There are benefits for pensioners for dental prosthetics

Features of the manufacture and installation of prostheses for the elderly - types, benefits, guarantees

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1. Difficulties of prosthetics
2. Prosthetic options
3. Are there any benefits?
4. Who is eligible for benefits?
5. Who is not eligible for benefits?
6. Rules of turn
7. Procedure for obtaining the service
8. How is prosthetics performed?
9. Documents for beneficiaries
10. Which dentures are covered?
11. Free types of treatment under compulsory medical insurance
12. Benefits do not apply
13. Free prosthesis out of turn
14. Compensation
15. Right to tax deduction
16. List of documents
17. Guarantees

Question for a specialist
Old age is not a reason to deprive yourself of pleasures. Many pensioners stop visiting dentists and often refuse dentures, citing the fact that now they don’t have to “go out” and can eat soft foods – porridge, for example, or mashed potatoes. However, today, dental prosthetics in old age is not at all difficult. What kind of dental prosthetics for pensioners is better to choose, and are there any benefits (compensations and quotas), or is it possible to completely restore a smile for free? The answers to these and other popular questions are in a detailed article.

Indications for dental implantation

Treatment by an implantologist is required for patients who are missing one or more teeth. Also, today implants are installed even with complete edentia. In this case, they serve as a support for a complete denture. You can get cheap dental implants at a special offer at the Mona Lisa dental clinic. The doctor will conduct an initial examination, analyze x-rays, identify indications and possible contraindications for the procedure.

Indications:

• Complete edentia;
• Single defect of the dentition;
• Absence of outer teeth;
• Missing several teeth.

Contraindications:

• Absolute (oncological diseases, osteoporosis, diabetes mellitus, diseases of the nervous system and hematopoietic organs).
• Relative (malocclusion, periodontitis, bruxism, the presence of metal implants in the body, close proximity of the maxillary sinuses, pregnancy, etc.).

Difficulties of prosthetics for pensioners

• the presence of weakened and inflamed gums that do not completely recover even after treatment,
• complete or almost complete edentia - according to statistics, in our country more than 80% of people over 40 years old face the absence of any number of teeth, and every 6th pensioner is diagnosed with “complete edentia”, that is, the absence of all teeth,
• poor condition of the remaining teeth,
• the presence of tooth mobility caused by progressive periodontitis,
• the need for more thorough preparation for treatment: removal of loose teeth, treatment of concomitant diseases,
• limited financial capabilities.

Prosthetics for pensioners - before and after photos

1. Implants can be used to notice any number of teeth that are located anywhere in the jaw.
2. The implantation does not require grinding of adjacent teeth (which may be completely healthy).
3. An implant makes bone tissue healthier, while the use of prostheses leads to its atrophy.
4. High aesthetics. To attach the crown to the implanted implant, no fastenings visible to the eye are required.
5. The period of adaptation to implanted teeth is minimal, they are perceived by the patient as natural.
6. If the prosthetic teeth are given a position that ensures their fixation, then the implant is placed in such a way that visually improves the appearance of the face and face.

Due to health problems and the presence of chronic diseases among the majority of Russian pensioners, special requirements are imposed on dentures for older people:

1. hypoallergenic
2. less weight compared to conventional dental structures
3. increased hygiene

It is known from practice that various options for removable dentures, such as acrylic, nylon and clasp, are especially popular among the older generation. This is partly because older people don't have enough teeth to support bridges, but also because dentures are cheaper than implants or dental bridges.

Patient: Zinaida Timofeevna, 72 years old

Complaints: I was not satisfied with the prosthesis on the upper and lower jaws made in another clinic, there was discomfort when wearing.

Treatment: 2 new acrylic dentures for the upper and lower jaw were made for the pensioner

Number of visits to the clinic: 5

Doctor: Brodsky Sergey Evgenievich

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Patient: Andrey Ivanovich, 65 years old

Complaints: Complete absence of teeth

Treatment: The pensioner received two complete removable dentures

Number of visits to the clinic: 5

Patient: Konstantin Sergeevich, 61 years old

Complaints: Partial absence of teeth, decay of teeth on the upper and lower jaw. The pensioner could not eat normally or simply smile, because the aesthetics were not up to par.

Treatment: Comprehensive preparation of the destroyed teeth was carried out, metal-ceramic crowns were made for the upper and lower jaws. On the upper jaw in the lateral areas, where there were no chewing teeth, a clasp prosthesis was made.

Number of visits to the clinic: 9

Doctor: Brodsky Sergey Evgenievich, Kurakulov Evgeny Vasilievich

Patient: Viktor Ivanovich, 71 years old

Complaints: Partial lack of teeth

Treatment: The pensioner categorically did not want to wear removable prosthetics. The remaining teeth in the upper jaw were removed and implants were installed. Then, after 6 months, a fixed prosthesis was made on implants.

Number of visits to the clinic: 10

Doctor: Brodsky Sergey Evgenievich, Seredin Evgeny Vasilievich

Patient: Victoria, 63 years old

Complaints: Complete edentia of the upper and lower jaw

Treatment: 6 implants were installed on the upper and lower jaws, after which fixed dentures were made.

Number of visits to the clinic: 12

Prosthetic options for older people

Despite the possible difficulties, you should not refuse treatment. Correctly selected designs will help you return to a full-fledged lifestyle, enjoy your favorite foods and smile a beautiful, open smile.

