What is included in dental treatment under the policy?

Admission under compulsory medical insurance policy

Insured citizens of the Russian Federation have the opportunity to receive free medical care in the amount established by the Territorial Compulsory Medical Insurance Program.
The compulsory medical insurance policy is the main document confirming the fact of insurance of a citizen. When visiting the clinic for the first time, you must fill out an application for choosing a medical organization and provide a compulsory medical insurance policy and an identity document.

As part of the compulsory health insurance program, residents of all regions of Russia receive routine medical care. The “Moscow - Capital of Health” project helps nonresident patients obtain information about medical care in Moscow hospitals free of charge under the compulsory medical insurance policy. Additional information can be found on the official website of the Moscow Capital of Health project.

Stage 1: Consultation and diagnosis before wisdom tooth removal

The fundamental stage is preparation. The development of unpleasant consequences, as well as minimizing the risk of complications after surgery, depends on the quality and effectiveness of preparatory measures.

It may take from 1 day to 2 weeks to carry out all the preliminary procedures that determine the general condition of the patient’s body, the condition of the tooth, and to determine the reason for its extraction.

If there is little concern and there is a clear Rg image, removal can be carried out on the day the patient contacts, but following important steps.

1. Initial consultation.

To implement a modern surgical technique for atraumatic removal of wisdom teeth, the Implantmaster clinic has all the necessary tools and technologies. A comprehensive examination of the oral cavity is performed. Afterwards, the doctor prescribes an Rg test. We perform CBCT. The images are more accurate and the Rg radiation is minimal. With the help, diagnosis is made with greater accuracy.

Our doctors use a Labomed Magna dental microscope to fully familiarize themselves with the condition of the tooth and soft tissue structures around it.

2. Analyzes.

Laboratory examination to identify contraindications to surgery.

3. Planning for manipulations.

The doctor answers all questions from the patient. He explains the surgical procedure in detail and determines the next procedure. If no significant dental problems were found during the examination, then only the operation itself and the drugs used are discussed. If there is an inflammatory process, suppuration or neoplasm, the specialist will require an x-ray to determine the location of the focal zone and fragments of the wisdom tooth.

The psycho-emotional state of the patient is very important, to which an experienced specialist pays great attention. Any fear is based on a lack of information, which is why Implantmaster doctors always go over all stages of extraction in detail.

For patients prone to panic attacks, wisdom tooth extraction under sedation is recommended. The essence of the manipulation is the effect on the body of special gaseous substances that do not pose any danger to the patient’s health.

List of dental services not included in the compulsory medical insurance program

• Aesthetic restoration (restoration) of teeth using light-curing materials;
• Light-curing fillings; (light seal);
• Production of veneers by direct and indirect methods;
• The use of intracanal pins (fiberglass, parapulp, etc.);
• Treatment of root canals of teeth: treatment of root canals using NITI rotating machine instruments, filling of root canals using gutta-percha pins and imported pastes using various filling methods;
• Intra-canal whitening of pulpless (“dead”) teeth;
• Treatment of inflammatory periodontal diseases using modern methods (VECTOR device, laser, ultrasound therapy), using imported materials (directed tissue regeneration, splinting of mobile teeth, cosmetic closure of exposed tooth necks, etc.);
• Surgical methods for the treatment of periodontal diseases (open curettage, flap surgery, gingivoplasty, etc.);
• Implantology, operations on directed bone regeneration and plastic surgery of soft tissues in the area of ​​implants;
• Tooth extraction for orthodontic and orthopedic indications for persons over 18 years of age
• Depulpation of teeth under X-ray control in order to prepare teeth for dentures;
• Cystotomy;
• Cystectomy (removal of the root cyst);
• Plastic surgery of the frenulum of the upper or lower lip, frenulum of the tongue for persons over 18 years of age;
• Plastic surgery of scars and cords of the oral mucosa;
• Plastic surgery for gum recession, including connective tissue graft (local tissue);
• Resection of the root apex;
• Hemisection;
• Vestibuloplasty surgery;
• Installation of implants;
• Prosthetics on implants;
• Correction of lip and tongue frenulum using a diode laser (for children and adults);
• Providing orthopedic treatment to persons over 18 years of age and of working age;
• Partial and complete removable laminar dentures made from imported material;
• Clasp dentures of varying degrees of complexity
• Single fixed dentures and bridges: metal, plastic, metal-ceramic made from imported materials;
• Retreatment of teeth for the purpose of dental prosthetics previously treated in other health care facilities;
• Unsealing root canals for inlays for the purpose of dental prosthetics.
• Anesthesia using carpule syringes and imported anesthetics;
• General anesthesia (anesthesia) with the use of an anesthetic aid for more than 30 minutes using imported drugs;
• Treatment and removal of teeth using sedation methods while maintaining consciousness;
• Prevention of dental diseases: professional oral hygiene, removal of dental plaque using an ultrasonic device, use of AIR-FLOW, removal of age spots, plaque, coating with imported fluoride-containing preparations, deep fluoridation of teeth, teeth whitening
• Three-dimensional computed tomography of the maxillofacial region in 3D format, orthopantomography;
• Orthopantomography of the maxillofacial area for persons over 18 years of age and of working age;
• X-ray examination when providing paid medical services and preparing for dentures.

