Next you will find out:
- How can I transfer a tooth extraction procedure with minimal loss to my health, nerves and wallet;
- Why do teeth sometimes have to be removed and what indications the dentist-surgeon is guided by, passing the appropriate verdict;
- In what situations with tooth extraction it is better to wait a little or not even remove it at all;
- What are the stages of the procedure and what awaits you in the dentist's office;
- Is it possible today to remove teeth without terrible forceps, without pain and with minimal trauma;
- How difficult and long-term removal of problematic teeth can be - impacted, polyurethinated, resorcinol-formalin and even ordinary molars, but with specific roots;
- How the patient can help the attending physician so that the tooth extraction will pass without problems;
- What to do if you need to urgently remove a tooth at night, on weekends or holidays;
- Is it possible in the hospitals today to remove teeth for free and that is often hidden behind cheap services ...
Tooth extraction (extraction) is considered a dental surgery and involves surgical intervention. In other words, when going to remove a tooth, you are going for a surgical operation, and therefore you should take this procedure with full responsibility.
Next, we look at the many nuances that will help an ordinary unprepared person to go through this test with minimal losses for the nerves, the wallet and their health (mistakes and negligence of the patient can lead to very serious consequences).
On a note
Situations are different: sometimes the tooth must be removed urgently, sometimes - according to plan, but in that and in another case, the question immediately arises: which dentist should be contacted? Which doctor can remove a tooth as competently and painlessly as possible?
Someone can, without hesitation, immediately say that you need to contact a dentist-surgeon. This is, on the one hand, the correct answer, but in practice things may not be so simple. The fact is that in clinics, hospitals and even in private dentistry, there is often a situation where one dentist works on a mixed appointment.That is, it carries out treatment (preservation) of teeth, which can still be saved, and also removes “bad” teeth, carries out professional teeth cleaning, and in addition, the same doctor also deals with prosthetics of missing teeth. Total, we get 2-3 or more specialties "in one bottle". Should I contact such a specialist?
Of course, everything depends on the professionalism of the doctor and his experience, but in practice most dentists focus on one area of work, having significantly less experience in other areas. For example, there are dentists on mixed admission who devote a lot of time to dental treatment, but they are not completely removed. Here much still depends on the complexity of the work ahead. But after one and a half hours of torment, during which the doctor cuts, drills and even hammer with tools, it is unlikely that one of the patients would like to hear that, they say, the tooth was too complex and could not be removed (sometimes it happens).
That is why it is best to remove a tooth from a dentist-surgeon who specializes only in this manipulation in its different guises.
In addition, there are maxillofacial surgeons - relatively speaking, they are even higher in level than dentists-surgeons.These specialists are not limited in their work only to “pulling out” teeth (even the most difficult ones), but they can also help with injuries of the maxillofacial area, dangerous complications of periodontitis (periostitis, osteomyelitis, abscess, phlegmon, lymphadenitis), congenital and acquired deformities, diseases TMJ, tumor processes, etc.
For example, for significant problems with the opening of the mouth, when it is necessary to remove a wisdom tooth in case of diffuse swelling of the face and neck, dislocation of the jaw or fracture of the jaw, it is necessary to apply to oral and maxillofacial surgery.
Why do teeth sometimes have to be removed
Before the removal of the tooth, the dentist determines the indications for this in advance, that is, weighs all the pros and cons. There are such clinical situations where a tooth can be considered controversial - this means that the dentist, even taking into account the available indications, cannot unequivocally say whether it is worth the risk of keeping it, or still remove it from harm's way.
There are also frequent situations when in one clinic they offer to immediately pull out a sore tooth, and in another they are taken to save it.
On a note
Sometimes, in order to recognize a tooth to be removed, a consultation of dentists of different profiles is assembled: therapist, surgeon, orthopedist, orthodontist, periodontist.
How can one explain such uncertainty in dental practice?
In life, as you know, it is not as simple as it may look in books and textbooks. The existing indications and contraindications for the extraction of teeth were developed in Soviet times by reputable scientists, and most of them went into modern protocols that guide dentists-surgeons in their practice. However, they may not always be suitable for a specific clinical situation, and there are several reasons for this:
- Improving the equipment, tools and methods of dental treatment increases the chances of preserving the teeth, sometimes contrary to existing protocols;
- At the same time, thanks to the newest diagnostic methods and modern approaches in dentistry, a dentist alone or collegially may decide to remove a tooth, even if there are indications for its preservation.
