Up to what age the pediatric dentist accepts. Pediatric dentist: who is he, what is within his competence, treatment features and basic recommendations. What does a pediatric dentist do

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Dear Patients!

You can ask us your question, the answer to which we will publish in 3-4 days. Your questions are answered by the specialists of the Children's Dental Clinic No. 4.

You can find answers to frequently asked questions on the page below. To read the answer, click on the question you are interested in.

Dental treatment

A child can remove teeth only with the parents or official representatives of the child (guardians). > (The ability of a citizen by his actions to acquire and exercise civil rights, create civil obligations for himself and fulfill them (civil legal capacity) arises in full with the onset of adulthood, that is, upon reaching the age of eighteen - paragraph 1 of Article 21 of the Civil Code of the Russian Federation (hereinafter - Civil Code of the Russian Federation)).

In order to sign up for a consultation with an orthodontist, you need to look around at the doctor on duty and take a referral to an orthodontist. With a referral, you will be recorded at the reception for a consultation, where you will receive all the information about all options for orthodontic treatment.

From 4 years old, anesthesia can be done on an outpatient basis, if there are no other contraindications.

Braces for the treatment of orthodontic pathology are not included in the compulsory medical insurance system.

The ability of a citizen by his actions to acquire and exercise civil rights, create civil obligations for himself and fulfill them (civil legal capacity) arises in full with the onset of majority, that is, upon reaching the age of eighteen - paragraph 1 of Art. 21 of the Civil Code of the Russian Federation (hereinafter - the Civil Code of the Russian Federation). Information about the state of health is provided to the patient personally by the attending physician or other medical professionals who are directly involved in the medical examination and treatment. In respect of persons under the age established in part 2 of Article 54 (14 years) of this Federal Law, and citizens recognized as legally incompetent, information on the state of health is provided to their legal representatives.

In our clinic, children are treated until the age of 18. After 18 years of age, you can be treated for a fee, in a self-supporting department. According to the compulsory medical insurance policy, after 18 years of age, they are treated in the district adult clinic.

From 0 to 18 years old, children receive dental care in a children's dental clinic or in a clinic licensed to provide dental care to children.

Since a child at the age of 14 is not solvent, all contracts, a treatment plan are signed by the parents or official representatives of the child.

In our institution, dental care is provided to children attached to the clinic under the compulsory medical insurance policy, and on a contractual basis.

The doctor starts work at 8.30 on the first shift and at 15.00 on the second.

You can come for a consultation with an orthodontist or make an appointment by phone 417-22-88 and you will be provided with all the information about possible treatment options under the CHI.

Children are treated by a pediatric dentist until the age of 18

When contacting the clinic, the following documents are required - medical policy, birth certificate, SNILS, passport of one of the parents. The orthodontist will advise and inform you about all possible treatment options for your child's orthodontic pathology.

You can make an appointment with the doctor on duty by calling the reception desk at 417-33-27, 417-22-88, on the Internet, through the appointment portal, through our website

Your daughter's complaints may be symptoms of various dental diseases that may require both urgent medical attention and conservative treatment. We can recommend warm rinses with decoctions of herbs (chamomile, sage, green tea)., If the child is not allergic to these drugs. If it is not possible to see a doctor, you can call 417 -33-27 and consult the doctor on duty, as there is not enough data to make a diagnosis and recommend treatment. Best regards, chipboard No. 4

When you first contact our clinic, you must have: a child's birth certificate (passport from 14 years old), SNILS, medical policy, passport of one of the parents (for nonresidents). When treating for a fee, you need a birth certificate of a child and a passport of one of the parents to draw up a contract. Best regards, chipboard No. 4

Unfortunately, braces and treatment of orthodontic pathology using fixed equipment are not included in the compulsory medical insurance system.

You need to come for a consultation with an orthodontist. Orthodontic pathology is different. If it is possible to treat your orthodontic pathology with devices included in the Territorial Compulsory Medical Insurance Program, they will be made free of charge. An orthodontist will guide you through all the treatment options.

Good day! If the child is 15 years old or older, he has the right to make a decision on his own after receiving all the information about his health from the treating doctor. If the child is under 15 years old, consent to all medical procedures is given by the child's official representatives (parents, guardians, etc.).

An adhesive prosthesis is attached using one abutment tooth or, more often, two abutment teeth located next to the missing tooth. This is a fixed structure; at the age of 15, such prostheses are not made, since the growth of the jaws is still continuing. The presence of such a prosthesis can lead to uneven growth of the jaw and the formation of a pathological bite. In childhood, it is possible to make replacement removable dentures. The orthodontist can give the final advice on how to solve your problem.

Good day! If there are no contraindications to anesthesia, then it can be done at the age of 15 without the presence of a mother.

Good day! If the child is under 15 years old, the treatment plan is agreed with the child's legal representative.

The polyclinic provides services that are included in the compulsory medical insurance (free for the patient) and paid services.

Children 11 years old, if necessary, are given anesthesia for dental treatment.

Good day! In our clinic, we do not treat teeth under anesthesia. We can give a referral for dental treatment under anesthesia in the hospital of St. Olga (Zemledelcheskaya st., 2) or for tooth extraction to the children's hospital №19 named after Rauchfus.

Our clinic is located in St. Petersburg.

When a 15-year-old child visits a dental clinic, it is necessary to have a passport, SNILS, and a medical policy with him.

Good day! The cost of filling made from dental materials that are not included in the Territorial Compulsory Medical Insurance Program for children attached to our clinic ranges from 1,000 rubles to 5,000 (full restoration of the crown). The doctor can advise what kind of filling to put, it depends on the depth of the tooth damage, on the degree of destruction of the crown, on the aesthetic requirements, etc. The choice is yours. Best regards, chipboard No. 4

Good day! All treatment, which is included in the Territorial Compulsory Medical Insurance Program, is free for children attached to our clinic, including children with disabilities. A 20% discount is provided for treatment using expensive materials that are not included in the Territorial Compulsory Medical Insurance Program for disabled children.