How long does pain last after wisdom tooth removal?

It is impossible to determine exactly how much pain you will have after wisdom tooth removal. Pain after surgery lasts individually for each patient, depending on how susceptible the body is and how the regeneration process proceeds. Pain after extraction of the third molar can last from 2 to 10 days. All pain goes away after a while, but if not, then this indicates the development of possible complications after the removal of a wisdom tooth.

How long after wisdom tooth removal can the intervention site hurt? If you experience prolonged discomfort after wisdom tooth extraction, you should immediately contact your doctor to adjust the prescribed medications. The specialist will try to solve any problems that arise.

Home assistance for people with limited mobility

The provision of dental care at home is carried out within the framework of the order of the Moscow Department of Health dated July 7, 2009 No. 783 “On improving the provision of dental care to disabled people with severe disabilities.” Dental clinics have teams to provide therapeutic and orthopedic care to bedridden patients. To provide medical care at home, a preliminary examination by a local physician is required, followed by the issuance of a report on the general state of health and the possibility of providing assistance at home. Comprehensive dental care at home for disabled people with severe disabilities is provided in accordance with the list of dental services:

• Examination of the oral cavity.
• Determination of the state of oral hygiene with indication of dental plaque (hygiene index).
• Determination of the condition of periodontal tissues and oral mucosa.
• Manual removal of dental plaque and recommendations for brushing teeth.
• Carrying out atraumatic treatment of dental caries using glass ionomer cements for filling.
• Treatment of hyperesthesia of hard dental tissues.
• Treatment of pulpitis, periodontitis and periodontal diseases.
• Grinding of teeth.
• Taking impressions to make partial or complete removable dentures
• Correction of prostheses
• Removing crowns
• Prosthetic repair
• Surgical dental care is provided only in outpatient or inpatient settings upon referral from the dental clinic to which the patient is assigned.

Information updated 03/17/2021

Removal of impacted and dystopic wisdom teeth

An impacted wisdom tooth is the third unerupted molar located in the jawbone, under the gum. Removing an impacted wisdom tooth is a technologically difficult surgical intervention; a small number of specialists decide to carry out such manipulations.

Specialists from our innovative dentistry perform atraumatic removal of impacted wisdom teeth using ultrasound at Implantmaster in Moscow. The experience of surgical dentists allows us to perform surgical interventions of this level.

Also, the eighth unit may not erupt due to dystopia. The second molar in front, the “seven,” is in the way. The dystopic unit rests on the seven, destroying it; this is possible due to the tilt of the unit. Due to the lack of space and location at the angle of the jawbone, there is no way to properly cut through and take its place. The dystopic figure eight, erupting non-anatomically, may occupy an atypical location in the jaw bone. An unerupted unit causes harm and discomfort to the gingival mucosa. Our specialists perform the removal of such wisdom teeth using an atraumatic technique and at a reasonable price in Moscow.

Very often, such units move adjacent teeth in a row and bend the jaws. It is very difficult or impossible to treat them at all. In such clinical situations, a dystopic wisdom tooth is removed. The result of dystopia can be chronic injury to the cheek due to biting. Therefore, it is better not to postpone the removal of a traumatically located wisdom tooth for a long time, but to contact the Implantmaster specialists in Moscow. With such a complex surgical intervention, you should follow all the doctor’s recommendations, as well as prescriptions for taking antibiotics after wisdom tooth removal.

Complications after wisdom tooth removal

Sometimes the patient may develop complications after the intervention. These consequences are:

• a slight increase in temperature for a short time (you can take an antipyretic);
• accumulation of pus in the wound;
• inflammation of the gums;
• bleeding that does not stop for a long time;
• swelling that lasts for several days;
• Difficulty cleaning the mouth.

