If such a tooth is sealed, the patient will come back with the same pulpitis in six months, so we have to tell the patient that it is pulpitis.” In order to prevent such situations, doctors advise not to wait until a small hole appears on the tooth, but simply visit the doctor every six months for a preventive purpose in order to eliminate emerging defects in time.

Myth #4: It is better to treat your teeth close to home.

Of course, it is convenient to treat teeth near the house, but does a dental office located in a small apartment on the ground floor of a high-rise building meet all modern requirements? Experts urge patients to carefully approach the issue of choosing a clinic. You need to understand that in large clinics, the requirements for sterilization of instruments and equipment are necessarily observed. Secondly, more than one doctor works in a multidisciplinary clinic, which means that there is an opportunity to get advice from related specialists, which is not so rare. And, most importantly, large clinics always have diagnostic equipment, without which even the treatment of pulpitis is indispensable today, not to mention more complex procedures. “In small dental offices, pulpitis is often treated on teeth that are to be removed, for example, if there is a root fracture or an exacerbation of chronic periodontitis. The most interesting thing is that patients, as a rule, do not go to retreat these teeth under warranty, they are looking for another clinic, respectively, they pay twice for the treatment of the same tooth. It is unacceptable to treat teeth blindly today, even when treating pulpitis, you need to take at least three pictures, ”the specialist warns.

Problems with transport accessibility are not relevant for the Zubnoy Standard clinic, it is easy to get to the city center for residents of any of the districts of Chelyabinsk, and car owners have convenient parking - you just need to make an appointment in advance and you won’t have to spend a lot of time on a visit to the doctor.

Myth #5: A filling is placed once and for life.

Even the most expensive filling made of ultra-modern material has its own service life, a maximum of five years. After this time, it will acquire defects or shrink - a rim is formed along the edge of the filling, where food will fall, which will provoke secondary caries. Therefore, it is necessary to change the seal in a timely manner, even if a slight violation of the marginal fit has become noticeable. “If you change the filling on time, then you practically don’t have to prepare the tooth, you just need to slightly refresh it, and it will serve without problems for another five years,” says the doctor.

Myth #6: Fillings are visible to others

A well-placed seal will not be visible, not only to others, but even upon careful examination by its owner. Not only its color should correspond to a natural tooth, but also its shape - the doctor is obliged to reproduce the chewing surface of the tooth so that it is the same as before its destruction, and this is not only a matter of aesthetics. If the tooth is restored incorrectly, the interdental space will be disturbed, where food will get stuck. This, in turn, will lead to localized periodontitis, as the gum between the teeth will be constantly injured.

Myth #7: It is easier to extract a tooth than to treat it.

No tooth - no problem, this is how many patients come to remove a disturbing tooth. Some rashly make such a decision, comparing the cost of removal and treatment, without thinking that the tooth will have to be restored, and these are additional costs. Someone thinks that you can live without a tooth, but doctors warn that in this case, problems with the integrity of the dentition will begin, and accordingly, the work of the entire dentoalveolar system will be disrupted. “Teeth should be in a single bond, if some teeth are missing, they begin to diverge, spaces appear where food gets in, periodontal problems begin. Teeth diverge, and even inflammation in the gums joins. The teeth just start to go away, those that did not hurt, - explains periodontistclinics"Dentalstandard",docentdepartmentstherapeuticdentistrySUSMUTatianaSafonova. - In addition, the roots of these teeth are exposed, as a result of their advancement to meet the defect, a traumatic block is formed. A person begins to adapt to a different type of chewing, which leads to pathological loosening of the teeth.

Myth No. 8: Implantation can only be trusted to a "famous" surgeon

Yes, a really "eminent" surgeon is great, but this should not directly affect the cost of implantation. If the doctor is exactly like that, then it is not difficult for him to perform implantation, this is a surgical intervention that has been worked out for years. Rejection of implants today is very rare and often occurs due to the fact that the patient hid some information from the doctor, for example, about an existing disease, or insisted on implantation if there were contraindications, but in these cases the patient deliberately takes risks.

