Oral sanitation: what is it? Methods and forms of planned rehabilitation in children. A set of measures for rehabilitation and its types

Oral sanitation - what is it? How is this procedure done? You will find answers to these and other exciting questions in our article.

A person who cares about his own health knows that dental examinations need to be carried out regularly and even when there is no noticeable pain or other complaints. Some dental diseases do not manifest themselves in any way early stage development, and only experienced doctor will be able to determine the presence of a threat. In the dental office you may hear that the oral cavity must be completely sanitized.

A specialist can recommend the procedure for both adults and children. Sanitation will depend on the condition of the teeth and oral cavity. Now let's tell you more about it. Oral sanitation - what is it and how is this procedure performed?

Description

The term sanitation comes from the Latin word sanatio, which means “recovery.” Based on this, we can determine that this is a complex of therapeutic and health procedures necessary to ensure the health of teeth and gums. Sometimes the oral cavity is sanitized before surgery.

Stages of manipulation

Sanitation includes a set of the following manipulations:

treatment diseases of the oral cavity, including the elimination of caries;
restoration of the integrity of teeth and dentition through fillings and prosthetics;
removal of tartar and plaque using ultrasonic cleaning;
correction of bite and incorrect positioning of incisors;
tooth extraction;
elimination of inflammation in the oral cavity;
development prevention inflammatory processes in future.

What is included in oral sanitation? The number of manipulations will depend primarily on the health of the patient’s gums and teeth. For some, it will include half the list of listed procedures, while for others, only removal of tartar and cleaning of enamel will be required.

Many, having heard a recommendation from a dentist about holding an event, are afraid that it will be painful. As a rule, it all depends on the procedures required in a particular case. And in case of risk of occurrence painful sensations The doctor will always suggest anesthesia.

Indications for use

To maintain dental health, everyone should visit the dentist's office regularly. It is recommended to visit it at least once every six months. However, sometimes it is worth visiting the dentist earlier. Sanitation is recommended in the following cases:

pregnancy planning;
registration of documents for pregnancy registration;
at the end of pregnancy;
before long-term hospitalization;
before installing braces;
before prosthetics;
preparation of documents for employment;
when planning a trip abroad;
when placing a child in kindergarten or school.

Add to list necessary procedures When employees undergo annual medical examinations, oral sanitation may also be included. In this case, the dentist may recommend certain manipulations. However, the final decision about their implementation is made by the patient.

Contraindications

Are there any contraindications to sanitation? As a rule, they do not exist, but if there are any pathologies chronic the procedure may be required even more often. So, it is performed on patients suffering diabetes mellitus, tonsillitis, gingivitis, asthma and heart disease. And in a number of other cases, sanitation is indicated at least 4 times a year. If there is any disease in the body, the oral cavity is exposed to increased risk development of infections and destructive processes due to reduced immunity.

Stages of complete rehabilitation

To obtain a dental report, you need to visit the clinic and undergo a number of necessary procedures. The complete one includes the following steps:

dental examination;
making diagnostic assumptions regarding the need for dental procedures;
taking an x-ray of the problem area;
ultrasonic cleaning, removal of plaque and tartar;
planning further treatment if necessary;
connection of other specialists - surgeons, orthodontists, periodontists, if available specific diseases oral cavity;
carrying out health procedures;
coating with gel polish containing calcium and fluorine;

registration at a dispensary in the presence of chronic diseases or pathologies that require long-term observation of the patient after their elimination;
issuance of a specialist’s conclusion (certificate of oral sanitation, a sample of which is installed on general principles for both private and public dental clinics);
drawing up an individual additional visit schedule if long-term monitoring is necessary.

Any option for sanitation of the oral cavity includes the removal of tartar and plaque. But the rest of the list of procedures - filling, prosthetics, implantation, tooth extraction, bite correction, etc. is carried out only if necessary and with the consent of the patient.