Good day! The cost of orthodontic equipment depends on the type of occlusion pathology. You will be told the exact information after consulting an orthodontist.

Good day! According to Art. 5 of Federal Law 323-FZ, medical intervention includes any of the existing types of medical examinations and manipulations, starting from interviewing and administering drugs. An informed voluntary consent to medical intervention is signed by the patient or his legal representative. Part 2 of Art. 20 of Law No. 323, the subjects who are provided with information about the upcoming medical intervention are determined: - all sane capable persons over 16 years old; ... - one of the parents or legal representative of a minor under 15 years old ... etc.

You can come to a dental clinic without your parents at the age of 15. You must have a passport and a medical certificate with you.

Consultation and appointments with an orthodontist are free of charge within the framework of the Territorial Compulsory Medical Insurance Program. An orthodontic plate or apparatus can be paid, depending on the complexity and material from which they are made.

Good morning! Unfortunately, there are no benefits for installing braces for children whose parents are pensioners.

Good day.! Unfortunately, the treatment of orthodontic pathology using braces is not included in the Territorial Compulsory Medical Insurance Program. Best regards, chipboard No. 4

During a preventive examination, the doctor determines the need for dental treatment, the hygiene index, conducts hygienic cleaning of teeth or a hygiene lesson in case of an unsatisfactory state of oral hygiene. Fluoridation of teeth is carried out according to indications 1-2-3 times a year or as a whole course as part of remineralizing therapy, depending on the degree of caries activity, caries growth, enamel condition. As a rule, doctors recommend treatment-and-prophylactic pastes and other oral hygiene products at the reception, give recommendations to parents on diet therapy and a health-improving regimen.

Good day! In our clinic, an orthodontist, after a consultation, carrying out the necessary mandatory and additional examinations, establishes a diagnosis, draws up a treatment plan, and coordinates it with the patient and his legal representatives. Then he prescribes for treatment and writes a prescription for brackets, which the patient acquires on his own. Treatment of orthodontic pathology using the bracket system is not included in the Territorial Compulsory Medical Insurance Program.

Good day! All children under 18 years old living in the Kirovsky district can contact our clinic.

All prices are on our website.

Yes, we use a special gel for application anesthesia.

Hello! You need to come to an appointment with a doctor who will examine the oral cavity and give an answer to your question.

The first time you go to the duty office, where numbers are issued at the reception at the beginning of each shift. The doctor on duty examines. It is also possible to make an appointment for treatment on the Internet.

Sealing one tooth costs 590 rubles.

If you have already been to a consultation with a dentist-orthodontist in our clinic, then you can make an appointment with a doctor through the reception during the working hours of the doctor who consulted you. If you have not yet been to an appointment with our orthodontist, then you need to take a referral to an orthodontist in the duty office and sign up for a consultation at the reception.

Good day! We provide services free of charge within the framework of compulsory medical insurance for children of the Kirovsky region and all children attached to our clinic.

Good day! It is better to restore teeth after bleaching in about 2 weeks, but it is better to consult with your doctor.

Good day! Unfortunately, the treatment of bite with the use of braces is not included in the compulsory medical insurance system, therefore, the treatment is paid, since the prices for braces in our clinic are minimal, there are no discounts. Yours faithfully, Rodina I.A.

Hygienic cleaning for children of the Kirovsky district is free of charge.

Good evening! The method of dental treatment using the ICON preparation has rather narrow indications: caries in the stain stage, superficial caries. Icon is not included in the list of drugs used in the CHI system. Therefore, the treatment of caries with the use of this drug is paid, after the obligatory consultation with the attending physician. There are other non-invasive methods for the treatment of deciduous teeth that our doctors own. Only after an individual consultation, the doctor can tell the parents by what method it is possible to cure a particular tooth.

In our clinic, operations are not performed under anesthesia, since this requires the appropriate equipment, specialists and a medical license. In case of medical indications for such an operation, we refer the patient to a hospital licensed to carry out such operations.

Good day! If a tooth hurts, then you don't have to endure it, you need to cure it. In any case, it is better to consult with your doctor, if possible, exclude treatment at 28-32 weeks of pregnancy and at 38-39 weeks. The dentist will be able to assess the situation, postpone treatment, or maybe close it with a temporary filling, followed by treatment after childbirth.

Yes, we use the Icon treatment for initial caries after consultation with the treating doctor

Extraction of teeth

In accordance with our legislation, a child cannot independently come to remove teeth without parents. The ability of a citizen by his actions to acquire and exercise civil rights, create civil obligations for himself and fulfill them (civil legal capacity) arises in full with the onset of majority, that is, upon reaching the age of eighteen - paragraph 1 of Art. 21 of the Civil Code of the Russian Federation (hereinafter - the Civil Code of the Russian Federation). Information about the state of health is provided to the patient personally by the attending physician or other medical professionals who are directly involved in the medical examination and treatment. In respect of persons under the age established in part 2 of Article 54 (14 years) of this Federal Law, and citizens recognized as legally incompetent, information on the state of health is provided to their legal representatives.

Good morning! Our clinic is located in St. Petersburg, we do not have a Seredavin hospital in the city. If there is an attachment to our clinic, 8s are removed after consulting a surgeon.

Good day! You need to contact the office on the street. M Govorova, 15 to the surgeon. The surgeon accepts from Monday to Friday from 9.00-14.00 and from 15.00 to 20.00. The doctor will advise and, if necessary, the doctor will give a referral for the extraction of teeth under anesthesia.

If your child has a compulsory medical insurance policy, and if the child is registered in another city, then emergency dental care is provided free of charge on the first visit. In the future, you need to attach to our clinic. More detailed information can be obtained from the reception, tel. 746 - 52 - 68.

