In what cases is it impossible to go to dentistry?
The problem with visiting specialized medical institutions arises for people suffering from serious diseases of the musculoskeletal system. Bedridden patients and disabled people of group 1 are not able to visit the dental office for obvious reasons.
To seek help at home, you need to have good reason, or better yet, documented evidence. That is, you should prepare in advance documents confirming group 1 disability or a certificate from the attending physician about the patient’s condition.
Information for disabled people and persons with limited health capabilities
The procedure for providing dental care at home to disabled people with severe disabilities
The provision of dental care at home is carried out within the framework of the order of the Moscow Department of Health dated July 7, 2009 No. 783 “On improving the provision of dental care to disabled people with severe disabilities.”
Our dental clinic has a team to provide therapeutic and orthopedic care at home. To record the provision of dental care for dentures at home, you must provide the following documents to the head of the department of orthopedic dentistry (2nd floor, room 15):
— a therapist’s conclusion about the general state of health and the possibility of providing medical services for dental prosthetics at home (issued at the clinic at the place of residence);
— passport of a citizen of the Russian Federation;
- pensioner's ID;
— compulsory medical insurance policy;
- a document confirming disability.
To receive therapeutic dental care at home, you must provide the following documents to the reception desk on the 1st floor:
— a conclusion from a therapist about the general state of health and the possibility of providing dental services at home (issued at the clinic at the place of residence);
— passport of a citizen of the Russian Federation;
— compulsory medical insurance policy;
Surgical dental care is provided only in outpatient or inpatient settings upon referral from the dental clinic to which the patient is assigned.
Comprehensive dental care at home for disabled people with severe disabilities is provided in accordance with the list of dental services:
1. Examination of the oral cavity.
2. Determination of the state of oral hygiene with indication of dental plaque (hygiene index).
3. Determination of the condition of periodontal tissues and oral mucosa.
4. Removal of dental plaque and recommendations for brushing teeth.
5. Carrying out atraumatic treatment of dental caries using glass ionomer cements for filling.
6. Treatment of hyperesthesia of hard dental tissues.
7. Treatment of pulpitis under anesthesia or with the application of non-arsenic.
8. Carrying out mechanical and medicinal treatment of root canals.
9. Filling root canals with pastes.
10. Opening of the tooth cavity during periodontitis.
11. Carrying out mechanical and medicinal treatment of root canals.
12. Using the delayed canal filling technique.
13. Filling root canals with pastes.
14. Curettage of gum pockets.
15. Medical treatment of gum pockets.
16. Irrigation of gums with medications.
17. Application of periodontal bandage.
18. Grinding and polishing of fillings, cusps, sharp edges of teeth and teeth after removing tartar.
19. Preparation of teeth for crowns.
20. Taking impressions.
21. Trying on crowns, fixing crowns or bridges.
22. Taking impressions for the manufacture of partial or complete removable dentures.
23. Corrections of prostheses.
24. Removing crowns.
25. Repair of prostheses.
Federal State Institution “Main Bureau of Medical and Social Expertise in Moscow” of the Ministry of Labor and Social Protection of the Russian Federation
- Address: 125040 Moscow, Leningradsky Prospekt, 13, building 1 Head Lapshina Galina Vasilievna Telephone Reception days: Monday 10.00 - 17.00, break 13.00 - 14.00 Opening hours: Monday - Friday from 9.00 to 18.00
- Official website: www.bmsem.ru
Article 6.1.
Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”. The right to receive state social assistance in the form of a set of social services In accordance with this chapter, the following categories of citizens have the right to receive state social assistance in the form of a set of social services: 1) war invalids; 2) participants of the Great Patriotic War; 3) combat veterans from among the persons specified in subparagraphs 1-4 of paragraph 1 of Article 3 of the Federal Law “On Veterans” (as amended by Federal Law No. 40-FZ of January 2, 2000); 4) military personnel who served in military units, institutions, military educational institutions that were not part of the active army, in the period from June 22, 1941 to September 3, 1945 for at least six months, military personnel awarded orders or medals of the USSR for service during the specified period; 5) persons awarded the badge “Resident of besieged Leningrad”; 6) persons who worked during the Great Patriotic War at air defense facilities, local air defense, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of active fronts, operational zones of active fleets, in front-line sections of railways and highways, as well as crew members of transport fleet ships interned at the beginning of the Great Patriotic War in the ports of other states; 7) family members of deceased (deceased) disabled war veterans, participants in the Great Patriotic War and combat veterans, family members of persons killed in the Great Patriotic War from among the personnel of self-defense groups of facility and emergency teams of local air defense, as well as family members of deceased hospital workers and hospitals of the city of Leningrad; disabled people; 9) disabled children.
Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”
Order of the Moscow Department of Health dated April 29, 2016 No. 376 “On approval of lists of pharmacy organizations that have the right to dispense medicines and medical products according to doctors’ prescriptions free of charge or at a 50 percent discount in the city of Moscow”
Order of the Moscow Department of Health, Department of Information Technologies of Moscow dated October 22, 2014 N 914/64-16-421/14 “On the procedure for maintaining the Unified City Register of citizens entitled to be provided with medicines and medical products sold under doctors' prescriptions free of charge or with a 50 percent discount in Moscow"
Where to go to call a dentist
It all depends on your financial capabilities. We can safely assume that a doctor from a paid dentistry will have better equipment and the service itself will be at the proper level. But families with disabilities rarely have the funds for expensive treatment, so their direct route is to free city dentistry. An important point: it is better if you decide in advance what to do with the diseased tooth: remove or treat. It is clear that sometimes it is difficult to decide, so if you are not sure, call for treatment. Well, if there are no other options, then you will need a surgeon. All this must be brought to the attention of the receptionist when you place the call.