Sanitation of the oral cavity in children

Prevention should begin in childhood. Many parents mistakenly believe that there is no need to take care of baby teeth. And you need to start dental examinations only after their change. Dentists are trying to convince parents that the condition of baby teeth completely affects the health of the permanent teeth that will replace them.

Fortunately, strict monitoring of the child’s health, which includes dental prophylaxis, is carried out when registering children for kindergarten, school or health Camp. These institutions do not accept patients without a special certificate from a dentist.

What procedures are performed on children?

treatment of caries and other diseases;
carrying out filling;
the need for fluoridation or silvering of individual units;
installation of braces for bite correction.

Parents should be attentive to the condition of their children. It affects not only the formation beautiful smile in the future, but also for development correct pronunciation all sounds. If a child is afraid of the dentist, measures must be taken to eliminate this fear. You can resort to some tricks yourself, or you can turn to child psychologist which will help solve the problem.

Sanitation of the oral cavity during pregnancy

It is recommended to undergo a dental examination at the stage of pregnancy planning. However, when registering, the doctor will still definitely give the woman a referral to undergo sanitation. Certificate that the girl passed this procedure, included in the list necessary documents for further monitoring of the patient. An appointment with a dentist should be made as early as possible so that the doctor can assess the state of your oral health and provide treatment if necessary.

Why is it recommended to strictly monitor the condition of your teeth during pregnancy? The fact is that this important period in the life of every woman, unfortunately, is not in the best possible way affects her health. Hormonal changes, fetal growth and presence concomitant diseases often leads to a lack of phosphorus, calcium and a number of vitamins. Because of this, a woman may experience such dental problems, How:

increased sensitivity of teeth;
bleeding gums;
swelling of the gums, swelling of the oral cavity;
the formation of white spots on the surface of the teeth;
the appearance of caries and other dental diseases.

To prevent the development of such processes in a pregnant woman, oral sanitation is recommended. What it is and why the procedure is performed should be explained by the doctor at the antenatal clinic.

Unfortunately, not all expectant mothers understand the importance of eliminating dental diseases during pregnancy. But even banal caries can cause irreparable harm to the healthy development of a child, since it is an infectious disease.

Doctors recommend dental treatment in the second trimester of pregnancy, when it is possible to use local anesthesia. However, these deadlines may be changed in each specific case. Besides, modern dentistry allows dental treatment during pregnancy without causing harm developing fetus. Even x-rays Today, expectant mothers are not contraindicated. It is important that they are carried out using special equipment - a radiovisiograph. This device affects only a small area of the body without causing harm to the entire body.

When the pregnancy comes to an end, future mom must make an appointment with the dentist again. At this time, the doctor must evaluate the woman's oral health to determine how much of an impact the pregnancy has had. Now it is important to determine whether there is a girl in the body infectious diseases which may affect the birth of a healthy baby.

Sanitation of the oral cavity at home. Is it possible?

Many people do not like to visit the dentist, and there may be several reasons for this. Some are afraid of pain, injections and the very atmosphere of the clinic, while others simply do not consider it necessary to spend a lot of money on it. In such cases, the question arises: is it possible to sanitize the oral cavity on your own?

This procedure cannot be carried out at home. This requires special equipment, materials and skills in performing dental procedures. It is not possible to carry out not only treatment, but also diagnosis of the condition of teeth on your own.

Preventive measures at home

However, some measures can be taken at home. Firstly, it is necessary to maintain oral hygiene - regularly brush your teeth, use mouthwash, and floss. Secondly, it is recommended to reduce the consumption of sweet and refined foods. Thirdly, it is important to monitor the condition of not only the teeth, but also the entire body.

Conclusion

Now you know the answer to the exciting question: “Oral sanitation - what is it?” We examined the features of this procedure and its stages. Indications and contraindications for its implementation were also named. We hope that this information was useful to you.

People not connected with medicine have little idea of what oral sanitation is, confusing it with professional cleaning. This term hides a set of procedures that have preventive value to prevent the development of diseases.