If the child is 8 years old, then most likely it hurts, and the temporary "five" is "swinging". The sixth tooth is a permanent tooth. Stomatitis is an infectious disease, therefore, if it is necessary to urgently remove a tooth, then this is done in a hospital in order to avoid serious complications. If a baby tooth hurts because it is mobile and uncomfortable to eat, there is no urgency to remove such a tooth. It can be removed in our clinic in a planned manner after cured stomatitis.

Orthodontics

Good day! In our clinic, you need to come for an examination to the doctor on duty, who will give you a referral, if necessary, for a consultation with an orthodontist. The orthodontist will give you all the information you are interested in. There are no queues for orthodontic appliances in our clinic.

At the dentist's appointment you will receive complete information about further treatment. You must come with your parents for treatment.

Good day! You can make an appointment with an orthodontist. At the age of 17, you can come to the appointment alone. Information on the appointment by phone. 417-22-88

Good day! Both neurological and orthodontic problems can cause bruxism. If a child needs orthodontic treatment, it is possible both under compulsory medical insurance and for a fee. You can get more complete information about all possible treatment options by signing up for a consultation with our orthodontists by phone. 417-22-88

I would advise you to consult an orthodontist again, get another opinion. Orthodontic pathology is different, sometimes, you can cope with the treatment with a plate at the age of 18, and if the pathology is serious, then you cannot do without braces. An experienced orthodontist will tell you about all possible treatment options for your pathology.

Treatment of orthodontic pathology with the help of a bracket system at the age of 16 is possible on a contractual basis (treatment with fixed equipment is not included in the compulsory medical insurance system).

Good day! The polyclinic has a system of discounts for privileged categories of patients. Please check with your doctor for the terms of discounts.

Good day! If you have lost the record, you need to make an appointment with your doctor, and the doctor will tell you all the possible options for continuing treatment.

You can come for a consultation with an orthodontist or make an appointment by phone 417-22-88 and you will be provided with all the information about possible treatment options under the CHI.

Good day! Treatment of orthodontic pathology with removable devices included in the compulsory medical insurance or paid does not depend on the age of the patient, but on the type of orthodontic pathology. You need to come for a consultation with an orthodontist in order to get more complete information about all possible treatment options.

On the issue of re-manufacturing the orthodontic appliance, you need to contact your doctor who will acquaint you with all possible options.

There are no discounts for orthodontic treatment with braces.

Orthodontic treatment with the use of braces is not included in the Territorial Compulsory Medical Insurance Program and is paid. Our clinic offers discounts for orthodontic appliances (except for braces).

Good day! If the child has broken the orthodontic apparatus, you need to contact the attending physician and make an appointment. The conditions for repairing the device depend on the type of breakdown, on the period of operation of the device, etc., the attending doctor can tell you more specific information after consultation.

Good day! You get the braces yourself according to the doctor's prescription. And the installation of braces, correction, activation, observation, etc. is carried out in our clinic by the doctor who took you for treatment, drew up a treatment plan, took casts and will treat you. At the appointment, please ask your doctor about anything that interests you. Mutual understanding between the doctor and the patient is the key to a good result of orthodontic treatment.

It is possible to correct the bite free of charge, for this you need to sign up for a consultation with an orthodontist, then, if treatment is necessary, you will be recorded in the order of the queue for treatment under the compulsory medical insurance. phone for information 417 -22-88, 417 -33-27.

Braces are fixed on the upper and lower jaw in two visits (with an interval of several months). Payment is made for fixing braces on each jaw.

To draw up documents for obtaining a tax deduction, you need to contact your doctor and order a certificate. Documents will be prepared for you within 5 days or by agreement.

More than 90% of children need orthodontic treatment. Children of Kirovsky, Krasnoselsky, Lomonosovsky and other districts are treated in our clinic. Our orthodontists are in demand and busy with work. You can attach and be treated by an orthodontist in any area of the city.

If there is a breakdown of the orthodontic equipment, you need to contact the attending doctor by phone and consult whether you can wait 20 days before the next appointment or if you need to come faster, it depends on the type of pathology, treatment conditions.

Diagnostics for orthodontic treatment is essential for drawing up a treatment plan. Diagnosis involves a number of procedures that may differ depending on the diagnosis. Check with the doctor about the cost of diagnostics by calling the registry at tel. 783-50-92 (On Zaitseva, 7 bldg. 2); 746-52-68 (on Govorova, 15).

It all depends on the type of pathology of your bite and, accordingly, on the type of orthodontic apparatus with which this bite will be treated. Only the simplest type of plate is paid for by the compulsory medical insurance system, complex orthodontic appliances are not included in the compulsory medical insurance system.

All information on making an appointment for a consultation with an orthopedic dentist can be found in the clinic's registry. Depending on the branch in which you signed up, you can call the reception at the branch on the street. Zaitseva 7, building 2, tel. 783-50-92 or to the branch on the street. M. Govorova, 15 tel. 746-52-68.

An orthopantomogram costs 500 rubles. The picture can be taken in the department at Zaitseva, 7, bldg. 2 on Mondays and Thursdays from 9.00-14.00 and from 15.00-20.00

Hello! Unfortunately, in our clinic there is no paid appointment for a consultation with an orthodontist.

If there are indications, then the bite can be treated using removable equipment (plates).

Good day! Regarding orthodontics, if you belong to the privileged category of citizens, if the child is over 16 years old and if the child has already been treated by an orthodontist, then we can book you for a consultation by phone. 783-50-92, but, unfortunately, there are no vacancies until May 5. In other cases, call 783-50-92, 746-52-68 You will be written on the waiting list for an initial appointment with an orthodontist. Rodina I.A.

Good day! A metal bracket system costs about 13,000 rubles, in general, treatment within 2 years costs about 45,000 rubles. All prices are on our website in the "Prices" section.