By the way, those patients who insist on implantation of the frontal section when there are no chewing teeth are also at risk. The desire to restore aesthetics is understandable, who doesn’t want a smile to be beautiful? “We explain to the patient that the main thing is to implant chewing teeth, because if they are not there, you will have to chew with the frontal teeth, and they will not withstand such a load, they will begin to loosen and quickly leave. First you need to restore functionality, and then take care of aesthetics, but, unfortunately, not all patients want to understand this, ”says implant surgeonclinicsAliaUsmanov.

Myth #9: The surgeon has to be a man.

Some patients are convinced that in order to remove a tooth, brute male power is needed. “In fact, force is not needed in this matter: knowledge, intuition and experience are important. Any specialist, even a woman, knowing how to apply forceps, what movements to make, what leverage to create, will do it once or twice. Nobody canceled the laws of physics,” Aliya Rafailovna explains.

Myth #10: Periodontitis cannot be cured

There is an opinion that periodontal disease goes away with the last tooth. On the one hand, this is, of course, a true statement, but modern methods of treatment allow, if not cured, to keep periodontitis in remission and keep teeth until old age. The specialists of the Zubnoy Standard clinic are assisted in this by the modern apparatus for gum treatment Vector Paro. “Earlier, periodontal diseases were treated with hand instruments - deposits accumulated in the gum pocket were removed, so it was not always possible to do this well. The special nozzle of the Vector Paro removes these deposits with the help of ultrasound, and to a mirror shine. In addition, with the help of the device, deposits on the root of the tooth can be removed. As a result, the periodontal pocket is significantly reduced in depth, the inflammation disappears, ”explains Tatyana Anatolyevna.

A similar procedure is recommended for patients with chronic periodontitis every six months. The price of the issue is five thousand rubles for the treatment of all teeth in the upper and lower jaws. So those who are afraid of losing their teeth due to gum disease should not despair - they can be saved for long years and even in old age to charm others with a natural smile. The main thing is to take control of the situation, as, indeed, with any disease, and the specialists of the Zubnoy Standard clinic are ready to help their patients in solving any problems of the oral cavity.

Dental clinic "Zubnoy standard",

As you know, many patients come to dental clinics to treat several teeth at once. Dentists can take such risks, but in most cases they try to treat their teeth gradually. There are several reasons for this that directly affect the health status of the company's client. It should be noted that at the moment, even with the use of high-quality drugs and medicines, there are many health risks. Gradual dental treatment, like deaura cosmetics reviews and the results of which are always positive, guarantees a 100% recovery of the patient and his protection for many years.

When treating teeth in a complex way, there are a lot of risks. First of all, there is a serious burden on the body. Treatment of each tooth will require taking medications and painkillers. As a result, you can simply quickly destroy the immune system, which will not be prepared for such a serious drug attack. In order to eliminate any unnecessary risks and threats, it is mainly necessary to ensure the availability of quality working conditions. In such a situation, each tooth is treated separately with an interval of several days. Proper preparation eliminates the possibility of future risks. Enlarged teeth will already be able to rehabilitate and recover, but the elements will be fully prepared for further processing.

In particular, gradual dental treatment will be relevant when it comes to working with wisdom teeth. Such elements, as a rule, are the most complex diseases. First of all, they are located in a hard-to-reach place, and secondly, here the patient often has to experience really serious pain. In such a situation, the treatment of several teeth at once will become a really serious test, which not every client of the dental clinic will be ready to go through.

In professional hospitals, doctors, of course, pre-diagnose and analyze. Thanks to this approach, future consequences are excluded and it becomes possible to determine the potential and endurance of the body. This approach is very important, because it allows the patient to exclude any threats and get at his disposal a high-quality and up-to-date service of a modern level that does not require any additional investments. Any paid dentistry is now ready to offer such services, but if you wish, you can undergo treatment in municipal hospitals, where standard dental procedures are also very effective and functional.