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The types of prostheses that are suitable for older people will be as follows:

• removable plate: made from hard acrylic plastics. This is a good option for complete edentia (a completely toothless jaw) and, most importantly, a limited budget for treatment - and practically the only one for free prosthetics for older people. But low cost and the possibility of repair are the only advantages of these prostheses. It will take a long time to get used to the structures, they rub the gums, put too much pressure on the mucous membranes and cause problems with diction,
• removable clasp dentures: these are structures in which there is a metal base under the artificial plastic gum and a small metal palate. They are designed to restore just a few teeth and are secured to supports using hooks. Such dentures can also be used in the presence of movable units of the dentition affected by periodontitis or periodontal disease - due to the rigidity of the structure and metal parts, they can be reliably fixed and their movement limited,
• removable from soft monomer-free plastics: this is the best option for elderly patients, although more expensive than the choice of plate products. With complete edentia, such structures adhere to the gums and are securely fixed even after several years of active use. If they are used to replace only a few teeth (partial edentia), then inconspicuous hooks are created, which are located on supporting elements in the gum area. This is a more aesthetic, practical and comfortable option than rigid acrylic plates,
• bridge-like: among the inexpensive options are metal-ceramic, you will have to pay a little more for solid ceramics. But it should be remembered that bridges are indicated for partially edentulous patients and the main requirement for their installation is the presence of suitable teeth that will serve as support (and in older people, situations are quite rare when their own living teeth are suitable for such a load),
• Dental implantation: advanced age is not a contraindication for implantation. True, the cost of this treatment can cost several hundred thousand rubles when restoring the entire dentition. In this case, the dentures will be securely fastened, they will not be removed from the mouth, and the aesthetics will amaze even the most sophisticated patients. Today, there are implantation methods that allow you to get dentures even in the presence of inflamed gums, without building up bone tissue (and in patients with long-term absence of teeth, this problem is common), in just one week with a guarantee of several decades. The main thing here is financial capabilities, desire and good health, so that there are no contraindications to surgical intervention.

Orthodontics:

1. Specialized (dental) medical care is provided to children in the treatment of dental pathology using removable equipment (orthodontic plates: no more than two plates per 6 months) using domestic materials, with the exception of the brace system
2. Waiting time in outpatient settings is no more than 14 working days
3. Indications: correction of congenital dental pathologies (bite correction) in children

Are there benefits for dental prosthetics?

Are there any benefits for pensioners on dental prosthetics and is it possible to make free dentures for the elderly? In the Russian Federation, there are provisions enshrined at the federal and regional levels that make dentures accessible and even free for certain categories of citizens. Socially disadvantaged groups of the population and pensioners have rights to dental prosthetics with benefits (but this also has its own nuances - we’ll talk about them later).

If the city/village where the pensioner lives is not covered by the preferential prosthetics program, then in this case you need to contact the local administration. Then the local government will pay for the denture, but only on the condition that the person really needs it, and if there are funds in the budget for this expense item.

Preferential dentures

The NAVA dental clinic has a program under which dental prosthetics are available free of charge to pensioners, disabled people, labor veterans, as well as other citizens of the preferential category of the Moscow population. Dental prosthetic services are provided at the expense of the city budget and approved by order of the Moscow Department of Health dated 08.08.2017 No. 558 “On approval of the price guide for orthopedic dental services provided by medical organizations subordinate to the Moscow Department of Health to certain categories of citizens at the expense of the budget city ​​of Moscow".

Manufacturing time for dentures

Dentures are manufactured in accordance with the deadlines established for this by current legislation:

• fixed bridge prosthesis – up to 5 weeks
• removable dentures – up to 4 weeks
• clasp prosthetics – up to 5 weeks
• single crowns – up to 14 days
• combined crowns – up to 21 days
• plastic crowns (kappa) – up to 7 days
• repair of removable dentures – up to 3 days

The warranty for manufactured removable dentures is one year, and for fixed dentures – two years in accordance with the order of the Moscow Department of Health dated 08/08/2017.

What kind of work includes dental prosthetics for pensioners?

Moscow pensioners, disabled people, participants of the Great Patriotic War and labor veterans have the right to use the services of free dental prosthetics as citizens belonging to the preferential category of the capital's population. At the NAVA dental clinic, the dental prosthetic procedure includes:

• Creating removable dentures from plates (they can be completely or partially removed), installing a different number of plastic teeth from one to fourteen per denture. Material produced in the Russian Federation.
• Manufacturing of conventional clasp dentures;
• Creation of prostheses that are not removable. All material is also manufactured in the Russian Federation. Prostheses can be made of steel, plastic, metal plastic, metal ceramics, gold or using other precious metals.
• Dismantling and filling the crown with cement;
• The use of pain medications during orthopedic treatment using disposable syringes.
• Repair of previously installed prostheses, with the exception of the situation when the patient is given a new prosthesis.

For gold, other precious metals, metal-ceramics and the application of special dust on metal crowns, the patient himself pays additionally.

All medical products are created in strict compliance with all existing medical indications.

Conditions for obtaining rights to preferential dentures for pensioners and disabled people

*Law No. 19 of September 26, 2018 “On additional measures to support residents of the city of Moscow in connection with changes in federal legislation in the field of pensions.”

Residents of the city of Moscow who have reached the age of 55 years for women and 60 years for men and who have the insurance experience necessary to assign an old-age insurance pension in accordance with federal legislation in the field of pensions are provided with the following additional measures of social support:

• Free production and repair of dentures (except for the cost of paying for the cost of precious metals and metal-ceramics).
• *To do this, you need to obtain a certificate of pre-retirement status on the website of the Pension Fund of the Russian Federation.