Children's dentistry

According to the Civil Code of the Russian Federation, information on the state of health of citizens under the age of 14 (Article 54, Part 2) is provided to their legal representatives - parents or guardians. Therefore, it is necessary to come with the parents for the examination, who fill out and sign all the necessary documents (informed consent for the examination, treatment, etc.).

There are no discounts for orthodontic treatment using braces.

In our clinic, you can remove a baby tooth for a child free of charge in the direction of an orthodontist.

Plastic surgery of the frenum of the upper lip, lower lip and tongue is included in the Territorial Compulsory Medical Insurance Program

Documents required for presentation at the Children's Dental Clinic No. 4: 1. Birth certificate (from 14 years old - passport) 2. Medical policy of the child. 3. SNILS of the child 4. Passport of one of the parents (for nonresidents) Sincerely, chipboard No. 4

Good afternoon, all whitening procedures with active ingredients are recommended to be done only after 19-22 years, because up to this age there is still active remineralization of enamel (accumulation of nutrients in it), so at your age we can recommend you professional teeth cleaning.

In children, the period from 9 to 14 years old is characterized by the presence of a large number of permanent teeth with incomplete mineralization. It is at this moment that girls (from 7 to 9 years old), boys (from 9-12 years old) have the lowest level of resistance to caries. Therefore, at this age, we recommend the mandatory use of basic hygiene products (toothbrushes and pastes) and additional (floss, tooth elixirs and rinses). The use of calcium and fluoride toothpastes should be alternated. In the morning - with calcium, in the evening - fluoride toothpaste. Even in this age period, we recommend sealing the fissures of the erupted permanent teeth and taking calcium preparations (in agreement with the pediatrician).

Good day! Hygiene education is part of the compulsory health insurance program. With this question, you can contact any dentist-therapist of our clinic. Your child will be hygienically cleaned and advised on methods and means of hygiene.

Good day! You need to come to the clinic for a consultation with a doctor on Monday, Wednesday, Friday from 8.30 to 11.00 at any of our departments. The doctor will examine the child, advise you and give you recommendations.

Good afternoon, about anesthetics: usually tests are made for the following types of anesthetics - Septanest 1: 100,000,1: 200,000, Ubistezin 1: 100,000, 1: 200,000, Ultracaine 1: 100,000,1: 200,000, Scandonest. If you remember the doctor's surname, then you can sign up for her by phone 783 50 92, if not, then on any day you can get to the doctor by the number given by the registry, unfortunately the number of numbers is limited.

Good day! You need to call the registry, explain the situation, the registrar will find the card and look at the doctor's full name. Tel. registration offices at M. Govorova, 15: 746-52-68, at Zaitseva, 7 cor. 2: 783-50-92.

Good afternoon, there is no need to worry, this is not a blood clot, but a vessel that can appear during teething.

Dental treatment under general anesthesia is carried out for the following categories of patients: - children under 3 years of age with multiple tooth decay; with odontogenic abscesses; - children or adolescents with disabilities; with maxillofacial trauma, polyvalent drug allergy, prone to fainting, with bronchial asthma and other diseases that are not compatible with outpatient treatment; - children and adolescents with multiple dental caries lesions and its complications with a pronounced negative attitude to treatment; in need of dental care. The need for general anesthesia is an extreme measure for a doctor in solving a child's dental problem. In most cases, a caring attitude combined with a period of adaptation to dental treatment allows the child to be treated on an outpatient basis, i.e. in the clinic.

Hello! After an injury, you can do without silvering, it is only necessary to clean the baby's teeth with a toothpaste suitable for age (they are sold in pharmacies) and exclude excess consumption of carbohydrates, especially sugary drinks, juices consumed at night. And be sure to see the dentist in a month, even if nothing bothers you.

Good day! Until September 15, a branch on the street. M. Govorova, 15. The doctor on duty accepts from 8.30 to 14.00 and from 15.00 to 19.30. The preferred time for parents with small children to visit is from 8.30 to 10.00. When visiting a polyclinic, the following documents are needed: a medical policy and a child's birth certificate, a passport of one of the parents. On September 15, the branch on the street. Zaitsev, house 7, building 2. The prevention office will work, where on Mondays, Wednesdays and Fridays from 9.00-12.00 children under 3 years old are admitted.

Hello. Your doctor can answer your question. If restoration is possible, it depends on the degree of destruction, the age of the child, etc., then restoration can be carried out. The cost of a filling made of light-curing material is from 830 rubles.

Hello, yes it is possible if we are talking about the frenum of the tongue, you need to make an appointment with the surgeon

Good day! This question can be answered by the attending doctor. If it is possible to cure a milk tooth (it depends on the pathology, the age of the child, the degree of tooth decay, the general somatic status of the child, etc.), it must be treated.

Yes, in our polyclinic we can make plastic surgery of the upper lip frenulum for your child in the direction of another dentist. You can sign up by phone. 746-52-68. The surgeon works according to the schedule: odd numbers - 8.30 - 14.00, even - from 15.00 - 19.30 in the department at st. M Govorova, 15. Operations are done only in the morning, by appointment.

Thanks for a very important question. The first appointment with the dentist should take place when the child is healthy and has not experienced a toothache! It is advisable that parents and relatives themselves do not worry and do not transfer their excitement, perhaps their past negative experience of dental treatment on the child, since young children very much feel the mood and anxiety of their parents. To deceive the child, say that they will not do anything to him, it is not necessary, it is better to tell him that he will need to sit in a chair, open his mouth, and the doctor will count his teeth, write a certificate to the d / garden, sometimes allow him to eat sweets, etc. etc. It is advisable to tell the dentist about the psychological characteristics of your child. It is advisable to visit the clinic in the first half of the day, preferably in the morning. After a visit to the dentist, it is necessary to reward the child with a small gift (toys, stickers, books) with what the child is interested in, you can take the gift with you and ask the doctor to give it, then the baby will be happy to remember his visit to the dentist! Good luck to you!

