Certificate of oral sanitation - why and when is it required?

Sanitation of the oral cavity is a rather important event, which, unfortunately, is underestimated by many. Although this procedure helps to promptly identify problems with teeth and gums and effectively eliminate them in the early stages. Sanitation can be planned (preventive), or prescribed in connection with other events. A certificate of oral hygiene may be needed in many situations. For example, it is necessary for pregnant women or people who are preparing for surgery.

For pregnant

In order to avoid problems with teeth and gums during pregnancy, it is necessary to take care of your dental health even before pregnancy, at the planning stage. If everything necessary to eliminate existing dental problems is carried out in a timely manner, the development of concomitant pathologies can be minimized. Some of the most common oral problems experienced by pregnant women include:

Development of caries due to disturbances in the acid-base balance.
Weakening of the protective properties of tooth enamel due to changes in the mineral composition of saliva.
Deterioration of enamel due to loss of calcium.
The development of gingivitis as a consequence of changes in hormonal levels.

In modern dental clinics, sanitation of the oral cavity in pregnant women is carried out extremely carefully in order to minimize possible risks. For a safe and successful outcome of this procedure during pregnancy, the dentist needs to know the current stage of pregnancy. This is important for the selection of therapeutic manipulations during this period. If there is an urgent need for tooth extraction, it is best to carry out this and other dental procedures in the second trimester, since it is during this period that the effect of medications on the fetus is minimal. After the examination, the specialist will give recommendations on the selection of individual hygiene products to maintain the oral cavity at a normal level. In case of inevitable tooth extraction, or treatment of advanced forms of caries, manipulations will be carried out using anesthesia, which is permitted during pregnancy. A conclusion on the sanitation of the oral cavity is required by a gynecologist during registration and before childbirth in order to eliminate possible risks of infection of internal organs and systems. Calcium deficiency, altered composition of saliva and hormonal disruptions in the body of a pregnant woman - all this makes teeth fragile, which is why they quickly decay. The presence of infections in the oral cavity is dangerous not only for the health of the expectant mother, but also for the baby. In this regard, the reorganization procedure is necessary.

How to prepare yourself

Home activities are aimed at strengthening the immune system and preventing situations that would require an intervention (ARVI, stress, exhaustion). Begins two weeks before surgery.

In 10-14 days

In 2-3 days

It is necessary to enrich the diet with calcium, vitamins and minerals. Should be used:

fermented milk products;
cheeses;
nuts;
a lot of greenery;
fresh vegetables;
fruits.

On the eve of the operation, you need to intensify cleaning of the oral cavity and regularly rinse your mouth with an antiseptic solution.

The day before implantation

Need to exclude:

drinking alcohol, coffee, tea;
physical exercise;
the use of medications that affect the favorable course of the operation.

Think about your meals the next day. Low-fat broth, purees, children's fruit, meat or vegetable purees, and curds are suitable. In the first days, solid food is contraindicated .

For women, it is better to remove nail polish. The anesthesiologist monitors the condition by assessing the color of the nail plates. Temperature is measured using special sensors on the fingers.

There is no need to purchase painkillers at the pharmacy. After the operation, we issue a package with the necessary medications, detailed instructions for use, and postoperative regimen.

On the day of surgery

If the intervention is scheduled in the first half of the day, you should skip breakfast (weak tea is allowed). If implantation is performed in the afternoon, it is better for the patient to have a light breakfast.
Smoking is prohibited 2 hours before.
It is better to wear loose clothes that are easy to take off or change (T-shirt, long-sleeved jacket). Overbearing jewelry or bright makeup are inappropriate.
Before surgery, you should brush your teeth with a soft brush and rinse your mouth with an antiseptic.
If you are planning anesthesia, you need to come to the clinic 20-30 minutes before the appointed time.

For children and teenagers

Sanitation at the dentist is a mandatory event for children of preschool and school age; this procedure may also be required for students. The child will need a certificate of rehabilitation when registering for kindergarten, and then for school. During the sanitization process, a specialist can identify and voice all existing problems, as well as give recommendations on proper individual hygiene of teeth and gums. When sanitation of the mouth, the doctor may:

Detect the initial stages of development of carious processes.
If necessary, treat the affected teeth.
If malocclusion is detected, give recommendations for orthodontic treatment.
Carry out fluoridation of teeth to prevent the development of diseases.