The following are examples of basic indications for tooth extraction:
- The failure of endodontic treatment in the area of the periapical inflammatory focus (in other words, when a cavity with pus has formed at the root of the tooth, and medical procedures have no effect);
- Emergency cases - sore teeth, which are a source of active microbial process, not treatable and provoke such diseases as periostitis, osteomyelitis, abscess, cellulitis, lymphadenitis, sepsis, etc .;
- Technical difficulties associated with curved or difficult passable channels, leading to the impossibility of conservative treatment, as well as - perforation of the tooth cavity or the root wall;
- The location of the teeth, leading to permanent injury of the mucous membrane of the mouth or tongue;
- The mobility of the third degree tooth and its extension in connection with bone resorption during periodontitis or periodontitis;
- Location in the fracture line (teeth that interfere with the reposition of fragments and are not subject to conservative treatment);
- Complete destruction of the tooth crown when it is impossible to use the root for orthopedic purposes;
- Complete teeth that interfere with prosthetics or cause injury to soft tissue, violating aesthetics and chewing;
- Extended teeth in case of loss of antagonist, as well as those that interfere with the creation of a functional prosthesis;
- In case of bite anomalies, even those not affected by caries can be removed by orthodontic indications;
- Some types of root fractures as a result of mechanical injury.
A separate category is the wisdom teeth, which a number of dentists recommends to remove urgently, while other doctors suggest trying to keep them, even going for some risk of complications.
On a note
There are situations when orthodontic treatment (for example, on braces) cannot be started without the removal of wisdom teeth, even if they are completely cut through and do not interfere with the bite.
The same ambiguous situations often arise in relation to the preservation of teeth, for example, when it is impossible to pass through the root canals, perforate the wall or break off a tool in the canal. In one clinic, they can recommend the removal of such a tooth, and formally it falls under the indications, while in another dentistry they can offer the rescue of a tooth using the latest technologies (for example, a microscope plus removal of instrument fragments from the canal using ultrasound).
In other words, an individual approach, common sense and medical logic in combination with the experience and professionalism of a doctor are very important when removing teeth. And not a simple old-fashioned method to chop off the shoulder, which took place in Soviet times not from a good life: the tooth was severely destroyed - under the forceps, there is no third channel - under the forceps, a small swelling appeared in the area of the transition fold in the projection of the tooth root - also urgently “Rip out” without waiting for periostitis.
Such antediluvian tactics (which, unfortunately, is still sometimes found in some clinics by those who are tired of the flow of patients and the low salaries of doctors) are currently unacceptable and fraught with negative consequences for patients.
Situations when it is possible to wait a little with tooth extraction or not to remove it at all
Despite the above-mentioned variety of options involving the removal of a tooth, there are also quite a few situations where it is better not to remove a problem tooth or to delay it.
The most common situation is related to pediatric dentistry, when parents of babies with a carious lesion of a milk (temporary) tooth urgently demand to pull out a tooth, accompanying it with something like this: “All the same, it will fall out - why treat it?”.
This logic is too straightforward and does not take into account the factthat the change of teeth in the normal should occur at the appropriate age: symmetric groups of teeth gradually become mobile and in many cases fall out themselves. If, however, the tooth is removed prematurely (even a year earlier), then there is a high risk of bite impairment and the development of the eruption of permanent teeth.
In other words, in case of early removal of milk teeth (especially multiple teeth), future permanent teeth can literally “disperse” in different directions, or even not cut through in a single or group variant. Such a prospect is not needed by any sensible parent, so it’s better now to rid the child of surgical intervention by curing caries or its complications, rather than investing power and resources in correcting bite and child psyche.
On a note
Meanwhile, there are clinical situations where acute conditions that threaten the health and life of a baby require the immediate removal of a temporary tooth. Or when the tooth can not be saved even by modern methods of treatment.
About the impossibility of the child’s cooperation with the doctor at the stage of dental procedures: there is not only the treatment and removal of teeth under general anesthesia,but also various forms of superficial sedation and premedication, which make it possible to carry out the procedure as comfortably as possible and to minimize the possibility that the child will have a fear of a white coat in the future.