The term translated as “rehabilitation” implies a professional examination oral cavity. Its goal is to identify diseases and carry out preventive procedures. The result is healthy teeth and doctor's recommendations on how to care for them. The event includes:

Oral sanitation is carried out every six months, as recommended standard rules care With such regularity, caries can be noticed early, while there is no extensive carious cavity. There is a concept planned rehabilitation oral cavity. What it is? A set of therapeutic dental measures provided to workers in certain industries:

employees of food industry enterprises;
workers in child care institutions;
military personnel, cadets and conscripts;
women planning to conceive.

Regular sanitation is carried out for people suffering from chronic diseases that can worsen due to poor hygiene:

The procedure is carried out before operations to prevent bacteria and viruses from entering the body. It is important from the point of view of the health of the whole organism. Infections that develop in the mouth can spread to internal organs. For example, they often become the reasons chronic tonsillitis, cause rheumatic changes in bones, joints and heart.

How is oral sanitation done?

The procedure is carried out according to an algorithm, compliance with which allows us to identify most problems:

Sanitation of teeth in children

It is important to regularly carry out a set of preventive measures for 6-12 years, when baby teeth are replaced with permanent ones. Diseases will progress and lead to problems in the future, and abnormal growth or shape of permanent units is much easier to correct in childhood.

Sanitation is carried out for children before entering kindergarten or school.
Sanitation of the oral cavity in children is carried out according to an algorithm similar to work with adults. The difference lies in contacting an orthodontist - if the teeth grow incorrectly, and the need for prosthetics arises less often than in adults. It is important that the doctor explains little patient How to take care of your teeth yourself.

Features of the procedure during pregnancy

Waiting for a child - difficult period, including from the point of view of the condition of the teeth. They are influenced by negative factors:

loss of calcium, causing deterioration of the enamel;
hormonal changes that provoke;
violation acid-base balance- the cause of caries;
The composition of saliva changes, which causes weakening of dental tissue and a decrease in density.

Dental treatment for pregnant women is carried out at a time when it is safe for the fetus.

The type of treatment that is safe for the pregnant woman and the fetus will be selected by the doctor. He will be guided by the duration of pregnancy, the characteristics of the course, and the state of health. Sometimes it is necessary to use a radiovisiograph (study with local impact x-rays), but the doctor will prescribe it only at a time when there is no harm to the fetus.

Certificate of reorganization

A certificate confirming that the reorganization has been carried out - official document, containing information about the patient, the dentist’s report, signature, seal. Detailed description There are no procedures performed in the certificate, only confirmation that the oral cavity has been sanitized. Document required:

During pregnancy. After registration with antenatal clinic the expectant mother receives a referral for a dental examination.
To admit a child to an educational institution - a kindergarten or school.
Before some elective surgeries.
During a medical examination carried out annually.
When working in hazardous industries, where employees are at risk of developing dental pathologies.

To obtain a certificate, you need to contact a dentist at your place of residence or use the services of a paid clinic.
To obtain a certificate, you need to contact a dentist at your place of residence or use the services of a paid clinic. If the doctor finds no problems, the document will be issued on the same day. If diseases requiring treatment are discovered, a certificate can be obtained after treatment procedures.

To avoid a situation where a certificate is urgently required, but the doctor does not issue it due to the presence of oral diseases, it is important to undergo the sanitation procedure voluntarily and regularly consult a dentist, even without obvious reasons. Proper care, eliminating problems is the basis of peace and health.

Complex treatment of teeth and gums or sanitation of the oral cavity consists of a number of procedures that are aimed at eliminating existing diseases and preventing common dental pathologies. Such an event can be assigned to a child or an adult, and the approach to it will be individual.

Sanitation of the oral cavity

Dental treatment can be prescribed by more than just a dentist. In different life situations A statement from a dentist may be required that the mouth has been sanitized. In this case, you need to go to the clinic, where the doctor will do an examination, determine the scope of work, and carry out complex treatment.

After all the measures, the doctor will issue a conclusion indicating that the oral cavity has been sanitized, which means that all existing diseases have been eliminated.