A dental examination is required due to the thinness and weakening of children's enamel. It is most susceptible to destruction, so it is important to promptly detect problems and carry out the necessary treatment. Before school and upon admission to universities, it is necessary to undergo a medical examination, which may include a visit to the dental office.

3D planning for dental implant installation

The results of a CT scan and other measurements of the jaw are entered into a special computer program to visually reconstruct the jaw.
The implantologist calculates the location for the implants and draws up a detailed surgical plan. In difficult situations, the doctor models the jaw visually and then creates a 3D model of the patient’s jaw (using a 3D printer). The model is made of special plastic that imitates the jaw with the patient’s bone density. Using a lithographic model, the implantologist reproduces the operation, studies the structure of the jaw and the nuances of installing implants.

Before surgery

To eliminate the risk of infection during surgical interventions, it is important to undergo sanitation with a dentist before the operation, which is part of the preparatory process. During sanitation, the dentist must examine the patient’s oral cavity to exclude the presence of an inflammatory process in the periodontal tissues and carious lesions. A certificate from a dentist is required before scheduled non-oral surgery, such as ophthalmological, cosmetic, gastroenterological and other operations. This procedure is necessary to prevent infection of other organs. If emergency intervention is required, the patient will not be referred to a dentist.

How teeth and gums are prepared for extraction, prosthetics or implantation

Like any other operation, tooth extraction, installation of dentures or implants requires careful preparation. Therapeutic preparation of the oral cavity for further manipulations - prosthetics, installation of braces or implantation, includes:

Initial examination and appointment of all necessary studies (X-ray, CT scan possible, clinical tests, etc.)
Sanitation of the mouth. At this stage, all foci of inflammation are identified and eliminated, caries and its complications are treated, and the health of the gums and mucous membrane is restored. If necessary, depulpation of abutment teeth can be performed before prosthetics. All manipulations in our clinic are carried out in accordance with international protocols - using sterile disposable instruments and a dental dam to isolate teeth.
Professional teeth cleaning - removal of subgingival and supragingival stones, followed by polishing and fluoridation.

The last point is no less important than correct diagnosis and treatment of teeth or gums. Because as a result, it is the removal of stone that helps relieve excess inflammation of the gums, reduce bad breath and prevent negative consequences that may interfere with maintaining oral health after any dental procedures.

How to get a certificate

To do this, you should make an appointment at the dental clinic. After the examination, the dentist will tell you about the current state of the oral cavity and issue an appropriate medical document certified by a personal signature and seal of the institution. Sanitation of the oral cavity is an important measure that is required in many situations. A certificate from a dentist will be required during pregnancy and before childbirth, when entering kindergarten, school, universities, and also before surgery. The main task of sanitation is to identify dental problems. If they are detected, the doctor must prescribe the necessary treatment.

Stages of preoperative measures

The preparation stage is aimed at studying the patient's health status. It is necessary to exclude contraindications for intervention, to cure acute and chronic diseases that increase the risk of complications (including rejection of the artificial root). The implantologist needs to know all the characteristics of the soft and hard tissues that will surround the implant.

History taking

The doctor asks the patient questions, finds out complaints, and asks the patient to fill out a questionnaire. It is important to identify chronic diseases, allergies, and immune diseases that can affect implant healing. The medical history is used as a basis for ordering an examination.

Visual inspection

An in-person examination involves assessing the condition of the entire maxillofacial system. The implantologist studies the oral cavity, the condition of the gums and teeth, the tongue, the frenulum of the lips and tongue, the function of the maxillotemporal joint, the degree of mouth opening, and changes in bite. Sometimes consultation and examination by other doctors (orthodontist, orthopedist) is required. If implantation has already been performed, the doctor takes into account its results and the condition of the artificial teeth.