Cases where a person wants to pull out an innocent tooth, are quite common in adult dentistry, especially among men and women over 45-50 years old. In many ways, this is due to old memories of the remnants of Soviet dentistry, when a tooth at every opportunity (even with caries) was sent as a forceps. Until now, such categories of citizens often get an appointment, especially in the budget (free) dentistry with requests or even requirements to remove a tooth during caries or pulpitis.
For example, the tooth began to ache from cold, hot, sweet, or the nightly pains of a whining character had just begun, and the patient was already negatively attuned to the treatment of the tooth. Motives can be different: from the “love of teeth pulling out” (quickly, inexpensively and there is no terrible drill with its sound) to 100% confidence that after treatment you will still have to remove the tooth (negative experience of past decades when teeth were treated for a long time, but in the end still had to apply for removal).
So, what is important to keep in mind: modern dentistry has long erased these prejudices. Now, not only with caries (even deep) and pulpitis, but with most periodontitis, the teeth are treated remarkably, and they do not need to be rushed to remove. And even if the tooth seemed to break down under the root - it’s not a fact that the root needs to be removed, since it is quite possible to restore the functionality and aesthetics of the tooth with the help of the root tab and crown.
Stages of tooth extraction: how it all happens in most cases
After, in accordance with the evidence, it is decided to remove the tooth, the preparation for the procedure begins.
The photo below shows an example of a broken front tooth to be removed:
The nature of the preparation depends on the features of the future manipulation (with or without anesthesia, with or without sedation), but the most basic steps include:
- Medical history (especially allergic status);
- Psychological preparation of the patient (many are afraid, so it is important for the doctor to calm the patient and adjust in a positive way);
- Medical preparation of the surgical field (rinsing the mouth with antiseptics, treatment of the injection site).
On a note
It is recommended to sign up for the removal of teeth in the morning when you and the doctor are still full of energy.If you do not plan anesthesia or sedation, then before the procedure it is better to eat well - so there will be more strength, and the blood will coagulate better.
If there is an opportunity to remove a tooth with the help of forceps, then the removal is called simple, and it is carried out in several stages:
- Anesthesia is performed first;
- Then, the gum is peeled from the tooth by a trowel;
- The doctor then applies forceps to the tooth;
- Forceps move under the gum;
- After this, the “loosening” of the tooth is carried out - this is necessary in order to destroy the ligamentous apparatus that holds the tooth in the hole;
- As a result, there is a "dislocation" of the tooth;
- Then extraction of the tooth is carried out from the hole;
- The final stage is the so-called hemostasis, that is, stopping the bleeding with a gauze pad or special hemostatic preparations;
- It is mandatory that the physician should advise the patient on the correct behavior in the postoperative period (including recommendations for caring for the hole after the extraction of the tooth).
In some cases, stitching may be required.
In order to remove the tooth it was not painful, both domestic anesthetics (for example, Lidocaine) and imported (articainum preparations) can be used. “Artikains” are recognized as the most effective today, however, the correct technique of anesthesia is very important - much depends on the level of professionalism and experience of the doctor.
Today, in dentistry, there are different options for anesthesia during the removal of a diseased tooth. During conduction anesthesia, a group of teeth is “frozen”. A good example is the torus or mandibular technique: when it is implemented, the patient does not feel the lip, the tip of the tongue and the cheek from the corresponding side.
Infiltration anesthesia is done in the projection of the root of the tooth on the gum: at the same time, freezing occurs only in the area of removal: almost always this is enough for all the upper teeth, as well as the lower ones - from the first to the fifth. For the 6th, 7th and 8th lower teeth, infiltration anesthesia will not be enough, so the torusal is done. If this conductor technique is not done or made poorly, then it can be very painful during the removal of the lower large molars.
From the modern methods can be noted also intraligamentary anesthesia (intrajunction). It is made with a special syringe and has a lot of advantages (it does not cause numbness of the face, it comes quickly, lasts for 20 minutes, which is enough for most outpatient deletions).
Anesthesia is sometimes used for complicated removal. A characteristic difference between complex tooth extraction and simple, in addition to the time taken, is the use of a drill (for sawing a tooth into parts, cutting the bone), screws, ligatures and some other specific tools (sometimes the tooth is literally chopped into parts with a chisel and hammer).
The picture below shows an example of a tooth sawn before being removed into three parts using a drill:
On a note
A dentist-surgeon cannot always determine in advance precisely whether a tooth extraction will be difficult or difficult. In many cases, the doctor can only approximately guess from which tooth it is worth waiting for difficulties, and which one almost “jumps out” from the hole during removal.
