Light filling in public dentistry for a fee or free of charge

Date of publication: 20-11-2018 Date of update: 19-03-2021

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  Author of the article: Shamray Olesya Vladimirovna Dentist

Patients make a serious mistake when choosing tooth extraction or replacement with a denture instead of treatment. Since the load and responsibilities of each tooth are clearly adjusted and distributed by nature, dentists always recommend treatment. The most common treatment method in dental practice is the installation of a filling to restore the aesthetics and, most importantly, the chewing functions of the teeth.

The function of chewing food, as well as the main load, is borne by the chewing teeth: molars and premolars.

The greatest load during chewing food falls on the large and small chewing teeth. They have more substantial roots and a wide surface, which is called occlusal or occlusal. The safety of the chewing part of the tooth determines the complete consumption of food, its correct grinding before entering the stomach, as well as the distribution of the load on the remaining teeth. Therefore, when restoring them, it is important that the filling is anatomically correct: it has irregularities, tubercles and higher edges. Only such a filling can fully participate in the chewing process and perform the functions of a healthy tooth. The material must also meet the general requirements:

• Fit tightly. This will help protect the tooth from infection and prevent secondary caries from developing. Further tooth decay will also be stopped.
• Have high strength and indestructibility by saliva. The filling must withstand constant mechanical stress during chewing, be subject to little wear and not be destroyed by acids in saliva. Of course, any fillings will require replacement over time, but the right ones will last for several years.
• Have a neutral composition. Often the nerve is not removed before filling so that the tooth remains alive longer. The filling should not release any compounds that affect nerve endings.

It is better to leave the choice of material to the dentist; it will be based not only on your financial capabilities, but also on the feasibility of using the material, its service life and the individual characteristics of the dentition.

After filling the chewing teeth, it is worth protecting them from strong mechanical stress.

In what cases is it necessary to install a filling?

The installation of restorative material is carried out not only in the treatment of carious lesions. The procedure is also performed when:

• presence of chips and cracks;
• elimination of consequences after mechanical damage;
• intense loss of hard tissues, leading to almost complete wear of the upper part of the teeth (for example, due to involuntary grinding of the jaws).

It is worth noting that any dental clinic performs filling only in cases where the destruction of the coronal part is insignificant. If the surface of the tooth is damaged by more than a third, it is replaced with an artificial substitute - a prosthesis.

The use of modern materials helps restore the beauty of the smile and chewing function, and also prevents further destruction of the mineralized coating.

What is free treatment under compulsory medical insurance?

That is, registration in another region does not in any way affect the ability to remove and treat teeth for free, but without a medical insurance policy, even if you have permanent registration, free treatment will be denied. The exception is emergency dental care in the event of gumboil and life-threatening symptoms. In such emergency situations, even a patient without a compulsory health insurance policy will be sent to a hospital for emergency surgery.

The procedure for attaching to a state clinic and the list of required documents

Mostly budgetary medical institutions participate in the compulsory medical insurance program; private clinics rarely provide such services. A list of commercial clinics where you can receive qualified free dental care under the compulsory medical insurance policy can be found on the website of the insurance organization. Then you need to:

• filling cements: silicate, phosphate cements, glass ionomer;
• polishing pastes;
• arsenic;
• cleaning brushes;
• consumables: dressings, sutures, burs, bandages, cotton wool, x-ray film;
• domestic anesthetics and antiseptics: Novocaine, Lidocaine, Trimecaine.

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Important! The attending physician has the right to offer the patient more modern and high-quality drugs and medicines for an additional fee. The patient has the right to refuse co-payments during treatment, then the drugs provided for by state guarantees under compulsory medical insurance will be used.

• orthodontics with removable products

• remineralization and silvering of teeth

• orthodontic treatment with removable appliances, with the exception of braces.

Free medical services are provided only according to a doctor's indications.

List of dental services that are provided free of charge under the compulsory medical insurance policy:

All necessary diagnostic and therapeutic measures are carried out free of charge, including treatment using filling material made from photopolymers of both domestic and imported origin.