Sanitation of the oral cavity is included in mandatory list preoperative examinations before replacing the native joint with an implant, more details on the Artusmed website.

Sanitation of the oral cavity includes the following activities:

Identification of existing diseases and predisposing factors to them through examination using modern technologies.
Professional oral hygiene- removal of soft plaque and hard dental deposits. May include teeth whitening.
Removal of lesions carious lesion . The stage includes the treatment of caries and its consequences in the form of pulpitis.
Anti-inflammatory therapy- elimination of foci of inflammation, treatment of gingivitis, stomatitis, periodontitis and periodontitis.
Restoring the integrity of crowns- this is necessary in case mechanical damage, chipped, fractured tooth, pathological abrasion of enamel, poor-quality filling.
Tooth extractionif it is impossible to restore them.
Correcting the bite and restoring the position of the teethusing orthodontic systems or installation of a prosthesis.

How is oral sanitation performed?

The set of measures differs for each patient, and you can find out the list of upcoming procedures after the examination.

Standard sanitation of the oral cavity consists of the following procedures:

inspection: identification of carious teeth, foci of inflammation and defects;
x-ray: a snapshot of the jaw covering the entire functional apparatus;
professional cleaning: removing plaque with a scaler;
pigment removal:teeth cleaning with the Air Flow system;
preparation and filling: removal of necrosis and installation of a filling;
enamel remineralization: application of fluoride varnish and calcium to the crowns.

When the survey revealed chronic diseases, the patient is registered, after which he visits the dentist at the specified time until recovery. In this case, it is considered that the oral cavity is sanitized only after complete healing.

When and why is it necessary to perform oral sanitation?

A certificate from a dentist regarding oral hygiene will be required under the following circumstances:

employment in an official position;
preparation for surgery;
registration of a child in educational establishments and health organizations;
military service;
work in hazardous production;
travel for work for a long period.

After treatment, the dentist issues a form (sample below) stating that the oral cavity has been sanitized.

The certificate of oral hygiene is valid for 2 months.

Preparing teeth for prosthetics

A consultation with a dentist will be required before surgery for implantation and, if necessary, prosthetics. This is necessary to be able to install a prosthesis without consequences. If there is inflammatory diseases or carious cavities, orthopedic design will not last long, causing constant pain.

There are therapeutic, surgical, orthodontic and orthopedic preparation for prosthetics.

Therapeutic sanitation of the oral cavity before prosthetics includes:

removal of supragingival and subgingival dental plaque;
polishing teeth and applying varnishes containing calcium and fluoride;
removal of carious lesions followed by filling;
depulpation of teeth (according to indications, depending on the type of prosthetics).

Surgical preparation includes:

removal of teeth that are not subject to therapeutic treatment;
removal of cysts, osteophytes;
implantation;
complex treatment of severe dental anomalies;
removal of hypertrophied tissues;
carrying out sinus lifting.

Orthodontic preparation includes:

restoration of the normal position of the teeth, which will later become supporting teeth, using braces or plates;
creating a place in the oral cavity for fixing the prosthesis.

Orthopedic training includes:

production of mouth guards and plates to correct the position of teeth;
production of functional mouth guards to relax the masticatory muscles.

Tooth extraction during pregnancy

Complex dental procedures, as removal, during pregnancy are performed according to strict indications when there is a risk of complications. Tooth extraction during pregnancy is possible, and it is better to do this in the second trimester. Nowadays, most dental procedures are safe during pregnancy, and the prognosis largely depends on psychological mood women and doctor's professionalism.

Indications for tooth extraction in a pregnant woman will be:

acute pain without the possibility of pain relief;
purulent inflammation with the formation of flux;
tooth decay with infection of periodontal tissue.

Is anesthesia possible for dental treatment during pregnancy?

A limited list of drugs is used as anesthesia during pregnancy. The most commonly used drug is Ultracain. This product does not contain adrenaline and does not penetrate the hemoplacental barrier. During one visit to the dentist, a pregnant woman can be administered no more than 6 carpules of the drug.