Sometimes a specialist immediately sees a potentially complex tooth (resorcinol-formalin, polyurethinized, retained,with specific roots) and warns the patient in advance that the procedure will be difficult and slow.
Feedback:
“The day before yesterday I removed the lower wisdom tooth. It was a real nightmare ... More than an hour, a tooth was sawn, a hammer was hammered, the roots were broken, a little jaw was broken. Cut the bone and turn it all completely. The most terrible feeling is when the doctor tried to break out a tooth several times, I thought that he would break my jaw or break it. All four roots of the tooth stuck out in different directions, so it was removed poorly. Now the floor of the face is swollen, the pain is terrible, I can not swallow and open my mouth normally. The doctor said he hadn’t seen anything like that for a long time ... ”
Natalia, Moscow
Variant of tooth extraction without “terrible” forceps: ultrasound technique
In order to minimize tissue trauma during tooth extraction, which means to speed up and make the subsequent healing process more favorable, there is a so-called atraumatic method for teeth extraction. Such removal could be classified as difficult, but the use of additional tools (drills, periotomy, etc.) in this context, on the contrary, simplifies the procedure, reduces it in time and makes it minimally traumatic.
Suppose a patient has a severe destruction of the upper sixth tooth (at the level of the gum or even under the gum), but the roots do not exist independently, but are joined into one whole. With the help of a drill, the coronal part of the tooth is carefully cut out in the middle: at the same time, each root becomes independent. Periotom allows you to quickly and gently remove them without damaging the walls, walls of the alveoli, as well as the gingival margin.
The photos below demonstrate the individual stages of the atraumatic method of removing three teeth at once with a preliminary cut:
On a note
If, however, only forceps are used in this case, then the cheeks of the forceps would have to be advanced deep under the gum in order to “loosen” and “dislocate” the welded roots. In 50% of cases this will work out, but with varying degrees of breakage of the outer and inner root-retaining wall. After such a root removal, uneven or sharp bone tissue remains, new problems are created both for the doctor and the patient.
Often, with the help of forceps, removal of complex teeth cannot be done at all, and the result is only a waste of time and useless "biting" of both the alveoli and the forceps with the forceps.
Atraumatic tooth extraction may also be accompanied by the use of ultrasound. It is this technique that modern clinics are now actively using as a know-how. The piezosurgery apparatus allows, using an ultrasound scalpel, to bloodlessly separate the periodontal ligaments holding the tooth and remove it from the hole.
The main advantages achieved when removing a tooth with the use of ultrasound:
- Bloodlessness;
- Acceleration of work;
- Antiseptic effect;
- No overheating;
- Support in the removal of complex teeth (impacted, polyurethane, dystopic, resorcinol-formalin).
This type of atraumatic tooth extraction is ideal for subsequent immediate implantation, when the implant is installed immediately in a fresh hole.
Features of the removal of potentially problematic teeth (impacted, polyurethinized and resorcinol-formalin) - should you be afraid?
To remove the impacted and polyurethinized teeth (i.e., those that are not cut through or have erupted only partially and largely hidden in the jaw bone),as well as resorcin-formalin teeth (i.e., previously treated with resorcin-formalin paste and becoming fragile because of this), the doctor can use both anesthesia, if there are indications for it, and local anesthesia.
Most often, these teeth are removed under local anesthesia.
The image below shows the impacted wisdom tooth:
From the practice of the dentist
Some budget dentists (especially in small towns and villages) who work on mixed admission (therapy plus surgery) are afraid to remove their teeth from this category. Seeing the polyurethinized or, especially, the impacted tooth (according to the image), they can immediately refuse to be removed and send the patient to the nearest regional clinic or dental center to the maxillofacial surgery. The motivation for this can be both a reluctance to mess with these teeth (the procedure may take 1-2 hours of hard work), and the fear that lack of experience and tools will not remove all the roots - which means you will have to send the exhausted patient to another more qualified dentist in this matter.
Stages of difficult tooth extraction:
- Preliminary preparation (premedication, processing of the surgical field, etc.)
- Anesthesia (general or local);
- Creating access to the tooth being removed;
- Instrumental techniques to improve the conditions for "dislocation" of the tooth roots;
- Extracting roots;
- Hemostasis;
- Preservation of wells for preparation for implantation (according to indications);
- Stitching (according to the situation);
- The appointment of recommendations.