The registration and issuance of compulsory medical insurance policies falls within the competence of insurance companies. At the same time, each person retains the right to independently choose an organization. To do this, he needs to personally contact the insurance institution, having with him a passport (another identification document), SNILS and an application of the established form.

What types of fillings are there?

Depending on the period of use, temporary and permanent fillings are distinguished. The first ones are placed during treatment. For example, they cover a tooth for a while in order to understand whether the nerve is affected by caries or not. A temporary filling is also used to secure medications placed in a diseased tooth, or to secure arsenic after depulpation. After two weeks, temporary materials are replaced with permanent ones. The latter can last for years.

In modern dentistry, the following types of fillings are distinguished:

• Cement fillings are a budget option. They are difficult to grind, look unnatural and can cause destruction of the teeth they interact with.
• Metal (almagamic). They are made from an alloy of silver and copper, are characterized by increased strength, but also stand out against the background of the rest of the jaw. Often, fillings of this type are installed on teeth located further than the incisors.
• Composite fillings. They have a paste-like consistency and are applied in layers, so working with them does not cause much difficulty. Special ultraviolet light is used to fix composite materials. The variety of the palette allows you to choose a shade that will not differ from the native enamel, which is why composites are widely used for the restoration of anterior teeth.
• Ceramic fillings. In appearance and composition, they are as close as possible to the natural coating of teeth. Their production takes some time, so the fixation of the material is carried out in several stages. Ceramics are resistant to temperature changes. Its main advantage is also aesthetics.

What is a compulsory medical insurance policy and what does it give?

Private dentistry services are quite expensive. Many patients cannot afford such expensive treatment. As a result, a visit to the doctor is constantly postponed until it becomes possible to allocate the necessary amount from the personal or family budget. Meanwhile, the disease progresses, leading to even more complex and serious complications. There is a rational solution to this problem - a compulsory health insurance policy allows its owner to receive dental care completely free of charge. It is enough to register at the nearest municipal clinic and receive the appropriate document.

Dentistry under a compulsory insurance policy: which procedures can be completed for free, and which you will have to pay for separately

Eights or wisdom teeth are removed free of charge, of course, upon presentation of the policy. But it must be taken into account that the extraction of retinated elements itself is a complex procedure. In most cases, stronger anesthesia or additional sedation is required, and these are paid services. Unfortunately, simple anesthetics may not work, so it is better to consult your doctor about this.

The usual way to get help from a dentist for free was and remains a visit to a state or municipal dental clinic. Usually, such institutions exist in every district of the city or town.

What types of fillings are better?

Many dentists recommend installing fillings made of light-curing composite. They are characterized by increased strength and durability, and look natural. Composite fillings are suitable for filling cavities in distant teeth and restoring carious cavities, as well as for treating erosions of hard tissues. Their service life is 5 years.

Glass ionomer cement, which is a hybrid of acrylic and silicate components, is also considered a good choice for filling. Glass ionomer combines well with natural coatings and other established types of fillings; it is suitable for treating destructive processes of the tooth, filling the anatomical space under the roots, and preparing the cavity for further orthopedic manipulations.

Where can they provide free dental treatment under compulsory medical insurance?

• examination, appointment and consultation with a dentist;
• treatment of dental diseases (caries, pulpitis, periodontal disease, periodontitis, gingivitis);
• opening an abscess in the oral cavity;
• treatment of alveolitis;
• treatment of a tooth with a broken root;
• treatment of various diseases of the salivary glands;
• surgical intervention for teething problems;
• prompt assistance;
• removal of dental plaque;
• reduction of dislocations and subluxations of the jaw;
• treatment of congenital maxillofacial pathologies;
• tooth extraction;
• anesthesia;
• radiography, orthopantography, necessary for successful treatment;
• physiotherapeutic procedures.