Citizens of Moscow who belong to the categories of persons who are entitled (according to the norms of the current legislation in the field of health care) to free installation of dentures can receive free medical services in our dental clinic if these citizens provide a passport and the entire package of documents confirming the right to provide them corresponding benefits. These documents include a pensioner's certificate, a social card for a resident of the capital, a certificate of disability, and a document confirming the presence of dependent children.

If a person is a disabled person who cannot independently come to a medical institution to install dentures, then the corresponding dental services are provided at home. A special medical report is issued at the patient’s place of residence.

Features of the provision of dental services under the compulsory medical insurance program

Dental orthopedic treatment is not included in the Territorial Compulsory Medical Insurance program, but is a paid service for all categories of citizens and is paid for from their personal funds.

In accordance with the Moscow City Law of November 3, 2014 No. 70 “On measures of social support for certain categories of residents of the city of Moscow”, the Moscow City Law of November 23, 2005 No. 60 “On social support for families with children in the city of Moscow” for the preferential category Residents of the capital, as well as mothers who gave birth and raised five or more children, are provided with free dental prosthetics (except for the cost of paying for the cost of precious metals and metal-ceramics).

The measure of social support in the form of free dental prosthetics applies to citizens who have the status of a resident of the capital (a Muscovite with a permanent place of residence in the city of Moscow). The status of a resident of the city of Moscow is determined by the Moscow City Law of June 28, 1995 (as amended on December 19, 2012) “Charter of the City of Moscow.” A certificate of registration at the place of residence in the capital (temporary registration) is not a document confirming the status of a resident of the city of Moscow.

is not included in the list of services for persons who are insured within the scope of the compulsory health insurance program (CHI). It comes from the personal funds of the citizen himself.

Advantages of registering for dentures at the NAVA dental clinic

Elderly people also need dental services, but not all patients of retirement age can afford expensive treatment in the form of dentures. The NAVA dental clinic provides the opportunity for pensioners, disabled people and other citizens of the privileged category of the population to use dental services free of charge under the compulsory medical insurance policy and undergo the procedure of dental prosthetics.

To make an appointment, you can contact the clinic’s reception desk or call the phone number.

Who is not eligible for benefits?

Elderly people who receive a pension but have official earnings very rarely get into the preferential dental prosthetics program or find themselves at the very end of the queue. It is possible to obtain a quota if your total income (including pension) is lower than the cost of living in the region. For example, if a person receives a minimum pension and works part-time at a low-paying job, then most likely his income level will be very low. And if minors or disabled people are dependent, then the total family income will also be low. In these cases, it makes sense to apply for a quota. And if the total income and pension are above the subsistence level, then it is practically impossible to receive a benefit from the state.

If a working pensioner has an additional health insurance policy from a former employer, then it makes sense to contact the human resources department or directly to the insurer for advice - after all, the rules for preferential dental prosthetics vary greatly between enterprises and insurance companies.

Is a compulsory medical insurance policy sufficient to obtain a quota?

The quota in orthopedic dentistry is the amount of qualified and high-tech medical care that a person can receive if he needs prosthetics. In this case, assistance is financed from the state budget. But not everyone can receive it, but only a person who meets certain criteria. Just having a compulsory medical insurance policy (compulsory health insurance) and a passport of a citizen of the Russian Federation is not enough here. Documents confirming social status, income or special contribution to the welfare of the state are also needed - the full list will be given below.

Rules of priority between beneficiaries

The distribution of places in the queue for preferential dental prosthetics is indicated below - first the priority categories are indicated, then the secondary ones. If there are few allocated quotas left (for example, at the end of the calendar year), then the decision on free prosthetics will be made in favor of first-priority persons.

Composition of the first stage:

• persons who took part in the Second World War, veterans and disabled people,
• disabled children receiving a pension,
• heroes of the USSR and the Russian Federation,
• heroes and veterans of labor: it is worth noting that there are very few heroes of labor - every year this title is awarded to only 5-10 people in the country.

Composition of the second stage:

• disabled due to health reasons,
• pensioners who do not have a source of income, i.e. idle,
• pensioners of law enforcement agencies and government agencies,
• people with serious pathologies of the dental or digestive systems: clear examples are the following conditions - if a person has massive injuries in the facial area, if he has recently undergone complex operations on the gastrointestinal tract, or has cancer of the stomach/intestines, then to maintain normal physiology, subsidized dentures are recommended,
• people with an average per capita income of half the subsistence level,
• those on the preferential queue for free dental prosthetics until January 1, 2005 inclusive,
• liquidators and disabled people of the accident at the Chernobyl nuclear power plant.

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In each region, there are additional categories of citizens who can be given a quota for free dental prosthetics - for example, home front workers, political prisoners, concentration camp prisoners. Information on categories should be clarified at your place of residence (where exactly, we will tell you later in the article).

Who can use the quota

Who is entitled to a quota for dental prosthetics? It can be received by socially vulnerable segments of the population - pensioners, disabled people, disabled children, people with severe pathologies. The list should also be supplemented by pensioners of the Ministry of Internal Affairs and those who retired from military service, heroes of the Second World War, home front workers, Heroes and Veterans of Labor, Heroes of the USSR and the Russian Federation, mothers of many children, etc.

You need to know that there are several programs for free dental prosthetics - federal and regional. The federal list includes only those pensioners who retired from government, military service and the Ministry of Internal Affairs. Regions or subjects of the Russian Federation supplement this list with other categories of citizens. You can use the quota for free prosthetics once every 5 years.

Procedure for obtaining the service

How to get a quota and where to start with dental prosthetics for a pensioner? First, you should contact the social protection authority (SSPA) at the place of registration of the citizen or consult at the MFC (multifunctional center). In a number of localities (for example, in villages where there is no USZN branch), you can contact the local administration. You must take the following list of documents with you.

