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Need a dentist at home. Tooth extraction

Frequently asked questions

First of all, one that does not injure the gums during use. At the same time, the quality of oral hygiene depends more on whether the teeth are brushed correctly than on the shape or type of toothbrush. As for electric brushes, for uninformed people they are a more preferable option; although you can clean your teeth efficiently with a simple (manual) brush. In addition, a toothbrush alone is often not enough - floss (special dental floss) must be used to clean between the teeth.

Mouthwashes are additional hygiene products that effectively cleanse the entire oral cavity of harmful bacteria. All these products can be divided into two large groups - therapeutic and preventive and hygienic.

The latter include mouthwashes that eliminate unpleasant odors and promote fresh breath.

As for therapeutic and prophylactic ones, these include rinses that have anti-plaque/anti-inflammatory/anti-carious effects and help reduce the sensitivity of hard dental tissues. This is achieved due to the presence of various biologically active components in the composition. Therefore, the mouthwash must be selected individually for each individual, as well as toothpaste. And since the product is not washed off with water, it only consolidates the effect of the active ingredients of the paste.

This type of cleaning is completely safe for dental tissues and causes less damage to the soft tissues of the oral cavity. The fact is that in dental clinics a special level of ultrasonic vibrations is selected, which affects the density of the stone, disrupts its structure and separates it from the enamel. In addition, in places where tissues are treated with an ultrasonic scaler (this is the name of the device for cleaning teeth), a special cavitation effect occurs (after all, oxygen molecules are released from water droplets, which enter the treatment area and cool the tip of the instrument). The cell membranes of pathogenic microorganisms are ruptured by these molecules, causing the microbes to die.

It turns out that ultrasonic cleaning has a comprehensive effect (provided that really high-quality equipment is used) both on the stone and on the microflora as a whole, cleansing it. But the same cannot be said about mechanical cleaning. Moreover, ultrasonic cleaning is more pleasant for the patient and takes less time.

According to dentists, dental treatment should be carried out regardless of your situation. Moreover, a pregnant woman is recommended to visit the dentist every one to two months, because, as you know, when carrying a baby, the teeth are significantly weakened, suffer from a deficiency of phosphorus and calcium, and therefore the risk of developing caries or even tooth loss increases significantly. To treat pregnant women, it is necessary to use harmless anesthesia. The most appropriate course of treatment should be selected exclusively by a qualified dentist, who will also prescribe the required medications that strengthen tooth enamel.

It is quite difficult to treat wisdom teeth due to their anatomical structure. However, qualified specialists successfully treat them. Wisdom teeth prosthetics are recommended when one (or several) adjacent teeth are missing or need to be removed (if you also remove a wisdom tooth, there will simply be nothing to chew on). In addition, removal of a wisdom tooth is undesirable if it is located in the correct place in the jaw, has its own antagonist tooth and takes part in the chewing process. You should also take into account the fact that poor quality treatment can lead to the most serious complications.

Here, of course, a lot depends on a person’s taste. So, there are absolutely invisible systems attached to the inside of the teeth (known as lingual), and there are also transparent ones. But the most popular are still metal bracket systems with colored metal/elastic ligatures. It's really fashionable!

To begin with, it is simply unattractive. If this is not enough for you, we present the following argument - tartar and plaque on the teeth often provoke bad breath. Is this not enough for you? In this case, we move on: if tartar “grows”, this will inevitably lead to irritation and inflammation of the gums, that is, it will create favorable conditions for periodontitis (a disease in which periodontal pockets form, pus constantly flows out of them, and the teeth themselves become mobile ). And this is a direct path to the loss of healthy teeth. Moreover, the number of harmful bacteria increases, which causes increased dental caries.

The service life of a well-established implant will be tens of years. According to statistics, at least 90 percent of implants function perfectly 10 years after installation, while the service life is on average 40 years. Typically, this period will depend both on the design of the product and on how carefully the patient cares for it. That is why it is imperative to use an irrigator during cleaning. In addition, it is necessary to visit the dentist at least once a year. All these measures will significantly reduce the risk of implant loss.

Removal of a dental cyst can be done therapeutically or surgically. In the second case, we are talking about tooth extraction with further cleaning of the gums. In addition, there are modern methods that allow you to save the tooth. This is, first of all, cystectomy - a rather complex operation that involves removing the cyst and the affected root tip. Another method is hemisection, in which the root and a fragment of the tooth above it are removed, after which it (the part) is restored with a crown.

As for therapeutic treatment, it consists of cleaning out the cyst through a root canal. This is also a difficult option, especially not always effective. Which method should you choose? This will be decided by the doctor together with the patient.

In the first case, professional systems based on carbamide peroxide or hydrogen peroxide are used to change the color of teeth. Obviously, it is better to give preference to professional whitening.