In a private clinic

If inpatient treatment is necessary, it can be completed in the appropriate hospital. also get free services under your compulsory medical insurance policy

I came for treatment under compulsory medical insurance. The doctor injected me and I jumped and sparks came out of my eyes. The nerve was removed and sealed. but she didn’t say that the filling would be of some poor quality. As a result, it gives some kind of taste in the mouth. besides, it crumbles. Is it possible to attract a doctor for not warning that the filling would be of poor quality? (I had no idea that they were different) and now I need to go and install the light and remove that one,,

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The price of a light-curing filling depends on the status and price list of the dental clinic and location. If this is a state dental institution, then according to the compulsory medical insurance policy it is necessary to pay only for the materials spent by the patient.

What is included in dental services under compulsory medical insurance?

– All consumables used on an outpatient basis are free for the patient. And the fact that compulsory medical insurance uses materials of poor quality is misinformation; such materials simply cannot be included in the list of materials and medicines approved by the Ministry of Health.

The difference between paid and free fillings is quality. In the production of the former, modern high-quality materials are used, which have a long service life and do not create discomfort in the oral cavity. It is not necessary to install an expensive filling; you can choose a budget option among them. At that time, free ones are gradually erased.

In most cases, doctors in public clinics place fillings from simple cement mixtures. They are of good quality, durable and low cost. At the same time, they contain toxic substances. That's why many people choose paid materials.

Are fillings different?

According to Federal Law No. 323 “On the fundamentals of protecting the health of citizens in the Russian Federation,” a citizen who has a compulsory health insurance policy can count on receiving free medical services. These include:

One of the types of compulsory insurance is medical. The policies make it easier to receive medical care anywhere in the country, making medicine more accessible and cheaper. According to the policy, you can visit a doctor, stay in a hospital or undergo outpatient treatment. In addition, insurance allows you to have your teeth treated for free.

How is the filling installed?

The fixing of the restoration material always follows the same pattern:

1. First, the doctor injects into the tissues located around the damaged area.
2. When the medicine begins to act, the specialist cleans the cavity from the remains of dead tissue, darkened mineralized parts and dentin, and gives it the desired shape and depth.
3. The doctor then examines the pulp. If the connective tissue is not damaged, the prepared area is treated with an antiseptic. If the pulp is in a state of inflammation, then the dentist removes it from the tooth cavity and then fills the canals.
4. After the above manipulations, the cavity is dried. Then special antimicrobial and insulating gaskets are placed in it.
5. At the final stage, filling is carried out. At the end of the operation, the installed material is ground for comfortable closure of the jaws and polished.

Where and how can you treat your teeth for free?

I have been treating a tooth in St. Petersburg. One tooth with two canals for three weeks now. Free with arsenic. It seems like they are making such inconveniences on purpose. For me to give up and go to a paid clinic.

Basic conditions

here in Nakhodka. You also have to wait in line for shit. Five coupons will be thrown away. I treated 2 front teeth. The canals were poorly treated. inflammation began. They unsealed it and put the paste in there. wait 2 weeks. but everything is free according to the policy. caries was told to go to a paid one. increase in fee. Before this, the front tooth was torn from above. I don’t know what they injected. do not speak. most likely Novacaine. the old fashioned way. So I thought I would die there. such pain. It's like they're digging into their brains. the whole clinic came running. I felt really bad. Then the doctor offered two paid injections for 500 rubles each. gosh . The doctor also sells pins. but they don’t exist. and it is not known when they will be. mayhem. free medicine. wouldn't be funny.

25 Apr 2022 uristgd 157

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After teeth filling

In some cases, after applying a filling, the sensitivity of the sealed tooth to external factors may increase: it may “ache” unpleasantly with any temperature change or when air enters. This most often happens when using composite materials. If the tooth remains sensitive two weeks after treatment, you should immediately consult a doctor.

A common cause of pain that occurs immediately after the anesthetic wears off can also be an excessive filling height. In this case, it should be reduced by the dentist.

The application of a filling is always accompanied by final grinding, during which the edges may remain sharp. Due to the action of the injection, this is often not felt immediately. If you notice protruding edges after the anesthetic has worn off, you should contact a dental clinic as soon as possible and make an appointment to straighten the tooth surface.