Once placed in the queue, a waiting period begins. In some regions and with a large number of first-priority candidates, the waiting time for second-priority categories can even be several years.

When the turn has come, the person receives a special coupon from the USZN - it indicates in which clinic the prosthetics will be performed and until how long the coupon is valid (usually this period is 1 month). After this, the coupon is provided by the person himself to the specified public clinic, where a contract for prosthetics must be concluded. In private clinics, preferential prosthetics under government programs and compulsory medical insurance policies are extremely rare. But private dentistry almost always provides pensioners with a 15-35% discount on dental prosthetics.

How to take advantage of government support

Due to the peculiarities of legislative regulation of this issue, you should contact the social security department directly. The allocation of service coupons is the responsibility of this body.

The sequence of actions is as follows:

1. Get a certificate from your doctor about the need for prosthetics.
2. Attach photocopies of:
   passports;
3. certificates: pension or preferential (if available);
4. compulsory health insurance policy (CHI);
5. birth certificate (for a child with disabilities);
6. You must fill out an application at the social security department. Specialists will suggest its form and also examine the documents.
7. If you receive a positive decision, take advantage of preferential preferences.

The list of required documents may vary depending on the region. The preference coupon is valid for a certain period of time and then becomes invalid. Specific deadlines are determined by regional legislation. They range from 2 weeks to six months.

The nuances of the preferential queue

The budget pays only for certain manipulations, namely:

• dentures made from conventional materials;

• their repair.

A person can take advantage of the right to free dental installation (denture repair) once every few years. For example, in Moscow this period is 3 years (in the case of prosthetics made from conventional materials) or 6 years (in the case of using expensive materials) (five years). In St. Petersburg, the service is provided free of charge.

Many regions stipulate that they do not provide the possibility of prosthetics using expensive materials or precious metals.

Restrictions on the use of budget money

Citizens who want to take advantage of government support need to know some of the features of this type of assistance.

Namely:

1. Budget services are provided only by state clinics (the address is indicated on the coupon). In another hospital you will have to pay for the services out of your own pocket. That is, the patient has no choice.
2. It is prohibited to use ceramics and precious metals in the manufacture of prostheses. Only the cheapest prostheses are installed at government expense.
3. In some cases, it is allowed to use expensive materials. But you will have to pay extra for them out of your own pocket.
4. The list of free services does not include:
   dental implantation;
5. creation of structures used in the treatment of abrasion;
6. prevention and treatment of periodontal disease.

In case of allergic intolerance to conventional materials, a more expensive material (porcelain, for example) can be used on the doctor’s recommendation.

How is prosthetics performed?

After concluding contractual obligations, you should contact several specialists from the dental department of the clinic. First, the patient goes to see a dentist-therapist, where existing caries/pulpitis is treated and the oral cavity is sanitized. If removal is required, you must visit a dental surgeon. Then follows a visit to an orthopedist (or, as he is popularly called, a “prosthetist”). At this stage, the doctor proposes a suitable prosthetic design, materials, and crown shape for approval.

If the patient is satisfied with everything, then impressions are taken from the dentition, the prosthesis is made and installed. After which comes the stage of getting used to the devices - at this time it is recommended not to forget about scheduled visits to the dentist, where the product will be adjusted to a comfortable state.

What consumables can be obtained under the medical policy?

A number of medicines and medical materials are provided to pensioners free of charge

A pensioner can not only receive free treatment, but also receive some types of consumables that are needed for therapeutic procedures:

• Cleaning brushes;
• Cotton wool, bandage;
• Dental burs;
• Surgical threads, dressing materials;
• X-ray film;
• Silicate, glass ionomer filling compounds;
• Phosphate cements;
• Arsenic;
• Russian-made disinfectants and painkillers (Lidocaine, Novocaine, Trimecaine).

If the patient suffers from individual intolerance to the proposed painkiller injection or simply wants to receive better anesthesia, he can ask the doctor for another drug, for which he will have to pay separately.

A doctor can use a medicine for a fee only with the consent of the patient.

List of documents for beneficiaries

So that the pensioner does not waste time and can immediately get in line for preferential dental prosthetics, you need to take the following documents with you - it’s good if you have copies of them:

• passport of a citizen of the Russian Federation,
• application of the established form - the current form will be provided by a specialist from the municipal authority,
• certificate from the place of residence of the beneficiary,
• a certificate from the municipal clinic - issued by a dentist and confirms the need to install a prosthesis,
• compulsory health insurance policy (CHI); if you have an additional insurance policy, then take that too,
• pensioner's ID,
• special documents and certificates (if available): certificate of a disabled person, WWII veteran, liquidator of the Chernobyl accident, certificate of income, documents confirming serious illnesses.

In a number of situations, for example, for pensioners of the Ministry of Internal Affairs, military personnel or those who worked in the public service, a copy of the work book may be required.

Compulsory medical insurance policy - is this document sufficient to receive the service?

A compulsory medical insurance policy or a compulsory health insurance policy gives the right to all citizens of our country to receive a certain list of free dental services at their place of registration or residence. Naturally, only government agencies provide services free of charge.

Experts say that in each region of our country the list of free services for patients may be different. Thus, in financially secure regions it can include up to 200 different positions, and in disadvantaged regions it may not exceed 20. In some regions, it is even difficult to obtain free assistance, which is associated with optimization and job cuts.