Creating or improving access to a tooth involves the use of elevators, periotomy, leveling machines, dental drills with a set of burs and cutters, and (rarely) - a chisel and a hammer. After the access to the extracted tooth is partially created (gum retraction, flap detachment), the tooth is removed by an elevator, and if this is not possible (as with impacted teeth, for example), the alveoli bone is cut out in a projection of the tooth. At the same time, cooling is applied to the area being prepared, since the bone tissue should not overheat, otherwise necrosis will develop.
When the extracted tooth becomes foreseeable, the surgeon can immediately start using the elevators to “catch” it. Often, to facilitate the work of the tooth can be sawed (or split) into pieces.
On a note
How long can such a complex removal last? Depending on the complexity of the procedure, the availability of the necessary tools and the experience of the doctor, the procedure can take from 10 minutes to 2 hours.
After the patient's tooth is extracted and the granuloma or cyst is removed from the hole (if any), suturing is performed and recommendations are made. In some situations, preservation of the hole is carried out before subsequent implantation, so that there is no atrophy of the bone walls. For this, natural bone substitutes are used, or synthetic (inorganic bone matrix).
After a complex tooth extraction, the doctor must prescribe home treatment to ensure maximum comfortable postoperative period and prevention of alveolitis, which may include drugs in various areas:
- Painkillers (Ketorol, Ketanov, Nise, etc.) for relieving pain in the first days after surgery;
- Antibiotics and sulfa drugs (to eliminate bacterial infection in the maxillofacial region);
- Antihistamines (to reduce edema and other manifestations of the inflammatory response);
- Preparations for rinsing and treatment of the removal area (gels, ointments) of anti-inflammatory, wound healing, anesthetic, antiseptic and antibacterial action.
On a note
Generally speaking, the list of recommendations that exists in the arsenal of dentists in Russia is huge, and each dentist adheres to its list of the necessary postoperative treatment. Someone assigns the same to each patient, and someone has an individual approach (which is the most correct).
But it should be borne in mind that some dentists may not say anything to the patient at all, even as part of advice or advice. If you have a tooth removed and have not given recommendations, be sure to ask them, or ask another doctor, because this helps to avoid unnecessary anxiety and very unpleasant complications.
How to help your doctor to remove tooth removal without problems
Despite the fact that in dentistry anesthesia is applied before tooth extraction, there is always a risk that the procedure may not go as smoothly and painlessly as we would like. Often this is due to the fact that the patient is not ready for the procedure and does not behave quite correctly.
Let's take a look at how to prepare for the extraction of a tooth, in order to at least help a good doctor without any problems to carry out the manipulation.
First, surgical intervention on the “neglected” tooth, when the acute process stage reached its apogee (it is impossible even to touch the root because of pain, a flux appeared) is in many cases significantly worse than the planned removal of a “calm” tooth. Moreover, in this context, it does not matter what kind of tooth will have to be removed: a molar (six, seven, eight) or there will be a front tooth to be removed.
It is not difficult to imagine what unforgettable emotions a patient (as well as a doctor) may have when he has to remove a diseased tooth or its remains against the background of periostitis and other suppurative complications, when anesthesia almost does not work, and any contact with the tooth causes hellish pain. But you need to loosen the tooth! At the same time, there is still a risk that the rotted coronal part may break off, and it will be necessary to “pick out” the roots separately ...
It is interesting
Anesthesia is often done in the projection of the root of the tooth, when there is pus everywhere under the gum in this area. At the same time, the “sufferer” demands from the dentist-surgeon that everything should be absolutely painless: “Make a strong injection, doctor, if only it does not hurt!” However, it is clear right away that where there is pus, a priori, “are not happy” to the new solution: already existing exudate has nowhere to go.
A bad doctor in punishment to such a patient, who had gone to the doctor’s office for too long, would simply inject the whole portion of the anesthetic at a time, and the acuteness of the procedure would be like a tooth extraction without anesthesia, when there is a spark from the eyes of pain. A normal surgeon, in stages 2–4, will gradually anesthetize the gum, release milliliters of purulent fluid, in order to eliminate pain during the administration of the drug and try to achieve permanent anesthesia for a painless tooth extraction.