Gingivitis and periodontitis in children

Sanitation of the oral cavity in children is performed more often, and the reason for this will be susceptibility to various dental diseases. Gingivitis and periodontitis are common problems child under 3 and after 12 years. In order to prevent these pathologies, planned sanitation was introduced, which is carried out in schools and preschool institutions.

Sanitation may be required during teething in order to:

identifying malocclusions and deciding on the method of correction;
covering crowns with fluoride varnish in case of insufficient enamel remineralization;
elimination of caries of milk teeth.

In cases of severe gingivitis, the dentist may prescribe:

Gingivectomy (partial excision of the gums). Shown in the most difficult cases, is executed under general anesthesia. After surgery, cauterization or freezing is mandatory to prevent relapse.
Chemical cauterization.Sulfuric acid and ether are applied to overgrown gums with a cotton swab.
Diathermocoagulation(cauterization with electric current). Executed under local anesthesia, gums are affected electric shock power 4 Ampere. The procedure not only eliminates tissue proliferation, but also stops bleeding.
Freezing. A sclerosing agent is injected into the gums ( calcium chloride or dextrose solution).

Brushing your teeth to prevent tartar

Professional teeth cleaning is carried out to remove hard plaque. This mandatory stage sanitation of the oral cavity, regardless of its condition. The procedure is performed by a dentist using hand instruments and special devices.

Removal of dental plaque occurs in 4 stages:

Cleaning with ultrasonic scaler.
Cleaning with Air Flow device.
Enamel polishing.
Fluoridation.

At the first stage, thanks to the oscillatory movements of the scaler, hard plaque is removed. At the second stage, pigment is removed using a mixture of water and powder, which are supplied under pressure. The third stage involves polishing the enamel to remove roughness after removing the stone. For this purpose, brushes and abrasive pastes. On last stage teeth are coated with gel to protect against external stimuli and prevention of caries.

What is sandblasting teeth cleaning

Sandblasting of teeth is carried out using the Air Flow device. Its essence is to remove plaque and pigment by applying liquid and special powder under pressure to the tooth surface. Bicarbonate is used as a powder mixture. During the procedure, the nozzle does not come into contact with the tooth, which eliminates damage to the enamel and gums.

After sandblasting, the doctor polishes the enamel surface. As a result, the teeth lose plaque and become smooth, which prevents the accumulation of food particles and pathogens on them.

How to brush your teeth correctly

After sanitation of the oral cavity, the dentist gives recommendations on how to care for your teeth and gums at home. A mandatory measure for the prevention of dental diseases will be correct movements toothbrush. As the practice of doctors shows, a huge number of people use “harmful” teeth brushing techniques, which provoke problems with gums and enamel.

Proper brushing of teeth with toothpaste and brush is as follows:

The brush is positioned at an angle of 45 degrees to the gums.
Sweeping movements are made from the gums to the cutting edge.
The chewing surface is cleaned away from the molars.
At least 10 movements with the brush are made in each area.
After cleaning, the mouth is rinsed with water.

U organized groups and especially children play very important role in the general health of the body. Planned preventive sanitation in the modern sense is a complex of therapeutic interventions in common system preventive measures aimed at improving the health of the child’s body and reducing... The most important task planned rehabilitation is to combat its complications. It also includes the improvement of the oral mucosa.

In accordance with modern requirements A child is considered to be sanitized if all primary and permanent teeth affected by caries have been filled, teeth and roots that cannot be treated have been removed, and inflammatory diseases of the oral mucosa have been eliminated.

Planned rehabilitation consists of a complex organizational events, requiring for their implementation the efforts of a whole team of various specialists and mid-level medical workers.

Organization dental care children and adolescents and the implementation of treatment and preventive measures is carried out in close contact with the administration or other child care facility, with teachers and educators.