By appointment, upon presentation of a compulsory medical insurance policy, any patient can count on examination and diagnosis (only two-dimensional radiography), treatment of caries, pulpitis, gingivitis, periodontitis, free domestically produced anesthesia, and splinting of teeth. It is also possible to receive a number of surgical services: simple and complex tooth extraction, autopsy, drainage of abscesses, removal of benign tumors, treatment of alveolitis. According to the policy, you can undergo a course of physical procedures (for example, magnetic therapy).

Without a queue and without an appointment, you can be seen in emergency cases: when there is acute pain, bleeding, chills and high body temperature against the background of inflammation in the oral cavity and any dental disease.

On a note! In public medical institutions of the country, it is not possible to do dental implantation and install braces, whitening and strengthening of enamel, bone tissue augmentation, surgical treatment of periodontitis and periodontal disease, or professional oral hygiene. Also, you should not count on the use of imported fillings, pins and inlays in free medicine.

What about dental prosthetics? Not every citizen of Russia has the right to receive this service under the compulsory medical insurance policy, but only preferential categories of the population, which we will discuss further.

Which prostheses are eligible for benefits?

Since dental prosthetics are paid for from the federal or regional budget and should cover the maximum number of people in need, dentures under preferential programs are made of plates and from the most inexpensive materials - acrylic plastic as an analogue of artificial gums and palate, as well as budget alloys (medical steel) that are used for the base of crowns or bases. Crowns can be made from either plastic or metal-plastic. These prostheses will serve their owner for 3-5 years. But you need to follow the rules of care in order for the structure to maintain its aesthetic appearance and functionality for as long as possible, because budget materials are not very durable, and plastic absorbs excess moisture, foreign odors and food pigments.

Advantages compared to prosthetics

• The ability to install a high-quality implant at a more affordable price;
• The reduced price allows you to undergo treatment from an experienced, competent doctor, rather than choosing a “cheaper” clinic where the consultation is carried out by specialists without proper training;
• Often the patient has to save money and postpone the procedure, which negatively affects the condition of the dental system. Promotions help to quickly restore the integrity of the dentition.

The Mona Lisa dental clinic constantly has promotions for implant treatment. Many of them apply to procedures marked “turnkey”. This treatment format is most popular among patients today, as it does not involve additional payments. As a rule, turnkey implantation includes the following manipulations:

• Implant installation;
• Opening the implant and installing the gum former;
• Installation of abutment;
• Crown installation.

In some cases, the price includes a number of additional activities: diagnostic and control X-rays, implant opening, suture removal, initial consultation, etc. You can find out more information about the conditions of the promotion by calling the phone number listed on our website. Our clinic offers only fair and affordable prices!

Affordable prices

Our attending physicians advise patients to consult an implantologist immediately after tooth extraction. The sooner the implant is installed, the better. After 6 months or more, bone tissue atrophy will occur in this area. As a result, a sinus lift or other osteoplastic surgery will have to be performed.

The second advice from doctors is that you should not install bridges if implantation is possible. On the one hand, they are cheaper. On the other hand, they require grinding of adjacent healthy teeth. Even if they are healthy, the pulp is removed. As a result, they become overloaded and often last only a few years. Such savings will cost more in the future.

Free types of dental treatment under compulsory medical insurance

In addition to preferential installation of dentures, pensioners have the right to count on free treatment in the dental office of a state clinic:

• removal of tartar and sanitation of the oral cavity,
• treatment of caries and pulpitis: inexpensive cement fillings are used here, and metal pins for strengthening are not provided. For an additional fee, you can install a chemical or “light seal”
• tooth extraction: including complex ones: you only have to pay for anesthesia,
• treatment of periodontal tissues: gingivitis, periodontitis, periodontal disease.

What is not included in the benefit program?

The list of dental services for pensioners provided free of charge does not include:

• Installation of metal-ceramic and ceramic dentures
• Installation of braces and other structures for straightening teeth
• Dental implantation
• Teeth whitening
• Installation of clasp, nylon and other expensive prostheses
• Installation of dentures made of precious metals
• Installation of devices used for periodontitis and severe abrasion of enamel
• Use of foreign-made painkillers

What benefits do not apply to

If a pensioner wants to receive free prosthetics under a quota, he should know that not all types of products will be subject to preferential conditions. For example, the following types of restoration do not fall into federal and regional programs:

• use of precious metals in prostheses and repair of similar structures,
• metal-ceramic and ceramic crowns: this also includes products made of zirconium dioxide,
• implantation: despite the fact that this type is considered ideal for restoring functionality and beauty, it is, at the same time, the most expensive,
• various orthopedic structures: this includes, for example, mouthguards to preserve enamel during bruxism, as well as fiberglass or metal splints1 for tooth mobility (periodontitis and periodontal disease).

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If there is a documented allergic reaction to plastic or acrylic, you can make a prosthesis from higher-quality monomer-free materials - for example, from nylon or make a clasp structure with a minimum volume of artificial gum. But all these features must also be agreed upon before signing the contract, and for improvements you will have to pay the difference in price - i.e. the part that “exceeds the threshold” of the benefit. By the way, patients with oncological pathologies of the digestive system can also apply.

Free prosthetics: what you can count on under the quota

If there is a quota for dental prosthetics, then, first of all, you can count on an examination before treatment. It will include not only a visual examination and history taking, but also an OPTG (orthopantomogram) - these are two-dimensional photographs of both jaws, which will allow us to judge the hidden processes occurring in the jaw. They are much less informative than three-dimensional computed tomography, but unfortunately, one cannot expect anything more from free medicine these days.

As for the prosthetics itself, patients have little choice according to the quota. For them, only removable structures made of acrylic or nylon, or permanent crowns made of metal or metal-plastic can be created - these materials are cheap and are not suitable for all people.