If such signs are detected, you should immediately consult a doctor and take a course of antibiotics. If unpleasant symptoms persist for a long time, it is necessary to revise the hole.

The natural consequences of removing eights are considered to be slight swelling, which subsides by the next day, as well as temporary discomfort. Regardless of the type of anesthesia, the patient will continue to experience discomfort after the intervention. To avoid complications, it is necessary to carry out high-quality cleaning of the entire mouth.

Atraumatic removal of wisdom teeth using ultrasound

The possibility of performing atraumatic wisdom tooth removal in the clinic is of the most frequent interest, judging by patient reviews. Atraumatic extraction of the unit is performed after a complete assessment of the CBCT image and clinical situation, as well as discussion of the procedure with the patient. The tooth is divided into several parts if there are bends and slopes of several roots. And with the help of elevators and specialized tools, careful dislocation is carried out.

You should not worry about passing a small blood clot after surgery. The extraction is fully controlled by the doctor; after extraction, the gums are tightened and sutured with specialized suture material. Afterwards the standard rehabilitation scheme comes into effect. The only important aspect is the possible development of edema after the removal of a wisdom tooth.

Atraumatic tooth extraction is more preferable. This way, the gums and surrounding mucosa are less affected and damaged. Regeneration of the wound surface and restoration of the body occurs as comfortably and quickly as possible.

Prices for wisdom teeth removal at Implantmaster

Tooth extraction is simple:

• X-ray images
• Anesthesia
• Removal of a tooth
• Applying and removing sutures
• Postoperative examinations

Price : from 3,000 ₽ to 7,800 ₽

The price of a technically complex atraumatic removal of one wisdom tooth in Moscow dentistry reaches up to 20 thousand rubles . and higher. The cost of the procedure itself may be added to the price of artificial bone used during bone grafting to minimize the risk of thinning of the jaw bone in the segment after removal.

Many doctors simply apply suture material to the wound, lowering the cost of the extraction procedure to 10 thousand rubles .

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Doctor's recommendations after wisdom tooth removal

The specialist gives the patient recommendations on how to care for the oral cavity and what is allowed and what is not allowed after the removal of a wisdom tooth.

General instructions:

• do not eat hard or hot food;
• do not heat the cheek area;
• refuse to visit the bathhouse and sports. hall;
• do not rinse;
• Do not disturb the hole with your tongue and fingers.

To heal the wound, it is necessary to treat the gums with antiseptic solutions two days after the intervention. The clot should not be removed from the socket to avoid bleeding. It is possible to take painkillers to comfortably overcome discomfort.

In the first days, discomfort is acceptable, but elevated temperature after wisdom tooth removal should not be present. In such situations, antibiotics are prescribed.

It is possible to relieve cheek swelling and edema by applying cold for 10 minutes at intervals of half an hour/hour.

Simultaneous removal of 2 or 4 wisdom teeth

Extracting two eights at once from one side is a productive tactic. Two units are removed at once, and restoration and regeneration takes place once. Unpleasant sensations and discomfort go away in one go. Restoration of the oral cavity is not complicated in any way by a one-time removal. An effective approach that we mainly advise the patient.

Extracting all 4 wisdom teeth at once is extremely rare. It can only be recommended if the patient is very afraid and under general anesthesia. Regeneration is very difficult, consuming food is much more difficult.

How to attach to a specific clinic

As mentioned above, admission under compulsory medical insurance is provided by any public dentistry. If you have chosen an institution where you want to undergo treatment, you must register there. To do this, you need to come directly to the clinic with a list of documents: insurance policy, passport or birth certificate of the child (if you need to register the child), SNILS.

The dentist will also ask you to write an application for registration and consent to medical intervention, after which they will create an individual card for you - from now on you have the right to receive the entire list of free services.

Removal of wisdom teeth during pregnancy and lactating women

Is it possible to have wisdom teeth removed during pregnancy? For pregnant and lactating women, extraction of eights can be performed only when the unit is exacerbated or if conservative treatment is impossible. As planned, such manipulations should wait until breastfeeding is complete.

There are no technical features for extracting figure eights from women who are pregnant and breastfeeding. We strive to provide gentle, atraumatic removal with comfort for everyone. However, if emergency surgery is required to extract the third molar (the only way out), we must check all our manipulations with the treating gynecologist.

After discussion with an obstetrician-gynecologist, anesthetics with a minimal concentration of adrenaline are generally used. Thus, in the third trimester, premature labor will not be provoked, and in the first trimester there will be no threat of miscarriage.