How does dental prosthetics work at home?

Is prosthetics performed at home?

Teeth can be treated or implants placed only in a dental office. Unfortunately, it is impossible to do this at home. The same applies to the full range of measures necessary to carry out high-quality fixed prosthetics. It is not possible to place fixed crowns and “bridges” outside the walls of the dental office.

However, some procedures can still be done by calling a dentist at home, and this opportunity often becomes a real salvation for patients who have difficulty moving without assistance or cannot leave their home on their own. First of all, these are pensioners and patients with disabilities, especially group 1. You can read about the possibilities of preferential prosthetics for certain categories of citizens in our special article.

Patients with disabilities and pensioners can call a dentist at home

Today, orthopedic dentistry offers a wide variety of different models of removable dentures to solve the problem of both partial and complete edentia. Of course, for a complete restoration of a toothless jaw, it is better to give preference to prosthetics on implants, but it is impossible to carry out such complex work outside the walls of the clinic. If the patient is non-transportable, the optimal solution for him may be to install a removable denture and call a dentist at home.

Orthopedic systems of this type are used to replace from 1-2 to all teeth in a row. The choice of a specific model depends on many factors, including the number of missing teeth, the location of the defects, the condition of the remaining elements, the degree of bone atrophy, and the financial capabilities of the patient1.

“I would like to express my deep gratitude and gratitude to the doctors of your clinic for such a professional and sensitive approach to our problem. We used the service of calling a dentist to your home and did not regret the decision at all. My father walks with great difficulty, so a doctor was invited to help him. The specialist very kindly explained everything to us, took impressions, and at the next appointment installed a brand new prosthesis, 2 weeks later. The result is excellent, he and I are very happy! Thank you again, we wish you success and good luck in your work!”

Kirill V.G., review on the website of one of the dental clinics in Moscow

During a home visit, the doctor conducts a careful visual examination of the oral cavity, discusses possible solutions to the problem with the patient, takes impressions and selects the appropriate type of prosthetic device. Of course, for a more thorough analysis of the clinical picture, a specialist needs to study X-rays of the patient’s dental system, but they can only be taken with the help of specialized equipment within the walls of a medical institution.

X-ray examination can only be carried out in a medical institution

After taking impressions, the doctor will send them to a dental laboratory where the prosthesis will be made. This may take some time - 2-3 weeks. Some dental clinics also offer installation of a finished structure at home, but if more precise adjustment is required, the prosthetic process may take several visits.

Information for disabled people and persons with limited health capabilities

The procedure for providing dental care at home to disabled people with severe disabilities

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.”
Our dental clinic has a team to provide therapeutic and orthopedic care at home. To record the provision of dental care for dentures at home, you must provide the following documents to the head of the department of orthopedic dentistry (2nd floor, room 15):

— a therapist’s conclusion about the general state of health and the possibility of providing medical services for dental prosthetics at home (issued at the clinic at the place of residence);

— passport of a citizen of the Russian Federation;

- pensioner's ID;

— compulsory medical insurance policy;

- a document confirming disability.

To receive therapeutic dental care at home, you must provide the following documents to the reception desk on the 1st floor:

— a conclusion from a therapist about the general state of health and the possibility of providing dental services at home (issued at the clinic at the place of residence);

— passport of a citizen of the Russian Federation;

— compulsory medical insurance policy;

Surgical dental care is provided only in outpatient or inpatient settings upon referral from the dental clinic to which the patient is assigned.

Comprehensive dental care at home for disabled people with severe disabilities is provided in accordance with the list of dental services:

1. Examination of the oral cavity.

2. Determination of the state of oral hygiene with indication of dental plaque (hygiene index).

3. Determination of the condition of periodontal tissues and oral mucosa.

4. Removal of dental plaque and recommendations for brushing teeth.

5. Carrying out atraumatic treatment of dental caries using glass ionomer cements for filling.

6. Treatment of hyperesthesia of hard dental tissues.

7. Treatment of pulpitis under anesthesia or with the application of non-arsenic.

8. Carrying out mechanical and medicinal treatment of root canals.

9. Filling root canals with pastes.

10. Opening of the tooth cavity during periodontitis.

11. Carrying out mechanical and medicinal treatment of root canals.

12. Using the delayed canal filling technique.

13. Filling root canals with pastes.

14. Curettage of gum pockets.

15. Medical treatment of gum pockets.

16. Irrigation of gums with medications.

17. Application of periodontal bandage.

18. Grinding and polishing of fillings, cusps, sharp edges of teeth and teeth after removing tartar.

19. Preparation of teeth for crowns.

20. Taking impressions.

21. Trying on crowns, fixing crowns or bridges.

22. Taking impressions for the manufacture of partial or complete removable dentures.

23. Corrections of prostheses.

24. Removing crowns.

25. Repair of prostheses.

Federal State Institution “Main Bureau of Medical and Social Expertise in Moscow” of the Ministry of Labor and Social Protection of the Russian Federation