Constructions made of plastic and nylon are short-lived, because... materials absorb dyes and pigments and quickly become unusable. In addition, they are low-functional, it is almost impossible to fully restore chewing function in them, and the patient has to limit himself in nutrition, for example, refuse to eat hard and favorite foods, giving preference to the softest ones.

On a note! Independent researchers have found that there are many times more cases of poor-quality treatment and prosthetics in patients who received free treatment than in those who received paid services.

Metal and acrylic can cause an allergic reaction. However, if the patient proves and documents that these materials are really not suitable for him due to his health, then the clinic may offer to install prostheses made from other materials. Will I then need to pay anything? Yes, you will have to pay the difference in price.

What about service? If your installed prostheses are damaged, then, by decision of the medical commission, they can be replaced with new ones or repaired within a year from the date of application. Moreover, if the doctor or clinic is to blame for the breakdown of the structure (for example, due to poor quality manufacturing or installation), then replacement or repair work will be carried out out of turn.

How to get a free prosthesis out of turn

Urgent dental prosthetics, bypassing all categories of beneficiaries, can be used by patients in the following situations:

• Most of the teeth have been lost due to injury or accident,
• after a complex operation of the digestive system,
• There is oncological pathology: in the area of ​​the dental system, gastrointestinal tract, and hematopoietic organs.

“In April last year, my mother had 2 complex operations on her stomach, then she was on a diet for a long time, but little by little she began to eat normal food. And then a neighbor next door advised her to finally take care of her teeth, because pensioners very often lose them. And, I must say, my mother didn’t even get up in line for the quota, she kept looking younger. But then I decided to go to social security, at least in a year to get a new jaw. And they tell her that in her case everything can be done very quickly, only she needs to bring all the doctor’s notes and the conclusion of the VEC. That’s why now we have her with teeth, she’s cheerful right away.”

Tatyana P., review from the website stomatology.rf.

If your health condition does not allow you to wait in line

The law describes exceptional cases when teeth are installed free of charge and urgently. This rule applies to people with serious illnesses.

These include:

• malignant changes in some organs (hematopoietic, for example);
• oncological lesions of the digestive system, jaw;
• complex surgical intervention in the gastrointestinal tract;
• trauma resulting in complete or severe loss of teeth.

In order to have teeth inserted urgently and free of charge, you must provide certificates and extracts from the hospital proving the exceptional circumstances.

What compensations are there?

Is a pensioner entitled to compensation for dental prosthetics and how to receive compensation? In fact, the preferential government program does not provide compensation. That is, you cannot undergo dental prosthetics at your own request, and then contact the USZN with a check and an agreement to receive a refund. But there are several features here.

For example, if a pensioner previously worked at a large enterprise with a socially oriented personnel policy, and this enterprise (or an insurance company where workers and pensioners are insured) provides compensation for dental prosthetics. In this case, you should first contact the human resources department, trade union or insurer for specific information. You can also get a tax deduction for dental prosthetics for pensioners (working people).

Where to go and how long to wait for your turn

How to get a quota for dental prosthetics? You should first contact your local Social Security Administration office or Department of Health. In small settlements - to the village administration. If a pensioner worked at an enterprise that had a good voluntary medical insurance program - additional health insurance, then you should contact the personnel department or trade union committee. Take with you your passport and pension certificate, work record book, and a doctor’s note about a previous (current) serious illness. This way it will be clear whether you can count on the quota or not.

Then you definitely need to visit a dentist - specifically in a public clinic, and get a certificate from a doctor that dentures are really necessary. This certificate, along with a package of documents, is submitted to social security, where the application is written. Then, within 10 days, a special commission considers it. Next comes queuing - the average waiting period is 3-6 months, but sometimes people wait 1.5-2 years or more for their turn. When the turn comes, the person is informed about it. You need to come to the social security office again to get a coupon (referral).

Be careful, in different regions the validity period of the referral ranges from 14 days to 3-6 months. And if you take it to the dentist later, it will no longer be valid - you will have to collect documents again and stand in line.

At the clinic, an agreement is concluded with the patient (this is a mandatory stage), which prescribes future treatment, prosthetics, a warranty period (usually 12 months), and the responsibility of the parties. For example, it is possible to repair a prosthesis free of charge under warranty during the first year of operation only if the person handled it with care and did not initiate the breakdown. After official registration, dental prosthetics begins.

Who is entitled to a tax deduction?

How to return money to a pensioner for dental prosthetics? This question is of interest to those who did not take advantage of preferential conditions and paid for dentures themselves, as well as those who paid extra for an improved prosthetic design (if they are allergic to standard materials). You can return the money if a person not only receives a pension, but also works officially, i.e. pays personal income tax. Currently the personal income tax rate is 13%.

You can also draw up an agreement with the clinic not for the pensioner who will be fitted with a prosthesis, but for his working relatives (spouses, children, grandchildren, brothers or sisters). Then in the next calendar year (after paying for prosthetics) you will need to contact the tax office to receive a deduction.

How much money can you get back from taxes paid? Let's figure it out. For example, a person paid 50 thousand rubles for a prosthetic structure, then the maximum compensation will be 6,500 rubles (or 13% of the amount). Such money can be returned if a person pays the same or greater amount of personal income tax on his earnings in a year. Let’s say that the monthly salary is 25 thousand, then in a year a person will pay about 40 thousand rubles in tax - in this case, the amount of 6,500 rubles will be returned in a lump sum.