Added on 10/31/2014

The Komsomolskaya Pravda correspondent went to the dentists, but not to a private clinic, as it has become fashionable now, but to an ordinary city dentistry. To check whether quality medical care is really that expensive and whether it is possible to get it in a public hospital?

“Take 4500 rubles, you can’t go wrong”

Most of us remember a visit to the dentist, when there is no strength to endure and the aching pain does not allow us to eat, sleep, or work normally.

So I have a small hole in my tooth for about six months lived its own life and did not bother. And one evening how it hurts! So much so that it is impossible to tilt your head, as if someone is knocking with a sledgehammer. At first I rinsed with soda and patiently waited for it to pass. Did not help. Somehow I fell asleep with the painkillers. And in the morning I immediately opened the Internet and began to call the dentists closest to the house.

- Can I book an appointment with you for the evening?

No, everything is already taken, - they answered me in one clinic.

Yes, come on. What happened to you? - responded to another.

- It was impossible to get a toothache yesterday, by the evening, I'm afraid, it will catch again. And how much does the treatment cost?

Only the doctor will say this, but if you need to fill the canals - from 2500 rubles and more.

- Yeah...

Two more clinics refused me (an appointment there two weeks in advance). And in the fifth, when asked about the price, they were taken aback: “Take 4,500 rubles with you, you can’t go wrong!” As a result, I signed up for the one where they asked for two and a half thousand, and left work early. While getting through traffic jams, it dawned on me: after all, there are public hospitals! Evening, but maybe take a chance and call? At least I'll sign up in the morning...

“Do you want a French injection or ours?”

- Good evening, - I smile at the registrar. - Tell me, can a doctor see me? It hurts a lot.

Are you registered in our area?

No, I was just passing by.

Then only for money.

I happily sit down in a chair. Super, no appointment, no queue. From the threshold - and immediately to the doctor. Maybe I have a little problem.

Pulpitis, - the doctor concludes, - here one visit is not enough. Now we will clean the tooth and put the medicine. Can you come tomorrow at 8 am? In the meantime, go to the next office and put an injection to calmly drill.

Do you need French painkillers or our Russians? - they asked me in the next office.

- How much does this French cost? (To be honest, I don’t care anymore, as long as they do it faster, but I’m curious.)

100 rubles.

- Yes, put it, of course!

Within five minutes, my gum was numb.

Be patient, my dear, let's start faster, finish faster, - the doctor reassured.

And practically without a break, she briskly and confidently treated my tooth in a total of 5-7 minutes.

Everyone, I'm waiting for you tomorrow at 8.00.

- How much do I owe you? I ask, pulling on my coat.

So far, not at all, as we come to an end, I will warn you.

The next morning at exactly 8.00 without a queue, I again found myself in a chair. The doctor sealed the channels and, as expected, sent to take a picture. I paid 45 rubles to the cashier for the picture and brought it still wet to the doctor's office.

Well, that's great, - the doctor said with satisfaction, - now I'll put a temporary filling, and in a couple of days - a permanent one. Oh, and your tooth is completely destroyed up here! It is necessary to urgently remove, God forbid, it will become inflamed. Come tonight, there will be a good doctor, he will do everything carefully.

There is nothing to do, in the evening after work I again drove into dentistry (it seems that I will soon register here). Went to the right office. The doctor was very thorough and did everything quickly and painlessly. I paid 300 rubles to the cashier, 100 of them for anesthesia, also French.

Two days later, as agreed, I was given a permanent filling, polished beautifully. At the box office, they counted something on a calculator for a long time, wrote down the cost of each service on the check and deduced the total figure - 826 rubles 90 kopecks.

Great, I smiled.

Of course, nothing is a pity for health, someone will say. But still I can’t understand why there is such a difference in prices: 4000 rubles per tooth from private owners and 800 re in the state. I decided to ask the experts about it.