For the purpose of planned and organized implementation of the necessary treatment and preventive measures in secondary schools, the Ministry of Education of the USSR and the Ministry of Health of the USSR issued a special order in 1969, which obliges school administrations to create the necessary conditions for carrying out therapeutic and preventive work among schoolchildren. In accordance with this order, schools, together with the authorities, draw up a schedule for carrying out treatment, preventive and anti-epidemic measures, which provides for the release (if necessary) of students from classes to carry out medical examination And therapeutic measures. Based on these documents, city or district departments public education must issue internal orders for the allocation special days during the academic year for routine sanitation of the oral cavity.

The work experience of R. G. Sinitsyn, L. I. Pilipenko, V. N. Kuznetsov (1971) shows that in order to provide comprehensive routine dental care to children and adolescents school age it is necessary to allocate at least two days per academic year. These days must be provided for each class separately and taken into account when compiling curriculum and class schedules. The drawn up schedule for sanitation of the oral cavity in children is agreed upon with the head teacher of the school and signed by the director (or head teacher) and the person responsible for its implementation (the head of the clinic, the head of the dental department.).

There are three forms of planned sanitation of the oral cavity: centralized, decentralized, mixed.

In a centralized form, children are organized with class teacher or a teacher come to a medical institution where all necessary medical treatment is carried out preventive actions, including x-ray examination, orthopedic, orthodontic treatment. It is advisable to use this form if you have a child dental clinic or departments (at least 5 - 6 chairs) and when schools or kindergartens are located close to medical institution. The centralized form of sanitation is convenient in that it allows for all types of dental care. In addition, under the supervision of teachers and paramedical workers, while waiting for an appointment, children read books, participate in conversations, study stands and posters. In this case, it is appropriate to have a conversation about the importance of planned rehabilitation and timely treatment teeth. Such an environment instills in children respect for the doctor, disciplines them, and contributes to the growth of a sanitary culture. Gradually the child gets used to the situation and begins to understand how important this event is.

With a decentralized form of rehabilitation, children are treated directly at school or kindergarten. It is used more often when children's institutions are remote from the clinic. This form allows you to study the situation on site, establish direct contact with the school doctor, find out general state the health of the child, however, the working conditions of the dentist in this case do not allow the implementation of the entire range of treatment and preventive measures. X-ray examination, complex surgery, orthodontic treatment, etc. are excluded. Children in need of these types of help must be referred to. However, this form of oral sanitation is quite acceptable if it is organized correctly. The experience of a number of dental institutions shows that in this case the most rational and effective is a team method of service consisting of two doctors and a nurse. The nurse ensures that children are called from class, maintains documentation, and prepares filling material and instruments. After completing the main sanitation measures, a dental surgeon and a nurse should be sent to the school to carry out the planned minor surgical interventions and complete the renovation work.

At mixed form students of some schools are sanitized centrally in the clinic, others - at school or are first examined at school, and then those in need of treatment are sent to the clinic. This form is most suitable for rural areas. Its disadvantage is that certain part children do not get to the doctor.

The nurse must establish personal contact with each class teacher who directly monitors the progress of the rehabilitation of their students. Great help can provide sanitary services, in particular, sanitary workers ensure the uniform flow of students into the classroom, monitor order, and help nurse prepare instruments, mix filling materials, etc. If good contact is organized with the class teacher and students, in this case it is possible to cover the planned sanitation maximum amount children.

Dental medical examination was adopted at the 5th Congress of Dentists (1968).

Medical examination tasks

Medical examination contingent

The relationship between the prevention and treatment of dental caries

Types of oral sanitation

Primary – includes all types of dental care for all children

Repeated (systematic)- received by children and adults who have new carious cavities, with secondary and recurrent caries

Division of children into dispensary groups

Scheme of the indicative basis of action

Methods and forms of planned rehabilitation in children.