Alternative options for free or low-cost prosthetics

Of course, the state quota for dentures is sometimes the only chance for a person to get a denture. But many people are not satisfied with going through authorities and waiting for their turn for a long time - after all, they want to quickly get normal teeth so they can chew food and smile. What can you do here? You should look for information and study the proposals of scientific and medical organizations, private dentistry, which conduct research on new types of prosthetics and organize social events. In this case, it is possible to get a good prosthesis, and sometimes even dental implants for free.

“In our region we have a generally incomprehensible situation with free prosthetics. Some are given them (I mean pensioners), but others are not. Here are my parents, for example. Mom receives a small pension of 10 thousand, dad works as a security guard for 25 thousand. And they asked my mother for my father’s salary certificate and said that she was not entitled to a prosthesis. That the average income per person is higher than the minimum wage. Like this. And for my aunt in Moscow, they did everything for free without any problems, they didn’t look at my husband’s income.”

Olga T., review from otzovik.com

Some private centers offer discounts to pensioners, or organize seasonal promotions for all patients. Another option is to get paid prosthetics, and then return 13% of the total amount of dental restoration from taxes paid. But this method is only suitable for officially employed patients or those pensioners whose contract with the clinic is concluded with one of their close relatives. That is, a pensioner underwent prosthetics, and the contract was drawn up for his working spouse or child.

1Naumov S.G. Modern materials for removable orthopedic structures, 2011.

Your questions and answers

QUESTION Please tell me what documents need to be collected for a quota for a denture? Viktor Nikolaevich

ANSWER Hello, Viktor Nikolaevich. First, you need to go to a dentist in a public clinic, undergo an examination and get a certificate from the doctor that you need a removable denture. Then you need to take this certificate to the local department of social protection of the population (USZN), write an application and stand in line. Take a certificate of family composition in advance; you will also need to take your passport, compulsory medical insurance policy, SNILS, work book, and pension certificate with you. It is better to check with a social worker at the Social Insurance Fund for a complete list of required documents.

List of documents for tax deduction

Before contacting the tax office, you must order a 2-NDFL certificate at work and prepare a declaration to the tax office (forms and samples are available on the official website of the tax office). You will also need documents:

• contract for the provision of services from the clinic,
• receipts for payment for prosthetics: the payer’s data must match the data in the contract (but a refund can also be made for the spouse/parents when confirming the degree of relationship),
• copy of dental license.

What to do?

First, contact the administrator of the medical organization (chief physician, deputy chief physician, head of department) with a request to explain the reason for the refusal or request for payment. In most cases, the problem is resolved on the spot. If the administrator refuses to help, contact your medical insurance company (name, phone number, address, email address is on your compulsory medical insurance policy). Insurance company employees will provide you with the necessary advice and, if necessary, take measures to solve the problem.

Types of dental care

Warranties for prostheses

Typically, the warranty on prosthetic structures manufactured in a clinic at a discount is 1 year. That is, if the prosthesis breaks (if it has been worn for less than 12 months), you need to go to the clinic, where a commission will decide whether to repair it or make a new one. It is worth noting that this is only possible if the fault of dentistry is proven (poor quality materials or manufacturing).

The guarantee that is issued in a private clinic is usually longer, because... the structures are manufactured using new equipment, using the most modern materials, metal fasteners, and titanium beams. Here, the warranty on the prosthesis can be 3-5 years or more. And if we take the guarantee for implants as an example, it can even be for life.

If you have the financial opportunity, it would be optimal to go to a private clinic, choose hypoallergenic and comfortable prostheses, or even install implants. Moreover, dentists often organize various promotions and discounts, including for older people. They allow you to significantly save on treatment.

1. Sevbitov, A.V., Study of the retention capacity of individual protective dental splints relative to the boundaries of their base / A.V. Sevbitov, V.V. Borisov, E.Yu. Kanukoeva, A.V. Yumashev, E.P. Safiullina // Proceedings of the International Symposium Reliability and Quality. – 2015. – T. 2. – P. 363-364.

Author: Matyushenko M. A. (Thank you for your help in writing the article and the information provided)

Terms of assistance

It should be remembered that in accordance with the Territorial Program, when applying for dental care, emergency medical care must be provided immediately; provision of emergency primary health care is no more than 2 hours from the moment of application.

The waiting period for an appointment with local doctors should not exceed 24 hours from the moment the patient contacts the medical organization.

The time frame for consultations with medical specialists when providing primary specialized health care in a planned form is no more than 14 (in Moscow 10) working days from the date the patient contacts a medical organization.

The timing of diagnostic instrumental (radiographic studies, ultrasound studies) and laboratory tests in the provision of primary health care should not exceed 14 (in Moscow 10) working days from the date of appointment. The timing of computed tomography (including single-photon emission computed tomography), magnetic resonance imaging and angiography in the provision of primary health care should not exceed 30 (in Moscow 26) working days from the date of appointment.

How to avoid complications after implantation in older people

Complications are prevented by thorough preparation before surgery, proper implantation and compliance with doctor’s recommendations in the postoperative period.

Careful preparation

The preparatory stage of implantation is especially important for older people. Since at the age of 60 there is a high probability of chronic diseases, extensive diagnostics are required to exclude contraindications. The more thoroughly the examination is carried out, the lower the risk of implant rejection and complications after surgery.

Mandatory preparation steps:

• History taking

  The doctor talks with the patient, asks about complaints and wishes, existing diseases, allergies to drugs. The data obtained allow the dentist to judge treatment measures at the preparatory stage.

• Consultations with relevant specialists

  In case of concomitant diseases in acute or chronic form, the patient is referred for examination to a cardiologist, endocrinologist, neurologist, ENT specialist and other highly specialized doctors. Without their permission, the implantologist will not begin the operation. An extended examination eliminates contraindications and risks to the patient’s health.