Yes, if the child is registered in the Leningrad region and has a compulsory medical insurance policy, he can be treated in our clinic

You are doing everything right. You should start brushing your teeth as soon as one tooth has erupted. The toothbrush and toothpaste should be age-appropriate, for such small children there are R.O.C.S. toothpastes. "Silver", SPLAT "Junior", Aquafresh kids.

Children under three years old, for consultation, passing the commission to the kindergarten, we accept according to the schedule: Monday, Wednesday, Friday - from 8.30 - 11., free of charge, if the child has a compulsory medical insurance policy at st. Zaitseva, 7, building 2. You must have the child's compulsory medical insurance policy, birth certificate., Passport of one of the parents. If your child has a toothache, then emergency care in our clinic is provided by the doctor on duty on a first-come, first-served basis at st. M. Govorov, 15. From 8.30 to 14.00 and from 15.00 to 20.00. You must have the child's compulsory medical insurance policy, birth certificate., Passport of one of the parents.

Polyclinic work

You can make an appointment with the doctor on duty for examination on the Internet, by phone through the reception, and you can also come to the clinic and get a number for examination from the doctor on duty. Best regards, chipboard No. 4

Good day! You can come to the clinic, go to the reception and take an emergency number to the doctor on duty. Only, if you need to "deliver the medicine", you will have to come more than once. Best regards, chipboard No. 4

Good day! Until September 5, the clinic operates according to the summer regime: at 15 Govorova metro station: odd numbers 8.30 - 14.00, even numbers - 15.00-20.30; on Zaitsev 7 cor 2: even - 8.30 - 14.00, odd - 15.00-20.30; .. Anna Sergeevna Ilyashenko also works according to the schedule until September 5: odd 8.30 - 14.00, even - 15.00-20.30; and after 5.09 she will work in her schedule: even 8.30 - 14.00, odd: 15.00-20.30; Call during the doctor's working hours and sign up tel. registry office at M Govorova 417-33-27. Respectfully yours, Deputy Chief Physician for Medical Affairs, I.A.

Good morning! We accept children under 18 years of age. After 18 years of age, treatment in our clinic is possible on a contractual basis (paid). Best regards, chipboard number 4

The clinic is open on May 5, 6, 7, 8 as usual. A certificate for the university can be obtained at the department at 15 M. Govorova St., May 9, 10, 11, the polyclinic does not work.

Getting to know the dentist

Parents must enter the dentist's office with their children, regardless of their age. The only exception is when the child is over 15 years old.

Children and adolescents under 18 years of age are considered patients of the pediatric dentistry department.

The need for the presence of the mother is justified by several aspects.

Before starting treatment, the dentist will ask a series of standard questions:

Allergy to medicinal substances and other negative reactions when taking them. Whether symptoms of food allergies or seasonal allergies have occurred.
The child's health status: the presence of chronic diseases of internal organs. It is known about the connection between diseases of the internal organs and the state of the oral cavity, which is especially pronounced in diseases of the digestive tract.
How did the pregnancy and childbirth proceed? Complications of pregnancy, past illnesses, prescribed medications, nutritional inaccuracies affect the health of the baby's teeth and gums.
Feeding type. Children receiving artificial feeding are considered to be at risk for the formation of caries and other diseases of the maxillofacial region in general.
Teething timing.

Analysis of the answers to these questions allows you to get a complete picture of the dental status of children. They are also used to plan treatment and preventive measures.

In addition, children are not always able to describe the symptoms that bother them, due to embarrassment, fear, features of mental and physical development, and even due to age.

Therefore, it is the parents - or the legal representative - who tell the dentist about the disturbing symptoms, help the baby answer the questions:

Disturbing complaints: when they appeared, what preceded it. If we are talking about the occurrence of pain, the duration of its existence, what measures were used to relieve it.
Fever, accompanying symptoms.

Depending on the alleged diagnosis, the doctor asks a series of leading questions, the answers to which will depend on the further course of research and treatment.

If the child says that the toothache has passed on the doorstep of the dental office, there is no reason for joy. This does not mean that the disease went away on its own, but only that it turned into complications.

After collecting anamnesis and complaints, the stage of direct examination follows, in which the presence of the mother is also mandatory.

During this process, the doctor on the spot indicates problems in the oral cavity:

: it is known that about 40% of patients are not even aware of the presence of problems and the need for orthodontic treatment.
Oral frenulum: there are three of them, and their shortening, which requires surgical assistance, can provoke the development of various pathologies, including occlusion.
Caries, the presence of its complications.
Changes in the mucous membrane.
Hygiene level.

In the future, the dentist draws up a treatment plan, which must be agreed with the parents, recommendations are given on visiting other doctors, etc.

Healing manipulations

Children 3 years old should be treated exclusively in the presence of adults, with only a few exceptions when conditions of sterility are required.

In the dental chair, the baby is in the arms of the mother or father.

Treatment of children over 3 years old takes place in the presence of parents, but with its own characteristics: if it is a surgical operation, then the mother may be present in the office, but be in the distance. In some operations and conditions, the presence of parents in the office is prohibited.

If we talk about a therapeutic appointment, then there are three options for finding one of the parents in the office:

Mother in a chair with a child: this type of treatment can be given by the dentist based on the age of the baby, the characteristics of his behavior or physical condition. One of the parents acts as a guarantor of the child's adequate behavior in the chair, and, if necessary, will restrain the child's movements. When treating children diagnosed with autism, Down's syndrome, mental retardation, cerebral palsy and other movement disorders, treatment takes place with the obligatory presence of the mother.
Mother next to child: children after 5-6 years old can sit in the dentist's chair on their own, and the mother can play the role of a dental assistant. The close presence of parents in the office gives the kids a sense of security and safety. The specific position of the mother and her role is determined by the dentist, the main thing is not to interfere with the treatment.
Mother in the office, but out of sight of the baby... Dentists may ask the mother to leave the baby's field of vision if his behavior is capricious. In the absence of "spectators" the hysteria stops.