Free dental clinics have a schedule of home visits. So if you say you need treatment, you may be scheduled for a day next week. Another thing is that if you receive a call for acute pain, the doctor will arrive on the same day.
Dental offices for disabled people
In Moscow there is a medical center that provides assistance to all disabled people (visually impaired and hearing impaired, wheelchair users and people with supports) in the clinic. Dentists trained in America work here. They also did their internship there. This experience allows them to successfully treat every citizen with limited mobility and provide an individual approach to each patient.
This clinic offers fifteen percent discounts for citizens of the first and second groups. The dentistry is equipped with all necessary equipment. The interior of the offices creates a comfortable environment. The layout of the clinic allows all citizens with limited mobility, even wheelchair users, to easily move around the premises.
The nuances of calling a dentist to a disabled person’s home
Prepare for possible difficulties. Put yourself in the position of a doctor - it is very difficult to work in conditions where the patient is not in the dental chair, and with a portable instrument. In addition, in such conditions it is impossible to take an x-ray of the diseased tooth and you will have to treat or remove it, as they say, at random.
Therefore, prepare for the dentist’s arrival. Look for additional lamps and arrange good lighting in the room, prepare a chair for the doctor, and, just in case, a bowl and a towel. Check with the reception desk in advance to see if you may need to buy painkillers and a syringe of the appropriate size for anesthesia. Understand that it is difficult to expect perfect results under these conditions, so be patient and polite. The doctor will appreciate all this, and it will be easier for him to work in a friendly environment.
Have you had any experience of calling a dentist to your home? If yes, write about it in the comments, our readers will be very grateful to you!
Dental treatment for disabled children
Children with disabilities are twice as likely to suffer from dental diseases.
Voting for disabled people at home
The following factors contribute to this:
- impaired functioning of the oral muscles;
- congenital anomalies and genetic susceptibility;
- poor nutrition;
- long-term use of medications.
Dentists at dental clinics are very attentive to young patients.
The doctor gets to know the child in a humorous or playful way. This supports children and eliminates fear throughout the procedure.
Who can receive dental services at home?
For many disabled and elderly people, the ability to invite a dentist to work at home is the only possible option to receive the necessary medical care. Today, orthopedists have at their disposal all the technological capabilities that allow them to carry out individual procedures outside the walls of the clinic.
However, such services can be useful not only for people who are elderly or disabled, but also for patients experiencing temporary mobility difficulties. Thus, dentists make home visits, including in the following cases:
- for broken limbs,
- exacerbations of serious chronic diseases, such as arthritis or arthrosis,
- recently suffered strokes and heart attacks, etc.
Dentists can go to your home if your limbs are broken.
You need to understand that prosthetics at home is a last resort measure, used only in situations where it is really necessary. Be that as it may, outside the dental clinic, the doctor is limited in his capabilities, since he does not have access to professional office equipment. If you have such a need and a good reason to take advantage, find competent honey. institutions can be found on the Internet.
1Lebedenko, I.Yu. Functional and instrumental research methods in orthopedic dentistry, 2003.
Tooth extraction at home for disabled people
Tooth extraction at home for disabled people begins with a preliminary conversation. The doctor finds out. What additional diseases does the patient suffer from, what medications does he take, are there any allergies to painkillers. After this, the procedure is carried out in several stages:
- Local anesthesia by injection of an anesthetic. It is selected personally for each patient.
- Severing the circular ligament from the neck of the tooth and applying forceps.
- Gradual rocking. The dentist slowly removes the tooth from the socket, after which he removes possible foci of the inflammatory process.
- Treatment with an antiseptic and application of a cotton swab.
After the procedure, you should not eat for at least 2 hours. After the painkiller wears off, some pain may occur, but it will go away fairly quickly.
Price
Tooth extraction at home in Moscow for elderly people and other categories of patients with limited mobility will in any case cost more than in a clinic. When working at home, the doctor requires increased caution and attentiveness; he has to take equipment and medications with him, in addition, the specialist will spend time and money on travel. The price of removal also depends on the complexity of the procedure and the presence of possible complications that delay the process.
You can find out prices in advance on the clinic’s website, or you can call the number and ask all questions to the administrator. However, the prices will be approximate in any case: the exact cost depends on the specific situation.
Why is it better to carry out the procedure not at home, but in a clinic?
Not all dental surgeries can be performed at home. If there are cysts on the roots of a tooth, it must be removed in parts; the patient takes medications that reduce blood pressure or thin the blood; in all these cases, it is safer to remove it not at home, but in the clinic. Dentistry is equipped with an X-ray machine for more accurate diagnosis, you can choose the most suitable anesthesia, constantly monitor the patient’s condition, and also take emergency measures if something goes wrong.
Reviews of removal at the clinic confirm that this option is much more reliable and safer. Tooth extraction at home is carried out only if it is impossible or extremely difficult for the patient to be taken to a specialist.
Publication date: 15-10-2019
Is it possible to remove a tooth at home?
If the patient cannot go to a specialist, but suffers from unbearable toothache, it is possible to have teeth removed at home in Moscow. A specialist will come to the address, conduct a conversation to identify the presence of serious chronic diseases, and then remove the diseased tooth on an emergency basis.
The procedure requires complete sterility to avoid complications, but modern technologies and portable equipment make it possible to cope with this task. Do not be afraid of infection: if you follow the technology, the procedure is safe.