• Analyzes

  Before implantation, the patient donates blood and urine for analysis. The dentist receives data on the level of blood clotting, platelet formation, the presence of antibodies to HIV, and blood glucose levels. The research results show whether the patient has a latent disease. If the indicators are unsatisfactory, the patient is advised to first undergo treatment.

• CT

  To select a method and draw up a surgical plan, an X-ray examination of the patient's jawbone is performed. Computed tomography provides a panoramic image of the working area, allowing the implantologist to accurately determine the location and depth of insertion of the pin. During the diagnosis, the doctor identifies old roots that need to be removed and hidden inflammation that requires treatment.

• Sanitation of the oral cavity

  Implantation is not possible if there is an infection and inflammatory process in the oral cavity. After eliminating contraindications, the doctor begins filling carious cavities and removing teeth that cannot be restored. The stage ends with professional cleaning of tartar and plaque.

If the oral cavity is prepared, the implantologist sets a date for the procedure.

Surgery in medicated sleep (under sedation)

Most dental procedures during implantation require local anesthesia. But older people are recommended to undergo operations under sedation (in medicated sleep). The anesthesiologist carefully selects medications and monitors the patient’s condition during the session.

The choice of medicated sleep as a method of anesthesia is dictated by reducing the load on the heart. Older people are very sensitive. And although under local anesthesia they do not feel pain during the operation, the movements of the surgeon’s hands and unusual sounds make them nervous and lead to pressure surges.

Sedation eliminates risks for the doctor and the patient. After the operation, the patient wakes up with implants. After medicated sleep, he experiences sensations like after a nap.

Reducing the number of surgical interventions

For patients over 60 years of age, operations are performed according to the principle of a sufficient minimum. The list of surgical procedures is dictated by the task at hand and does not go beyond the scope of its solution.

For example, for young people before surgery, the dentist recommends plastic surgery of the jawbone, correction of the bite and other preparatory measures. For an elderly person in the same situation, the implantologist will try to restore the dentition, avoiding the listed procedures, reducing the load on the body.

Choosing an implantation method

At the Dr. Levin clinic, patients over 60 years of age are recommended to use one of the following methods:

1. Classic implantation . The two-stage method involves increasing the rehabilitation period and delaying the load on the jaw bone. In old age, tissue healing processes slow down, and the risk of implant rejection increases. Classical implantation allows the doctor to make sure that the artificial root has taken root without complications, and only then install a crown, increasing the load on the jaw bones. The method, which is more than 30 years old, has been tested by practice, reliable, and gentle on the body.
2. Installation of mini-implants . If the jaw bone tissue is atrophied, there is no way to restore it, mini-implants are used. They are smaller in size and are inserted by puncturing the gums, with almost no bone involved. The method is recommended for complete edentia (mainly the lower jaw). Mini-implants can be used to install a patient’s existing removable denture or to make a new one from lightweight, durable materials.

Compliance with recommendations

After surgery, the rehabilitation period lasts from 3 months to a year. Much depends on the patient’s health and compliance with the doctor’s recommendations:

• clean the mouth after eating;
• rinse your mouth with antiseptic solutions;
• avoid smoking, alcoholic beverages;
• eat only warm semi-solid foods;
• do not freeze;
• Visit the dentist more often (at least 1-2 times a month).

If a sinus lift was performed before implantation, you should avoid airplane travel for 3 weeks, sneeze carefully, and blow your nose without opening your mouth. In the clinic, after the operation, the patient is given a box with medications and recommendations for dental care.

Price

The cost of services for older people is no different from the prices set for everyone. Pricing is influenced by:

• the classic method is more expensive than mini-implants, but the latter will have to be changed every 3 years;
• type of prosthetics - the price depends on the type of prosthesis (individual crowns, removable or fixed prosthesis), the number of teeth being restored;
• type of anesthesia - local or sedation as more comfortable for the doctor and the patient;
• the need to build up the jaw bone - sinus lift, NBR have different costs (with mini-implants, osteoplasty is not needed).

Ours uses a case pricing system, implantation is carried out on a turnkey basis . This means that the patient pays for all procedures necessary to solve the problem.

The cost of an implantation case includes the work of the implantologist, the implant itself, consumables, and anesthesia. Crown on implant, dentures are paid separately as part of a separate case.

The bone augmentation procedure is considered as an independent case, since it is not always carried out.

Turnkey implantation does not include a preparatory stage: its implementation is paid for separately.

What are the dangers of installing implants - consequences

The biggest concern for older patients is whether the implant will survive. The risk of rejection exists even in young people, and it increases with age.

But dentistry offers methods and materials that increase the likelihood of implantation of artificial roots up to 98% . Much depends on oral hygiene, health and lifestyle.

Implants are rejected for the following reasons:

• Peri-implantitis . This is an inflammatory process in the tissues around the artificial pin. It occurs against a background of poor hygiene, bad habits, regular stress, and diabetes.
• Exacerbation of chronic diseases . Since the installation of an implant creates a large load on the immune system, its weakening due to existing pathologies leads to rejection of the artificial root.
• Premature loading of the bone . Since the jawbone in older people is looser, hasty installation of dentures on implants threatens its destruction and rejection of artificial roots.

To avoid complications, visit your dentist regularly, follow his recommendations, and be attentive to your health.

Implantation in Dentistry at Amazing Prices

Highly qualified dentists practicing in our clinic perform implantation using any of the above methods. The cost of implantation in our clinic is fixed and our patients do not have to pay extra for additional work.

We also inform patients planning turnkey dental implantation that our clinics in Moscow regularly hold promotions, discounts and other loyalty programs.