Treating young children is very difficult. This is explained not only by physiological characteristics, but rather by behavioral ones. Parents should help the doctor, adequately respond to requests and comments.

Treatment of children without the presence of parents

Dental treatment in children without the presence of parents can be carried out after 3-5 years, but subject to several fundamental conditions:

The child independently answers the doctor's questions, his behavior is not satisfactory.
The dentist observes the baby for a long time, a trusting relationship has developed between them, and there is no fear.

Even with these facts in mind, the transition to self-admission should be gradual and smooth. At first, the mother controls the baby's behavior, being next to the chair, then out of sight.

If the child feels comfortable, you can leave the office for a while, supposedly fill out paperwork or talk on the phone, and then leave the office altogether and not return.

Refusal to treat a child

According to the Federal Law, each patient has the right to choose their own doctor independently in order to receive medical services.

But sometimes parents are refused literally at the doorstep of the dental office, and this fact can be associated with several reasons:

Busy work schedule and lack of time.
Difficult physical and mental state of the child: some dentists refuse to treat children with cerebral palsy, severe congenital pathologies or diseases, Down syndrome, autism spectrum disorders. But they give a referral or recommendation for treatment in specialized centers.
Insufficient qualifications of a specialist. The main task of the doctor is to cure and help the patient. Sometimes you have to deal with difficult cases, the treatment of which requires experience and in-depth knowledge. Refusal in this case is beneficial for the patients themselves.
Referral to narrow specialists in the field of dentistry. Despite the fact that dentists are trained in all specialties, and even a therapist knows how to perform surgery. Sometimes treatment and examination by a specialized specialist is required;
Inappropriate child behavior.

If children are prone to hysterics during treatment, the doctor may ask you to leave the office. Parents should use this time to their advantage: calm down the child - and start over.

If, after several unsuccessful attempts at treatment, the children's behavior has not changed, the dentist may completely refuse further treatment.

The laws of the Russian Federation define cases when a doctor's refusal to receive treatment will be considered unlawful.

Article 124 of the Criminal Code of the Russian Federation "Failure to provide assistance to a patient": a doctor has no right to refuse treatment:

In the presence of conditions associated with a threat to life. This definition includes acute surgical pathologies, life-threatening injuries.
If the threat to life is realized during the dental appointment: the appearance of acute allergic reactions, the ingestion of dental instruments into the respiratory tract - for example, during the treatment of root canals, etc.

Toothache, stomatitis symptoms and even some types of injuries are not life-threatening conditions, therefore, they do not fall under this article!

A dentist cannot leave a child during treatment. For example, after the examination, a treatment plan was drawn up, the doctor proceeded to implement it: treatment of periodontitis by the method of several visits. But on the second or third visit, the dentist refuses to accept the little patient - and such actions are illegal.

The only exception is special circumstances at the dentist. But even in this case, another specialist of the clinic should deal with the treatment of the child.

Separately, it is necessary to sanctify the problem of parents' refusal of treatment.

There are many reasons why parents may refuse one or another treatment method.

First, these are imaginary fears about the dangers of a particular treatment method or the imposition of their own treatment tactics. The most striking example: complications of caries of a baby tooth, the dentist insists on treatment in order to preserve it and prevent occlusion pathologies, parents - on removal. The final decision remains with the parents, the doctor can only indicate the possible consequences and sign the appropriate papers that remove all responsibility from him.
The second, no less common situation is the identification of complications in the course of treatment. Taking into account the anatomical and physiological characteristics of teeth in children, it is sometimes difficult to carry out a full diagnosis.

If we consider children's practice, then the boundaries between the forms of caries are erased. In babies, there is practically no difference between superficial and medium caries, and with deep caries, the first changes in the tooth pulp are noted - "initial" inflammation.

Children's dentist is a doctor who specializes in the diagnosis, treatment and prevention of diseases and disorders of the teeth, jaws and other organs of the oral cavity and maxillofacial apparatus. Note that the pediatric dentist accepts children under the age of 14.

The work of a pediatric dentist involves examining the oral cavity, the condition of the frenum and lips, identifying any pathological processes, assessing the hygienic state of the teeth, monitoring teething, monitoring the implementation of recommendations.

What does a pediatric dentist do?

Mostly, a pediatric dentist deals with such diseases and disorders as:

Malocclusion;

If the child's chewing apparatus does not work well;

Inflammatory processes of the gums and oral cavity.

How does the formation of teeth take place?

First of all, it is necessary to indicate that already at 6-7 weeks of gestation, the fetus has an ingrowth of the epithelium covering the oral fossa into the underlying tissue, the so-called. parenchyma.

Two dental plates are formed, the upper and lower ones, which look like horseshoes. Flask-like epithelial growths are formed along the edge of these plates, ten on each plate, which corresponds to the number of future milk teeth. At this stage, pain-free pediatric dentistry is possible.

Qualitatively different cellular elements are differentiated from the initially homogeneous cells of the dental organ and the tissue that has grown into it, which is called the dental papilla. From the inner layer of the dental organ, cells (enameloblasts) are formed, participating in the formation of enamel; odontoblasts are secreted from the dental papilla, and later - dentin. Around the dental organ and the dental papilla, a special membrane is formed from the mesenchyme - a dental bag.

Milk teeth begin to erupt at six months. This is a painful process for many children. The anterior incisors appear first. From the age of six, permanent teeth erupt, starting with the molars. Until the age of 25, a person must have a full set of teeth.

The edges of the dental sac continue to grow inward, acquiring the shape of a root. This process begins just before teething and lasts about a year from the time of the eruption of milk teeth. As modern pediatric dentistry demonstrates, the bite in newborns is formed not by the teeth, but by the gums. A child is born, as a rule, without teeth; cases of intrauterine eruption are extremely rare.