As you know, all segments of the population without exception need dental care. Previously, at the time of the beginning of the formation of the dental service in Russia, dental care was provided only in clinics, the number of working personnel was small, and in general the level of development of medicine and dentistry did not allow for on-site operations. But progress does not stand still. Dentistry has become commercial - the commercial side of the industry has developed, which is why competition is increasing. And, naturally, according to the laws of the market, if you want to survive in a competitive environment, provide goods and services of the best quality, different from all others. This inspired great minds to create portable drills and even specially equipped cars that are sent to distant villages to provide professional dental care. You should not think that providing a service such as teeth removal at home is exclusively paid. There are a number of cases when such a procedure is performed free of charge as compulsory medical care.

Each municipal clinic serves one or more districts of the city. All residents of the districts will be assigned to the servicing clinic. Disabled people and other groups of beneficiaries are entered into a special file cabinet. The dental clinic organizes a visiting team of dentists. Departures are carried out, as a rule, several times a week. At the same time, one group of dentists leaves on one day, for example, on Monday - orthopedic dentists, on Tuesday - therapists, on Wednesday - surgeons, and so on. These teams are required to visit patients if the patient or his close relatives have left a request for this. Moreover, such teams have everything necessary to provide primary dental care:

portable drill;
a set of sterile instruments;
filling and other types of materials.

Free home help

Such teams cannot provide assistance to everyone. This is impossible both physically and financially, because treatment or removal of even one tooth in such conditions is expensive. Thus, home assistance is provided:

disabled people of disability groups I and II due to a general somatic disease;
disabled people who cannot move independently;
Veterans of the Great Patriotic War, heroes of Russia and the Soviet Union have benefits and prerogatives.

Removal at home

Tooth extraction is not easy to do at home. Even in a clinic or hospital setting, any surgical intervention is associated with a number of risks. Removing teeth and roots at home for disabled people is the highest risk category, since such patients suffer from general diseases, which is why they are forced to take medications that cause a number of complications. For example, if a patient suffers from diseases of the cardiovascular system, he must take salicylic drugs such as aspirin and its analogues, or heparin, which prevent the formation of blood clots and, therefore, prevent heart attacks and strokes. They thin the blood, which can cause severe bleeding when removed.
Therefore, when calling a team of surgical doctors to your home to perform a tooth extraction operation, it is necessary to tell in detail about the patient’s disease, complications and adverse reactions that have ever occurred, and also indicate all the medications that are being taken.

Removing a tooth or group of teeth at home is a serious surgical procedure, especially in high-risk patients. Therefore, if you have the opportunity to take the patient to the hospital, take advantage of it. If this is not possible, then remember the need for a detailed description of the disease and the patient’s well-being to the doctor, because such a seemingly simple procedure - a conversation lasting 5-10 minutes - will help to avoid misunderstandings and all kinds of complications.

The cost of the service already includes: anesthesia, a set of sterile instruments, medications, consumables and tooth extraction itself. The price varies only depending on the complexity of the removal itself.

What to do after teeth extraction at home?

After tooth extraction, the question arises: what design will replace the lost tooth? Of course, older people, as a rule, cope without teeth in principle, because they are just used to it, but who said that this is right? In fact, for some time, due to the absence of one tooth (provided that the others are present), the chewing function of the teeth will not be greatly affected. But dental deformation occurs, that is, neighboring teeth begin to lean towards each other, filling the free space. An antagonist tooth can also move forward (Popov-Godon phenomenon). For example, if you have lost the upper central incisor (1.1), then the lower central incisor (4.1) will begin to move upward, lacking contact with the antagonist (the removed tooth). It can also be noted that the general somatic state can directly depend on the food that we take every day. For these reasons, we recommend restoring the integrity of the dentition in order to avoid unpleasant consequences. There are many variations of replacing a lost tooth. , assumes only removable structures, in order to maintain the quality of work and be sure that the structure will last a long time.

Psychological discomfort when visiting a dental office, disability, old age or a simple lack of time - all this is not a reason to refuse dental treatment.

Moreover, today even tooth extraction can be done at home. How does the procedure take place, and what else does the patient need to know about mobile dentistry?

Need for service

There are a number of reasons why it is not possible to visit a dentist. But delaying the procedure can also be dangerous.

After all, there is a specific list of indications for extraction that, to one degree or another, can complicate the patient’s life.

List of the main reasons and conditions for which it is not possible to visit a dental clinic:

patient age (elderly);
diseases or any other health problems for which it is not possible to get to the clinic on your own (for example, a fracture);
rehabilitation after surgery;
lack of registration, which prevents treatment in government institutions;
psychological discomfort from visiting the dental office;
lack of time to visit the clinic during the day (for example, work or small children).

Information for the doctor

To call a doctor at home, you need to call the clinic you are interested in and leave a request. During the telephone call, the clinic administrator must provide the following information:

patient's age;
what is the patient complaining about and is there really an indication for extraction of the problem unit;
location of the element in the jaw row (upper or lower unit, its number or at least approximate position);
what local symptoms are present - the nature of the pain, discomfort when biting, unsteadiness;
did the temperature increase, if so, within what ranges;
is the soreness of the jaw organ accompanied by swelling of the gums and cheeks;
the presence of chronic diseases of the nervous and cardiovascular system, previous stroke and heart attack, allergies to any medications;
whether you are currently being treated with medications to thin your blood or lower your blood pressure;
home address and telephone number for contact.