What materials are used for such filling?

Let's consider all the options for filling materials that are used in Clarimed dentistry. They have proven to be the best in terms of price-quality ratio and help solve almost any problem with chewing teeth.

Glass ionomer cement (GIC). This is a modern cement material that is often used to install permanent fillings on the chewing surface. It hardens well in a humid environment, so it is also used to treat the most problematic types of caries, for example, those below the gum level. The material creates intermolecular bonds with enamel and dentin, therefore it holds well and does not require additional sites for strengthening. During the polymerization process, the cement material practically does not shrink, releases fluoride ions into the tooth tissue and adheres perfectly to the edge of enamel and dentin due to thermal expansion.

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Light-curing composite "Filtek". A light-curing nanocomposite material that has received medals in various dental competitions at the international level for several years in a row. It lends itself well to modeling, is aesthetic, elastic and very durable after hardening. Suitable for any carious cavities, retains its properties for a long time and is minimally susceptible to abrasion.

Liquid-flowing light-curing composite FLOW. Ideal for filling small carious cavities on chewing teeth. The material is aesthetic, well modeled, and durable.

Liquid-flowing light-curing composite Estelite. The highest award in the field of dental restoration, a kind of dental Oscar, according to the popular American magazine The Dental Advisor, was awarded to this Japanese filling material from 2010 to 2022.

Estelite is suitable for all types of carious cavities, gives minimal shrinkage when cured and has 20 shades that will completely restore the aesthetics of any tooth. This is the most wear-resistant material presented, it has minimal abrasion, and it is possible to restore both front and side teeth; cutting and chewing surfaces. The Japanese composition releases fluoride ions, therefore reducing the risk of recurrent caries. In addition, the composite is characterized by deep adhesion to dentin, resulting in a monolithic structure without a marginal gap.

If the filling is placed correctly on the chewing surface, then it is practically indistinguishable from a real tooth.

Rules for caring for fillings

Despite the fact that many fillings can theoretically last for years, it is recommended to change the materials every 10-12 years. It is recommended to visit a doctor once every six months for hygiene measures. You should also make an appointment with a doctor if:

• short-term pain in the treated area;
• detection of cracks;
• presence of a chip in the filling material.

The dentist can easily replace a bad filling with a new one.

If there is a large amount of restoration material in the cavity, you can ask the specialist to prescribe a gel with a high fluoride content. Its regular application will help strengthen the hard surface and prevent caries from forming again. Filled teeth may also be coated with fluoride varnish during the examination.

At home, it is recommended to use mouth rinses. With their help, you can significantly reduce the number of microbes that cause caries.

Summarizing the above, I would like to note that filling is a serious procedure. To prevent dental treatment under anesthesia from ending with repeated fillings and a double waste of time and money, you should seek help only from reliable, experienced specialists.

Tooth restoration with a ceramic inlay.

The inlay is a microprosthetic tooth. In the process of restoring teeth with a ceramic inlay, the treatment process itself is faster. This is especially true if several teeth are subject to such treatment. The doctor prepares the cavity of a tooth (or several), takes impressions (molds) and installs a temporary filling. The impressions are sent to the dental laboratory, where a technician makes the inlay with perfect precision. At the next appointment, the specialist removes the temporary filling and installs the finished inlay into the tooth cavity using a special adhesive material. There is no need to sit in a chair with your mouth open for a long time, as is the case with layer-by-layer fillings. If we are talking about several teeth, then the filling process will have to be extended over several visits. In the situation with inlays, this can be resolved in 2 visits to the doctor.

Contraindications for installing a tab.

Despite all the advantages, there are a couple of points in which this microprosthetics is impossible:

1. The tooth is more than half destroyed. If, after treating the affected surfaces, very little tooth tissue remains, then it is recommended to install a crown on the tooth.
2. If the development of caries occurs in a very hard-to-reach place, in this case a filling is installed.

As can be seen from the comparison tables, inlays have virtually no disadvantages compared to fillings.