By the beginning of the 2nd year of life, the child should have 8 teeth. At this stage, you need an appointment with a pediatric dentist - he will check the correct development of the child's teeth. By the age of 2-3, the eruption of all 20 deciduous teeth ends. Having cut through, almost immediately the teeth begin to part a little to the sides. This is normal, and it is due to the growth of the baby's jaw and preparation for the eruption of large permanent teeth, while the milk teeth remain the same small.

Do not delay the child's first visit to the dental clinic: it is important that the acquaintance with the doctor begins not with treatment, but with a preventive examination - this way you can lay the foundation for a long-term friendship.

For a modern children's clinic, all the little things are important: the presence of a comfortable playroom and a room where little patients can relax after treatment under anesthesia, a wide selection of toys - not simple ones, but dental toys that will help involve little patients and patients in the treatment process. Doctors and nurses in the children's clinic wear bright overalls so as not to cause unpleasant associations in the child with a white coat. Even the specific odors of medicines in the children's clinic are trying to be removed. An aquarium with fish, a TV with cartoons, coloring books and sketchbooks - all this will help the child to relax and feel comfortable. In a situation where a large amount of help is required, children are treated for teeth in their sleep, for which the clinic has a full-fledged anesthesia office.

What is the difference between dental treatment in children and adults?

Of course, the main difference is the patient's age. Children perceive any sensations very sharply, and one bad experience of meeting with a dentist can lead to the fact that it will be difficult to further sit the child in a chair and persuade him to open his mouth. Therefore, the personality of the doctor is of great importance - the ability to establish contact with the child, to show genuine interest in him, attention to all the little things.

Dental treatment in children is carried out in a playful way, but the doctor carries out all the manipulations as quickly and painlessly as possible. In the presence of multiple caries and other problems that create a large amount of work, the doctor may recommend, in the absence of contraindications, to carry out. After all, even the most calm and sociable little patients get tired of sitting in a chair for a long time, which negates the positive impressions of visiting a dental clinic.

Baby teeth are another important difference in the dentistry of children and adults. Parents are often mistaken that milk teeth do not need to be treated - they will fall out soon anyway (another version of this delusion: it is better to immediately remove a diseased milk tooth - let a new one grow as soon as possible). In fact, the treatment and preservation of milk teeth is very important. Why?

First, if a baby tooth is prematurely removed, the dentition will begin to shift: adjacent teeth will shift towards the missing one, and the permanent tooth may grow incorrectly. Secondly, under the milk teeth are the rudiments of permanent ones (they are laid even in the prenatal period), and deep caries that has affected the milk tooth can go deeper and affect the permanent tooth.

Problems with teeth in children require an instant reaction, since inflammatory processes develop very quickly: yesterday the child felt normal, and today he suffers from toothache and high fever. In this case, you need to go to the clinic as soon as possible for treatment, and not try to relieve pain and temperature at home.

Prevention is most important

For children, even more than for adults, prevention is important: you need to visit at least twice a year, without waiting for the child to complain of toothache. Timely detection of caries will help to avoid future dental problems and to carry out the treatment quickly and painlessly.

Often, as a preventive measure, pediatric dentists recommend sealing the fissures, protecting the weak enamel of the chewing surface of the teeth. Fissures - depressions, pits on the chewing surfaces - become a breeding ground for bacteria. Thin enamel and the inability to clean these grooves with a brush and paste leads to the rapid development of caries.

In addition to carrying out preventive and therapeutic procedures, the doctor must teach the child how to properly care for the oral cavity. Parents often have questions about how to instill in their son or daughter the right habits - and here the dentist will help, who will tell you how to help the child learn to brush his teeth regularly.

Colored fillings, anesthesia in the form of a spray, dental treatment for caries without the use of a terribly buzzing drill - young children have every chance, if not to fall in love with going to the dentist, then not to be afraid of them. What features pediatric dentistry has, how the smallest patients are treated and what problems children of different ages address to the dentist, you will find out in the article.

What is a pediatric dentist?

A pediatric dentist must have the qualities that allow him to find an approach to each child.

No matter how parents prepare their child for a trip to the dentist's office, once in the doctor's chair, the baby can try to get up, turn around, refuse to open his mouth and complicate the doctor's work in every possible way. Therefore, a pediatric dentist is not only a specialist who knows the structural features of the child's dentition and methods of treating diseases that affect milk teeth and the surrounding tissues, but also a psychologist who can achieve the location of a small patient and can calm him down. In addition, the doctor must be able to do his job not only efficiently, but also quickly.

A pediatric dentist is a doctor whose patients are children from birth to 16 years of age. Yes, a baby may need to see a dentist long before a milk bite is formed and even.

Features of the treatment of children's teeth

Some parents mistakenly believe that milk teeth do not have roots or nerves, and if they are affected by caries, it is easier to remove them than to engage in treatment. This opinion is incorrect and, if guided by it, the child will have to forget about a beautiful smile. Milk teeth, although they are called temporary, serve the child for many years: the first tooth grows at about 6 months, and the last one changes fundamentally at the age of 14 years.

Milk teeth are located above the primordia of the molars, so their health affects how strong and even the units of the permanent set grow. Moreover, it depends on the condition of the milk teeth whether the root teeth will grow at all, for example, if a child with a milk bite is not treated for a long time, the inflammatory process can lead to the death of the rudiments of permanent teeth.

Therefore, as soon as a baby erupts, you need to take care of him no less carefully than a permanent one. You need to brush your teeth with a soft brush and paste, which does not harm the baby's health if accidentally swallowed. At least every six months, and preferably once every 4 months, you need to visit the city children's dental clinic for preventive examinations.