So, patient's excessive patience before going to the doctor can cause a lot of problems. Therefore, if it is known for sure that a badly destroyed tooth is to be removed, then it is better to get rid of it planned: make an appointment and, in the absence of contraindications, once and for all put an end to the problem until the tooth is sick.
To remove a tooth, the ideal option would be to sign up for the morning:
- In the morning the body has a lot of strength and energy, it is easier to tolerate stress and experiences;
- After removal, after some time, pain and discomfort appear, but closer to evening, most often their intensity decreases, and you can sleep peacefully;
- In the morning the dentist-surgeon can spend more time, fatigue has not yet accumulated, and the surgery room (especially in clinics and hospitals) is as clean as possible;
- After the morning removal in case of some kind of problem (prolonged bleeding, severe pain, swelling, etc.) it is much easier to go to your doctor again than to run at night and look for a dental institution that works around the clock.
There are some more practical tips that help the patient safely transfer the tooth extraction procedure:
- You should eat well before removing a tooth (unless anesthesia or sedation is planned). A well-fed person copes with stress better, faints much less often and blood clots better, which is important after the procedure;
- Do not take alcohol for courage. The risk of edema and prolonged bleeding in drunk people is increased, not to mention the inappropriate behavior;
- In the case of a great fear of the procedure or fear, you can resort to sedatives (Tenoten, valerian tincture, motherwort, Corvalol, etc.) 20-60 minutes before the operation, depending on the activity of the remedy. At the same time, the choice of the drug should be coordinated with the attending physician or the district physician and have an idea of the measure (especially regarding alcoholic tinctures, since their reception can smoothly turn into alcohol intoxication);
- It is useful to have a positive attitude. If initially to be tuned to a successful outcome of the procedure, then almost always the removal is wonderful, and the healing time is as short as possible. The more a person says to himself that he will not succeed and the more he winds himself up, the more he will give himself and the doctor more anxiety, sometimes simply because of anxiety doing wrong actions (using unnecessary ointments, rinses, dangerous folk remedies, etc.) ;
- When planning complex operations (removal of a hard, impacted tooth, all wisdom teeth at once, etc.), it is recommended to consult with your doctor about starting anti-inflammatory, pain medication and even antibiotics before the intervention.
If a tooth is recognized as unsuitable, in urgent cases it is removed urgently.But there are situations when the patient is going to apply to remove the tooth according to plan - in these cases it sometimes makes sense to postpone the procedure.
So, it is not recommended to carry out tooth extraction with:
- SARS AND ARD in the active period;
- Painful and heavy periods;
- Cardiovascular diseases, when their treatment is accompanied by the intake of certain drugs (for example, anticoagulants - Warfarin, Xarelto, etc.);
- Pregnancy (in some terms - exclusively individual approach);
- Acute diseases (acute appendicitis, acute pancreatitis, etc.).
It is not difficult to guess that after the disappearance of many of these conditions, you can safely consult a doctor about a planned tooth extraction.
What to do if you need to urgently remove a tooth at night, on weekends or holidays?
Often, one can observe panic among residents of large cities and cities, when a badly damaged tooth suddenly starts to hurt during admissions or holidays. That is, emergency surgical assistance is required, and the person is clamped within four walls and does not know where to go for a tooth extraction and what to do in general.
Meanwhile, it does not matter what day it is today (Sunday, March 8, New Year or other holiday), since in the cities there is a round-the-clock emergency dental care with a schedule of duties of dentists-surgeons. It is enough to apply to the regional dental clinic or regional hospital with the department of maxillofacial surgery.
But not only in large cities there is an “ambulance” in dentistry. Even in the district center at night, on weekends and holidays, it is possible, as patients say, to “tear” teeth after a preliminary call to the post. Usually it looks like this: you call an ambulance or medical assistant's post, you will learn the possibility of urgent tooth extraction. The specialist contacts the duty dentist, and he arrives in the office for an hour to help you (if on holidays the dentist keeps his appointment on a schedule until a certain time, then at night it is necessary to call him).
As for the private sector, everything is much simpler. There are dentists who conduct reception around the clock. Doctors in such clinics work in 3-4 shifts, and are ready to remove a tooth at any time when required.
On a note
The night shift is popular not only among people who have been taken aback by the pain, but also among those who are busy staying up late at work for parents of toddlers who have teeth. In addition, many people engaged in business have free time only after 22:00, and some even after 00:00.
Is it possible to remove teeth in hospitals today for free?
