Стоматолог рассказывает всю правду о своей работе – цены, страхи и лечение зубов себе

Do anesthesia slowly creep into this area? For people over the age of 18, there is no such thing as no problems with teeth. Teeth are removed. We have an operation here. So, don't lick your tongue. For example, in order to chew a piece of smoked sausage, we develop force of approximately the same level as if we were trying to lift a car with our hands. Does it hurt? Is it scary? I press. Cover your mouth a little bit. It will be easier. My husband notices that I communicate not with a person, but with his teeth. Before, teeth were not treated, before they were tortured, it seems to me. This very car drives right up to the school, drives everyone there, and you approach this car, and there is such a sound, and there are such screams, screams. Good afternoon, I am Veronika Yuryevna Melikhova, a dentist. Was I afraid of dentists as a child? Well, for me, there are still two most terrible doctors, a dentist and a gynecologist. I am a dentist, my mother is a gynecologist. But I do it regularly because it is health. I have never met a person who had healthy teeth. I am engaged in adult dentistry, and for people over the age of 18, there is no such thing as no problems with teeth. Teeth are, let's say, the basis of all health. Because there is an expression, you are what you eat. And if you can't digest food, what health can we talk about? Why are there problems with teeth? Any dental disease is a poly-etiological problem, that is, it has many reasons. This is the way of life, what food we eat, what water we drink, what region we live in, whether it is sunny or not. These are the hereditary factors. Therefore, it is impossible to single out one reason. There are many dental diseases and many reasons. Parodontosis is related to genetically predisposed diseases. This is when young people begin to have mobility, their gums bleed, bone tissue simply goes away, and teeth fall out. This is really a genetic predisposition. And a person can be completely toothless by the age of 30. Also, from the point of view of genetics, what diseases we have, this is commonly called a wolf's mouth, a rabbit's mouth. That is, the upper teeth and gums are cracked. This is also a mutation, but this is already in the period of intrauterine development of a child, and the gums simply do not grow. And you have to resort to surgical manipulation. How are you feeling? Are you afraid again? I also had my wisdom teeth removed yesterday. I saw. Upper teeth. I don't like upper teeth at all. I had them removed 10 years ago. As for the removal of wisdom teeth, this is the same necessary tooth as any other. But it is so evolutionary that our jaws, due to the fact that we eat softer food, stop growing and are not so massive. And, accordingly, these teeth simply do not have enough space. Therefore, they take the wrong position, press on the tooth line, which can cause orthotic pathologies. They can grow incorrectly in the cheek, for example, injure the mucous membrane. Chronic mucous trauma can lead to oncology. Therefore, they need to be removed. But if a person leads a correct lifestyle, eats well since childhood, then his jaw functions and develops fully, as before, in the old days. Because there is a load, the jaw grows under the load. And then this wisdom tooth, of course, will have a place, and it will be important and valuable in the chewing process, like any other. Therefore, those who have wisdom teeth, they take the right position. In no case should it be removed. This name, this abbreviation, it is only because they are cut at a more mature age. And they are really laid in childhood. How to prepare to remove wisdom teeth? There is no special preparation to remove wisdom teeth. It is necessary to clean the teeth in the evening and in the morning before the appointment. This is quite enough. And adjust to a positive mood. That's all. No preparation is needed. The only nuance is the patient who is taking anticoagulants. That is, those who have problems with the heart, with the thrombus. If the doctor prescribed you anticoagulants, then at first we consult with the therapist who prescribed them. And ideally, two days before the intervention or a day after, cancel them. Or the therapist should prescribe supportive therapy in case there may be a bleeding. Come on, put your head on me. There is no allergy. The injections were done. Everything was fine, right? Open as wide as possible. As a child, I removed my own teeth. I tied the strings. And I just shook my tongue. There was a case when I ate a sandwich, and it fell off by itself. But there was also a case when my mother's friend, a dentist, let me see. And there are no teeth. When we practiced at the university, we were given a task. Go to a private clinic, arrange to collect remote teeth. We started to treat remote teeth. We learned to go through channels, treat caries on remote teeth and on phantoms. A phantom is such a model of a head with an open mouth, there are jaws with teeth. And that's how we practiced at first. Can a tooth fall out just like that? No, just like that, teeth do not fall out. Just like that, even milk teeth fall out due to the fact that they get stuck in the constant and suck the root of the milk. That's why it falls out. What to do if a tooth is knocked out? If a tooth is knocked out, it is better to just soak a napkin with water and bring it to this napkin. But the sooner we put the tooth in place, the more chances it will come to life. No need for the next day. No, at the moment of knockout, grab it, run to the doctor. 