Dentist visit between 0 and 2 years of age

The smallest patients are forced to visit the children's dental clinic for a short cut. This problem in a baby can be detected by a pediatrician almost immediately after birth by the following signs:

improper latching of the breast during feeding;
biting the nipple with gums;
jaw tremor due to muscle strain.

Due to the fact that the baby does not gorge himself, he does not gain weight, and the mother may have problems with lactation and pain when feeding. By contacting the children's regional dentistry, this problem can be solved in a few minutes. At the age of up to 5 months, the bridle is cut even without the use of an anesthetic, since the baby's mucous membrane is very thin. During the procedure, the baby will not feel pain, there will be no blood at the site of the incision.

At the age after a year, children may already have a so-called. The structural features of milk teeth contribute to the rapid outgrowth of caries into, in which children suffer from severe pain.

The reason for the appearance of bottle caries is night feedings and sweet compotes before bedtime. The child should not drink anything other than water after brushing his teeth in the evening, otherwise an ideal environment for the growth of carious bacteria will be created in his mouth.

To prevent the development of caries in milk teeth, you need to clean the teeth from the moment they appear.

Caries can appear in a baby due to insufficient quality or completely absent oral hygiene. There is an opinion that it is impossible to brush the teeth of children under 3 years of age, and some parents agree with him. But if you are not lazy, take 6 minutes a day to brush your child's teeth and he will not have to suffer from toothaches caused by caries.

Dentist at 2-5 years old

Parents who have closely monitored their child's teeth before the age of 2 will likely not have to visit the dentist for the next 3 years. Experts call this time a period of physiological calm.

At the age of up to 5 years, a pediatric dentist can detect a child and refer him to an orthodontist for a consultation in time. The sooner the problem is discovered, the sooner it will be solved - the child will not have to wear orthodontic appliances for a long time, and the parents' wallet will suffer for less money.

To prevent the onset of dental and gum disease, make sure your child's diet is correct. His menu should include foods containing vitamins and minerals. It is important for the baby to eat solid foods, such as raw vegetables and fruits, bagels.

By the age of 5, the process begins, the milk teeth loosen and fall out, and permanent ones grow in their place. In order for the temporary tooth to safely leave its place, its roots must dissolve. This is a physiological process, it does not give the child any discomfort at all. But the fact is that soft food in the diet does not contribute to the resorption of the roots of milk teeth. In order for the teeth of the permanent set to grow even and take the places intended for them in the row, the baby's bite is formed correctly, the child must eat solid food. In addition, an apple or carrot is an excellent cleaning of the surface of the teeth from soft plaque.

Both milk and molars need quality care.

Pediatric dentist at 6-16 years old

At this age, children experience a change in bite, therefore, in addition to detecting and treating caries, the dentist observes the formation of the jaws and the correctness of their position when closing. The correct bite is not only the beauty of the smile and the harmony of the child's facial features. It depends on how well the baby will chew food, which in turn affects the work of the gastrointestinal tract.

Advice: if the child does not clean his teeth properly, pediatric dentists recommend performing the procedure to prevent the development of caries. In the course of it, fissures - depressions on the chewing surfaces of molars and premolars, are filled with a special compound. As a result, the fissures are "sealed" and caries cannot develop in them.

Another reason for contacting a children's dental clinic, both paid and public, is speech therapy problems that have arisen due to the frenum of the tongue uncut in early childhood. As already mentioned, during the neonatal period, this problem is solved quickly and painlessly for the child, while in an older age, the child will need a full-fledged serious operation, carried out under local anesthesia and ending with suture.

Modern pediatric dentistry has effective methods of caries prevention, one of which is fissure sealing.

Anesthesia for dental treatment in children

If a child still develops dental problems caused by caries, treatment, be it a regional children's dental clinic or a private office, is most often carried out with the use of anesthesia. If you need to give an injection, the doctor will first treat the gums with a spray or gel with an anesthetic in the composition, for example, lidocaine. After that, the child will not feel how the doctor will puncture the gums with a needle.

In case of panic fear of the dentist or restlessness of the child, sedation with nitrous oxide can be used, which introduces the baby into a state of mild euphoria and relaxation. During the procedure, he is fully conscious, this method is considered even safer than local anesthesia.

At the age of 2-3 years, treatment is often carried out, since it is almost impossible to persuade such children to sit quietly in the dentist's chair and fulfill any doctor's requests. General anesthesia is especially relevant with a large "work front". The drugs used for it are considered safe.

When is immediate dental care needed?

In some situations, there is a need for an urgent visit to the dentist. On weekends, holidays or at night, the on-duty pediatric dentist comes to the rescue. What are these situations?

If a child complains of severe pain in a tooth, you need to visit a doctor as soon as possible, because the painful sensations can be unbearable. When the pain causes tooth decay, you can temporarily relieve it by brushing your teeth thoroughly and rinsing your mouth with a soda solution. It is not recommended to give children pain relievers; it is better to take the child to an appointment at a round-the-clock pediatric dentistry.

Another reason for immediately contacting the children's dental clinic on duty is swelling of the child's cheek and complaints of pain in the tooth. Swelling of the cheek indicates inflammation that began in the root of the tooth and periosteum. In addition to pain, the child may complain of weakness, he may have a fever. This disease is called, and it requires a lightning-fast response from the parents. A complication of periostitis can be phlegmon - a deadly disease.

In an emergency, you should contact a pediatric dentist with a fracture or. In children, due to their mobility and activity, this problem often arises. If a child has a broken tooth as a result of an injury, parents need to remove its fragments from the baby's mouth, ask him to rinse his mouth with warm water, apply cold to the problem area and go to the doctor as soon as possible.

Pediatric dentistry has in its arsenal a variety of techniques and technologies that allow painlessly solving various problems. There may be no less reasons for contacting a specialist in childhood than in an adult. But every parent should remember that the quality of dental care depends on how often the child will have to visit a good dentist.