Diagnostic process using a computed tomograph

X-ray diagnostics

Before implantation, you need to collect as much information as possible about the condition of the bone tissue, its thickness and height, density, position of the roots of the teeth, which are located next to the implantation zone. To do this, an examination is carried out:

Sight X-rays. They reflect the condition of the bone in the area of the planned implantation of titanium rods and neighboring areas.
Orthopantomogram. Provides information about the condition of teeth, blood vessels, nerves, and bones. A necessary examination, the results of which the doctor uses to plan the operation.
Computed tomography. A radiation diagnostic method that provides a three-dimensional image of the jaw determines the condition of the bone and nearby structures. Based on the results, the condition of bone and soft tissues is assessed and hidden diseases are identified.

Preparation

If we talk about what initial preparation for implantation involves, then we will definitely talk about examining the oral cavity by a dentist, as well as identifying chronic diseases. Based on the examination, the doctor may prescribe additional tests and refer you to doctors of related specialties. All results are assessed by the therapist, and it is he who makes the final verdict on the possibility of performing the operation.

A prerequisite is the passing of certain tests, for example, a general blood test, biochemical, etc. Also, professionals will not be able to begin treatment without a preliminary X-ray examination, computed tomography or orthopantomogram of the jaw. This will provide comprehensive data on the condition of periodontal tissues. Only based on the data obtained, the doctor can draw up a treatment plan and predict its outcome.

After the doctor has panoramic photographs of the jaw, he will have accurate information about the density and volume of bone tissue, the structure and size of the maxillary sinuses, the location of nerve endings, vessels, joints of the lower jaw, etc. In some cases, a specialist decides whether a sinus lift or bone augmentation procedure is necessary. This is required for more reliable fixation of the implant without loosening.

Examination and consultation with a dentist at the Profident clinic

At the PROFI-Dent dental clinic, consultations are conducted by doctors of all specialties, which makes it possible to take a comprehensive approach to the development of treatment plans.

The latest technologies and developments in the field of diagnosis and treatment of dental problems are at your service:

X-ray diagnostics;
Digital visiograph and orthopantomograph;
Ultrasound and laser systems;
Advanced treatment protocols;
New generation materials and preparations.

The dentist will conduct a full diagnosis, identify the problem and, if necessary, refer the patient to a specialist. And a flexible pricing policy makes it possible to make the cost of a dental consultation affordable for any patient.

What does a dental consultation in Moscow include?

An initial visit to a specialist may have a preventive, diagnostic or therapeutic purpose. Primary medical appointment includes:

Taking anamnesis;
Thorough inspection;
Completing medical documentation;
Development of an individual examination and treatment plan.

A consultation with a dentist will allow you to:

Identify the pathological process in a timely manner long before the appearance of clinical symptoms;
Carry out the necessary treatment quickly;
Prevent further development of the disease.

This is why it is recommended to visit the dentist at least twice a year!

Relative contraindications to implantation

In some cases, even the absence of absolute contraindications and good test results will not be the basis for implantation. This may be due to relative contraindications - the operation will have to be postponed if:

acute infectious diseases of the upper respiratory tract - ARVI, colds;
alcohol intoxication;
poor oral hygiene;
stress;
recent use of certain medications;
recently received vaccinations - they increase the load on the immune system and can cause poor health.

Therefore, preparing for dental implantation before surgery is an important undertaking that should be approached with all responsibility.

Consultations with related specialists and other doctors

In some cases, the general practitioner may refer you for a consultation to another specialist - an endocrinologist, cardiologist, or ENT specialist. It is important to visit them to exclude contraindications to implantation and receive recommendations on further actions. Specialists may prescribe additional examinations - an ECG to exclude heart rhythm disturbances, nasopharyngeal smears to exclude the presence of pathogenic flora on the mucous membranes, etc.

Consultations with dentists of other specializations may be required in a number of cases:

prolonged absence of teeth, changes in bite - visit an orthodontist;
inflammatory diseases of periodontal tissues - a visit to the periodontist and drawing up a treatment plan;
presence of teeth that cannot be treated, supernumerary teeth - visit a dental surgeon.

If, based on the results of diagnostic measures and consultations with specialists, no contraindications to implantation are identified, the doctor plans further preparations and schedules visits.