Methods and organizational forms oral sanitation	Advantages	Flaws
Individual sanitation of the oral cavity according to request.	When a patient comes to a medical institution, comprehensive treatment is carried out for all identified pathologies of the dentofacial system, and not just the pathology with which the patient came. In his work, a dentist must be guided by the principle of maximum sanitation (maximum amount of care in one visit).	1. Sanitation covers only those patients who regularly visit the dentist. 2. Often the doctor is faced with already complicated forms of the disease.
Planned rehabilitation: Centralized form of organization (organized children's group sanitized at the children's clinic)	1. Possibility of conducting a comprehensive examination with the participation of various specialists. 2. Possibility of use additional methods research and treatment (X-ray, physical therapy, etc.) 3. Stationary best equipment.	The need to organize the transportation of children. The need to organize a waiting area for all children Taking children away from learning or their usual daily routine.
Decentralized form of organizing planned rehabilitation ( dental office organized by an organized children's team).	1. Treatment is carried out without interruption from school and daily routine, 2. Children do not wait for an appointment. 3. There is no need to organize transportation for children.	1. If it is necessary to involve other specialists, the participation of parents is necessary to independently visit a specialized children's clinic. 2. Inability to use additional research and treatment methods. 3. Often equipped with less modern equipment.
Accounting documentation medical card dental patient (F/043 –U)	All data obtained during the examination of the patient and all ongoing therapeutic and preventive measures, including recommendations given to the patient, are entered.	It is the main accounting and reporting legal document.
Daily visit log (form 037)	Full name is entered. all patients admitted per day, their age, address, diagnosis and treatment provided, note on the initial or repeat visit, rehabilitation and number of UET.	Filled out daily.

Daily accounting sheet (form No. 39)	A daily digital report of the work done is entered. Compiled on the basis of form 037.	Filled out daily.
Dispensary card (form No. 30)	All passport data, diagnosis and indicators are filled in dynamic observation for the course of vomiting.	To be completed at initial and subsequent appointments.

Scheme of the approximate basis of action for the comparative characteristics of quantitative indicators

	Indicators
	Number of visits
	Of these, the primary
	Total fillings applied

	Complicated caries
	Complicated caries cured in 1 visit
	A filling made of composite materials was applied
	Number of fillings according to compulsory medical insurance
	Total sanitized
	Completed by UET
	Number of UET per visit
	Working days

Scheme of the approximate basis of action for the comparative characteristics of quality indicators

	Indicators
	Visits per day
	Fillings per day
	Rehabilitation per day
	UET day
	% of primary patients
	% of complicated caries cured in one visit
	% of sanitation from initial applicants
	Ratio of uncomplicated to complicated caries
	Number of visits per 1 filling

Quantitative indicators of the work of a dentist:

Number of patients admitted.

Number of admitted primary patients.

Number of visits for caries, pulpitis, periodontitis, etc.

The number of fillings placed for caries, pulpitis, periodontitis and everything.

Number of sanitized patients.

The number of conventional labor units (CLU) generated.

Qualitative indicators of the work of a dentist:

Number of patients admitted per day.

Number of primary patients admitted per day.

Number of fillings placed per day.

Frequency of visits for caries, pulpitis, periodontitis, etc.

Number of patients sanitized per day.

Percentage of sanitized patients from those who initially applied.

Number of UET V day.

The ratio of uncomplicated forms of caries To complicated.

Percentage of those treated for pulpitis in one visit. Periodontitis.

Percentage of fillings made of composite materials.

Output control:

1. Planned sanitation of the oral cavity is carried out using the following methods:

A. Centralized and decentralized.

B. Brigade and stationary.

B. By negotiability.

2. With a centralized method of organizing planned rehabilitation, the following are possible:

A. Consultations with various specialists.

B. Use of auxiliary structures during examination and treatment.

B. Use of modern equipment for treatment.

D. All answers are correct.

D. There is no correct answer.

3. With a decentralized method of organizing planned rehabilitation it is possible:

A. Carry out treatment without interrupting your studies and your usual daily routine.

B. Use consultations from various specialists.

B. Use auxiliary methods of examination and treatment (x-rays, physical therapy).

4. To record the work of a dentist at a clinic appointment, use:

A. Form No. 39

B. Form No. 38

B. Form No. 36.

5. An indicator of the quality of work of a dentist is:

A. Number of patients admitted

B. Number of sanitized patients

B. Number of UET generated per day.

010. In which of the following groups of children aged 12 years

Are there indications for primary prevention of caries in permanent teeth?