And what about those people who do not have the money to extract teeth in a frequent clinic? Moreover, the price for such services today varies, depending on the region and the complexity of the procedure, from 500 rubles. up to 20 000 rubles
Someone may even be surprised by such a high price - pulling teeth for 20 thousand rubles for one tooth pulled out? Is it too expensive?
On a note
The fact is that 20 thousand rubles is also not a maximum for tooth extraction, as there are complex clinical cases that require an increased amount of time and materials.
Usually an additional markup is made on the following types of removal (below are the wording from the clinic price lists):
- “Atypical tooth extraction” (i.e. complicated);
- "Laser" (using a laser scalpel);
- "With the use of ultrasound";
- "Without forceps";
- "In a dream" (anesthesia or superficial sedation).
The list can be continued and expanded. Moreover, for example, by abnormal removal in clinics often means not only complex extraction of teeth, but also the removal of any wisdom tooth in general, even if the removal is simple. This is most often done for commercial purposes, since a kind of forcing fear in patients with wisdom teeth allows you to set a higher price list for getting rid of them.
So is it still possible to remove a tooth cheaply?
Firstly, given the high level of competition, private dentists set different prices for the same service, and the price can be quite affordable, no matter what kind of tooth it is: canine (or as it is often called by patients, "eye tooth") , wisdom tooth or any other chewing. It happens that in one clinic you can remove a wisdom tooth for 1000 rubles, and in another - they will offer a price of 5000 rubles.
And there, and there, the removal is paid, and the main question that confronts the patient is whether it is possible to trust the more budget option?
According to recommendations and reviews of relatives, friends and colleagues, you can almost always find a professional doctor who removes teeth well.In which the cabinet wall is not even hung with dozens of certificates and diplomas, but which knows its business well and is attentive to the patient. There are small private rooms where they can remove a tooth for 500 rubles painlessly and efficiently without cheating for coffee, magazines, leather chairs and other entourage.
Another thing is that you need to go to such a specialist on the recommendation of proven people, and not just go to get a tooth in the first clinic where they will be offered the lowest cost of the service.
Is it possible to remove a tooth quality, but for free?
Free cheese (especially in dentistry), can only be in a mousetrap - perhaps this is the first thing that can come to mind in such a matter. However, annually hundreds of thousands of citizens receive free surgical care under the usual OMS policy.
The principle is as follows: a person who is attached to this institution is drawn to the hospital or clinic by place of residence for the purpose of tooth extraction. He is punched through a coupon to the dentist, and he removes one or more broken teeth on this coupon for free. If there is no attachment, and the ticket does not pass through the computer, then you can, of course, also remove the tooth, but for a fee.
If the dentist cannot perform the removal (for example, it is a impacted or resorcinol-formalin tooth, or there is spilled life-threatening edema, children's specialization is required, etc.), then the patient has the right to receive referral to free help, where medical institution, guiding diagnosis according to ICD-10 and the need for some kind of manipulation will be indicated.
On a note
There is also a list of free drugs that the dentist under the OMS policy can provide to the patient during the care phase. This is especially true of anesthesia.
Not all hospitals (especially in villages, settlements, small towns) regularly select the necessary materials. Most often they are supplied with domestic preparations for anesthesia (Lidocaine, for example), although today according to the compulsory medical insurance there are even articain type anesthetics in the list, which, however, almost do not reach the addressee. In order to work as comfortably as possible and to be able to provide high-quality anesthesia to a patient without risking his health, dentists have to extract a tooth for a fee, where a person pays money for a “good injection”.Of course, it is cheap compared to a private clinic, and costs about 100-400 rubles, depending on the region.
But this does not mean at all that free removal of a tooth “under lidocaine” will certainly be painful. Free removal in many public institutions may mean increased risks, ranging from the fact that the anesthetic injection will be made in haste and will not work as expected, and ending with a long queue of the same sufferers in the corridor with the probability of getting carelessly spoken word of a three-story mat on the ears.
So here everyone chooses where to apply for tooth extraction and how much he is willing to pay for this service. In conclusion, we can only note that once you have decided on a budget, you should not look for a clinic, but first of all a good doctor - this will ensure that tooth extraction with a high probability will be almost painless and without any problems.
Be healthy!
Interesting video with an example of atraumatic ultrasonic tooth removal
What to do after tooth extraction to avoid complications
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