OPINION "FOR"

In state dentistry equipment and prices, as in 2005

Ella NOVIKOVA, chief physician of the city dental clinic No. 3:

In all municipal dental clinics, rooms have been allocated to provide paid care to patients. They are equipped with modern imported equipment: Italian, Czech. In the rest of the classrooms, the equipment is also good, its shelf life does not exceed the established norm - 3 years. For example, a digital orthopantomograph costing 1,000,000 rubles was installed in our clinic. With it, you can see all the teeth at once in one picture - very convenient. We have a picture on such a device costs 250 rubles, in a private clinic - within 500 rubles. Why is the cost of our services lower than in private clinics? It's just that our prices do not include profit, they have one cost price. And private traders, naturally, are aimed at profit. By the way, our prices are still at the level of 2005.

OPINION "AGAINST"

In the municipal clinic and did not hear about the materials of the fifth generation

Yulia RYABINKO, Marketing Director of Astrea Dental Center LLC:

The materials used by private clinics, in particular ours, are of the fifth generation. I highly doubt that in municipal hospital at least heard of them. Every six months we purchase some new equipment. After all, medical equipment becomes obsolete very quickly, just like computers or cell phones. In addition, the level of sterility is very important - in our clinic, for example, a nurse washes the floor several times a day, patients walk in shoe covers. Doctors of private dentistry have the opportunity to regularly travel to specialization, at least once every six months. All this requires capital investments, and rather big ones. This is where the price of our services comes from.

Is it possible without money?

Of course, you were treated for money, although in a state clinic, - my colleagues reproached me. - But try it on the policy. Let's see how you drink.

For a ticket - at 7 am

"Why not?" I thought. I found a polyclinic, to which I am attached by registration, and - for the umpteenth time! - dialed the registration number.

Are you registered in our area? - immediately clarified with me. - Do you have a policy?

- Oh sure!

Then, with your passport and policy, come tomorrow at half past seven and put the ticket aside.

Immediately breathed something long and firmly forgotten. Early morning, gloomy line for coupons...

“But I need it today, can’t I right now?”

And suddenly - a miracle! - "go to office number 4 - there is a live queue" ...

According to the policy only ... cement!

The live queue is the young guy ahead of me. And there are three more (!) people in front of him. Horror. But there is nothing to do. We sit and wait.

An hour and a half later it was my turn. I go into the office: ordinary-looking cars, in the paid office they seem to be the same. Only now the spittoon is not very clean, apparently, they did not have time to wash it after the last patient. Brrr!

Our dialogue with the doctor goes along the already familiar track:

Do you need paid anesthesia or conventional?

- And what will you bet for free?

Lidocaine. By the way, do you have any allergies?

- I don’t even know, they didn’t do lidocaine for me.

Well, let's try now...

But the main "ambush" was waiting for me with a seal.

Which one will we put? the doctor asked me bluntly. - If you want imported - go pay 500 rubles at the box office.

- I'm on the policy ... - I decided to remind.

According to the policy, only ... cement ...

- It's strange, but they told me that in state clinics they now work with the same materials as in private ones, and your equipment is of high quality, - I was surprised.

Yeah! We even have five-year-old materials for money, but you want insurance. So, will we put cement?

- Isn't it harmful? is the last argument. And I hear: they say, the material is safe and environmentally friendly, only now ... it will fall out in a month, you will come to me again.

Well, no, I have to ask for time off from work again, endure the drill and the smell of dentistry, I can’t afford this. So sorry, dear readers, but I didn’t succeed in a clean, that is, free, experiment - I still had to pay ... But they gave a guarantee (two weeks with a receipt). They put a French filling and even picked it up in color so that it would not differ if I suddenly open my mouth wide.

It's a shame, of course, that it was not possible to receive treatment completely free of charge. But not even for themselves, but for doctors who understand that medical technology has long gone ahead, and they are forced to treat patients with the old-fashioned method and convince them to pay for a normal filling.

Read about how to get the necessary examinations and receive treatment in Moscow for free in the next issues of KP - Zdorovye.