a) degree of caries activity

b) II degree of caries activity

c) III degree of caries activity

d) children with KPU = 0

d) healthy children

011. An indicator characterizing the effectiveness of planned rehabilitation is

a) increase in % of previously sanitized

b) reducing the percentage of those in need of rehabilitation

c) reduction in the number of complicated caries per 1000 examined

d) reduction in the number of removed permanent teeth

per 1000 examined

012. From the medical history of a child with hypoplasia of permanent teeth

need to pay attention

a) on the mother’s health during pregnancy

b) on the health of the child in the first year of life

c) for the presence of occupational hazards in the mother

d) on the nature of labor

e) for all the above points

013. Tests that should be included in a comprehensive examination

child to determine an individual program

caries prevention are

a) enamel acid resistance test

b) hygiene index

c) RN plaque

d) determination of the ductility and viscosity of saliva

d) all of the above

022. Indications for coating teeth with fluoride-containing varnishes

for medicinal purposes is

a) fluorosis

b) focal demineralization

c) focal hypoplasia

d) superficial caries

e) imperfect emelogenesis

023. Teeth should be coated with fluoride-containing varnishes for medicinal purposes.

a) daily for 12-15 days

b) once a month

c) once a year

d) determined individually

e) three to four sessions at weekly intervals

024. Coating teeth with fluoride varnishes

in order to primary prevention shown

a) temporary teeth at 5-6 years old

b) temporary and permanent teeth 1-3 years after eruption

c) permanent teeth at 12-15 years old

d) all the teeth present in the mouth in mixed dentition

d) determined individually

025. The indication for fissure filling is

a) the age of the child

b) fissure depth

c) fissure shape

d) “age” of the tooth

d) all of the above

026. Risk factors for dental caries are determined

a) using anamnesis

b) pH-metry, hygiene index, saliva viscosity, etc.

c) clinical examination

d) instrumental research methods

d) determined individually

027. Hygiene training and education (GOiE)

need to start

a) from the beginning of the eruption of the first permanent teeth (5-6 years)

b) from the time of eruption of all permanent teeth (12-13 years)

c) at the age of 3-4 years

d) from two years

e) at the age of eruption of the first temporary teeth

028. The most effective method for the prevention of fissure caries

a) sealing with composite materials

b) sealing with amalgams

c) sealing with fluorine cement

d) fluorine varnish coating

d) determined individually

029. What hygiene products would you prescribe for a junior schoolchild?

with intact teeth, living in an area with optimal maintenance

fluoride in drinking water?

a) therapeutic and prophylactic toothpaste containing fluoride

b) hygienic tooth powder

c) hygienic toothpaste

d) therapeutic and prophylactic toothpaste,

e) therapeutic and prophylactic toothpaste,

030. What hygiene products will you prescribe for your child?

with the third degree of caries activity?

a) salt toothpastes

b) therapeutic and prophylactic toothpastes,

c) therapeutic and prophylactic toothpastes,

d) hygienic toothpastes-elixirs

d) doesn't matter

031. For which disease in the complex of therapeutic measures?

professional hygiene is mandatory

oral cavity?

a) focal demineralization

b) III degree of caries activity

c) generalized periodontitis

d) dental anomalies (the child is being treated by an orthodontist)

d) with all of the above

032. Contraindications to working with a turbine drill are:

a) opening the pulp chamber for periodontitis

b) opening the pulp chamber for pulpitis

c) preparation of the bottom and walls of the carious cavity

with living pulp without water cooling

d) removal of overhanging edges of a carious cavity with living pulp

e) removal of the filling

Homework: topic – feasibility of choice filling material in pediatric practice in the treatment of temporary and immature permanent teeth. Features of filling technology.

Main literature:

1. Kuryakina N.V. Therapeutic dentistry childhood: uch. Benefit / N.V. Kuryakina - M.: honey. Book, N. Novgorod NGMA - 2007