All information is transmitted to the doctor, who will go to the address with the necessary set of drugs, tools, and equipment.

Preparation

Dentists that provide home visits always have all the necessary equipment in a “mobile version”. These include disposable masks, sterile dressings, syringes, anesthetics, a set of instruments, a mobile X-ray and, sometimes, even a portable dental chair.

A doctor visiting a patient’s home must have a tonometer with him. High blood pressure increases the risk of bleeding after surgery. Therefore, if the indicators are unsatisfactory, the procedure is impossible.

During the examination dentist examines the oral cavity and confirms the need to remove the problem unit. Some clinics may also require the patient to provide a certificate from a physician authorizing the procedure to be performed at home. But this is warned about in advance, when making an appointment by phone.

The next stage is the choice of anesthesia. Modern drugs make it possible to completely painlessly remove complex elements of the jaw row and carry out any surgical manipulations in the mouth.

Previously, Novocain was used for these purposes. But recently, cases of allergic reactions and numerous side effects after the administration of the drug have become increasingly common. Therefore, today the first choice anesthetics are drugs based on Lidocaine or Articaine (Ubistezin, Septanest).

If no contraindications to extraction and administration of anesthetic are found, you can proceed with the procedure.

Extraction process

The operation at home is no different from the standard procedure in a dental clinic:

Anesthesia injection. To minimize the discomfort from the injection, a lightly frozen gel can be pre-used and applied to the gums.
Then forceps are applied to the crown of the problem unit and carefully, without unnecessary pressure, move under the gum to the neck.
Having fixed the forceps, the doctor must destroy the periodontal ligament, for which the organ rotates around its axis or loosens slightly (depending on the number of roots).
The next step is to remove the unit from the hole.
Next is the revision. The doctor carefully examines the hole, removing possible granulations, root particles or other sources of infection that can trigger the onset of the inflammatory process.
A clean wound is treated with an antiseptic, then a gauze swab is applied.

At the end of the procedure, the doctor remains with the patient for some time to make sure that the bleeding has stopped and there are no complications after anesthesia.

Watch the video to see how a tooth is removed at home.

After removal, the dentist must give recommendations on how to care for the hole. Here are some of them:

Within 2- 4 hours After extraction it is forbidden to eat.
First few days food should be at a comfortable temperature so as not to irritate the mucous membranes. It would be a good idea to grind it before use.
First day It is not advisable to brush your teeth after removal. Leave oral hygiene for the next day. At the same time, try not to touch the hole until it heals.
Rinsing is strictly prohibited! The maximum that can be done is baths with antiseptic solutions.
You should also not drink through a straw or spit out saliva., as this may cause the blood clot to fall out.
Don't smoke, since tobacco smoke interferes with tissue healing.
Non-steroidal anti-inflammatory drugs may be prescribed to prevent inflammation.(Nimesil, Diclofenac, Affida Fort and others). They will also work as a pain reliever when the anesthesia wears off. You should drink them 2 times a day.

Possible risks

Any surgical procedure is not without risks. Even after the operation, some complications may arise.

And if swelling and pain in the first 2-3 days after extraction are considered normal, then the persistence of these symptoms for a longer time is a reason to consult a doctor again.

Possible complications:

Alveolitis– inflammation of the socket due to the absence of a blood clot. The problem is solved by prescribing anti-inflammatory drugs and antiseptics.
Hole bleeding. Only stitches can correct the situation. In particularly difficult cases, drugs are prescribed to increase the rate of blood clotting.
Paresthesia or nerve damage. Usually this phenomenon is temporary, and sensitivity is restored on its own within a few days after surgery. In some cases, drug therapy is required.

Even less common are perforation of the floor of the supramillary sinus, fracture or dislocation of the adjacent unit, or fracture of the jaw.

Price

The average cost of extraction of dental elements at home ranges from 5000-8000 rubles. Moreover, half of this amount is paid directly for departure.

The final price will depend on the city, area in which the patient lives, and the status of the clinic itself.

When calling a doctor at home, you can inquire about a discount for pensioners and other benefit categories of the population.

Experts' opinion

All doctors agree that any surgical procedures should be carried out in a hospital setting. After all, an operation (extraction is exactly that) in an apartment means an insufficient level of sterility, a lack of certain equipment, and an increased risk of complications.

But there are situations when it is physically impossible to go to the dentist, so the lesser of two evils is chosen. It is better to remove a problematic element of your home than not remove it at all. Just make sure that the doctor on call does not forget about sterility (mask, gloves, instruments).

There are situations in which it is difficult not to get confused. For example, you have a bedridden patient in your arms, and he has a toothache. What to do? It won't be possible to take him to the city dentistry. Shouldn't a person actually endure unbearable pain? Today the topic of conversation is how to call a dentist to a disabled person’s home.

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.

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.

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!