• Address: 125040 Moscow, Leningradsky Prospekt, 13, building 1 Head Lapshina Galina Vasilievna Telephone Reception days: Monday 10.00 - 17.00, break 13.00 - 14.00 Opening hours: Monday - Friday from 9.00 to 18.00
• Official website: www.bmsem.ru

Article 6.1. Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”. The right to receive state social assistance in the form of a set of social services In accordance with this chapter, the following categories of citizens have the right to receive state social assistance in the form of a set of social services: 1) war invalids; 2) participants of the Great Patriotic War; 3) combat veterans from among the persons specified in subparagraphs 1-4 of paragraph 1 of Article 3 of the Federal Law “On Veterans” (as amended by Federal Law No. 40-FZ of January 2, 2000); 4) military personnel who served in military units, institutions, military educational institutions that were not part of the active army, in the period from June 22, 1941 to September 3, 1945 for at least six months, military personnel awarded orders or medals of the USSR for service during the specified period; 5) persons awarded the badge “Resident of besieged Leningrad”; 6) persons who worked during the Great Patriotic War at air defense facilities, local air defense, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of active fronts, operational zones of active fleets, in front-line sections of railways and highways, as well as crew members of transport fleet ships interned at the beginning of the Great Patriotic War in the ports of other states; 7) family members of deceased (deceased) disabled war veterans, participants in the Great Patriotic War and combat veterans, family members of persons killed in the Great Patriotic War from among the personnel of self-defense groups of facility and emergency teams of local air defense, as well as family members of deceased hospital workers and hospitals of the city of Leningrad; disabled people; 9) disabled children.

Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”

Order of the Moscow Department of Health dated April 29, 2016 No. 376 “On approval of lists of pharmacy organizations that have the right to dispense medicines and medical products according to doctors’ prescriptions free of charge or at a 50 percent discount in the city of Moscow”

Order of the Moscow Department of Health, Department of Information Technologies of Moscow dated October 22, 2014 N 914/64-16-421/14 “On the procedure for maintaining the Unified City Register of citizens entitled to be provided with medicines and medical products sold under doctors' prescriptions free of charge or with a 50 percent discount in Moscow"

What prosthetic procedures can a doctor perform at home?

Prosthetics for patients at home is carried out in several stages. During the first visit, the specialist examines the oral cavity and studies x-rays, if available, and talks with the patient about possible options for solving the problem. Further treatment usually develops according to the following scheme:

1. making impressions - the doctor takes impressions, which will subsequently be transferred to the dental laboratory and will become the basis for creating a prosthetic structure. A special silicone material is used to take impressions. At the same appointment, the doctor and the patient select the shade of future teeth,
2. laboratory stage – already in the laboratory the dental technician casts diagnostic models or creates a prosthetic structure,
3. fitting/installation of an orthopedic system - during the next visit, the doctor tries on the finished structure in the patient’s oral cavity and, if necessary, sends the product for relocation, taking into account the identified errors. If everything is in order with the prosthesis, the doctor fixes it in the oral cavity and gives the patient detailed recommendations regarding the care of the structure.

At home, you can take dental impressions.
The above describes a universal scheme for the work of an orthopedic dentist with non-transportable patients. However, each clinical case requires individual consideration and approach.

Who can receive dental services at home?

For many disabled and elderly people, the ability to invite a dentist to work at home is the only possible option to receive the necessary medical care. Today, orthopedists have at their disposal all the technological capabilities that allow them to carry out individual procedures outside the walls of the clinic.

However, such services can be useful not only for people who are elderly or disabled, but also for patients experiencing temporary mobility difficulties. Thus, dentists make home visits, including in the following cases:

• for broken limbs,
• exacerbations of serious chronic diseases, such as arthritis or arthrosis,
• recently suffered strokes and heart attacks, etc.

Dentists can go to your home if your limbs are broken.
You need to understand that prosthetics at home is a last resort measure, used only in situations where it is really necessary. Be that as it may, outside the dental clinic, the doctor is limited in his capabilities, since he does not have access to professional office equipment. If you have such a need and a good reason to take advantage, find competent honey. institutions can be found on the Internet.

1Lebedenko, I.Yu. Functional and instrumental research methods in orthopedic dentistry, 2003.

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