80-90% of teeth come to life. This is called replantation. Also with a brush. Please put it in your mouth. Here it is. Is it beautiful? Do you see how red it is? Here's a brush. Do you see what red color it is? If we look at that one, it's white, and this one is red. This is what the canal was made of. Is it easier to remove the upper teeth than the lower ones? It's easier to remove the upper teeth because anatomically, the bones of the upper jaw are softer, so it's easier to remove the teeth. Is it more difficult to treat children? That's right. First of all, you need to trust them. It is difficult for them to explain all medical manipulations in simple and accessible languages for children. Look, you have a black tooth. There's a worm living there. We need to get this worm. There will be an earthquake, then a flood, and then we will put a beautiful seal. From a medical point of view, no. It's much easier and faster for children to heal. All processes are much more clearly and clinically expressed. It's easier to diagnose and treat. Because even one wrong tooth is a problem with the bite and the wrong distribution of the load that leads to a whole series of unpleasant consequences, such as the displacement of neighboring teeth, improper brushing, overload of the parodont, that is, the ligaments on which the tooth itself is held. Plus, the bone from the overload can go away, defects can form in the adiabatic region on the teeth themselves, and the adiabatic tooth goes away along with the bone. You can't kiss in brackets. You can kiss with brackets, but just gently. The mouth is the dirtiest place in the body. That's right. The mouth is the dirtiest place in the body. There are a lot of bacteria there. Plus, when we eat, we always feed them extra. Indeed, if you take a bacterial analysis laser is still an intervention in the body. And if we look from the point of view of cutting, you can cut with a laser, you can cut electricity, you can cut temperatures, you can cut with a banal scalpel. The question here is that this is an intervention in any case. And to say that it is safer is an intervention in the living body. And it doesn't matter how we do it. It's just a tool in the hands of a doctor. Are whitening strips safe? Whitening strips are the same professional tool for care for the mouth, as well as office whitening. You need to prepare for it and a doctor should choose suitable strips for you. My attitude to strips is like supporting the effect of professional whitening. Has tooth powder aged? Yes, tooth powder has probably aged. And now there are very few companies that sell tooth powder. But, for example, in Asian countries tooth powder is still sold and widely used by the population. But I would not recommend our citizens, Europeans, to use this paste. Because for Asians, the structure of enamel is denser. Accordingly, for Europeans, it is more delicate. And these powders, which are intended for Asians, can damage our delicate enamel, which is used for whitening. Do I have to suffer? You are a husband, and you have to suffer. In wealth and poverty, in grief and joy. This is how it works. It is clear that I treat my family on my own. I also treat my friends, or the doctors of my clinic. Very often, when you meet new people, you say, let's come and see us. My husband notices that I do not communicate with a person, but with his teeth. And I can see a person 2-3 times, but I do not recognize him. But only when he smiles, I say, I remember. For example, we take Afro-Americans. Everyone thinks that they have boiling white teeth. Not at all. If you look at the scale of our teeth, then Afro-Americans have more yellow teeth. They have an average color A3-A4. In contrast, their teeth always look whiter. But in fact, they have yellower teeth than Europeans. When we go to an event, if you want a brighter smile, paint your lips with a bright red lipstick. In contrast, what will happen if you do not brush your teeth for a week? Oh! In modern society, it seems to me that it is necessary to be at death's door. This is a huge amount of plaque that is gradually mineralized. This is a disgusting smell from the mouth. And this is a bacterial germination not only in the mouth, but also in the intestinal tract. Because we will swallow all these bacteria with food. How many times a day do you need to brush your teeth? In the morning and in the evening. The most important thing is not what kind of movements we make. It is clear that such horizontal movements we will never clean the gap between the teeth. We will not remove plaque from the gums. No, we are not talking about such a classic brushing. Some people just brush their teeth like a toilet brush. No, these are either circular movements, or at first sweeping, then circular. Toothbrushes must be changed every two months. And also, if you came to professional hygiene, you had a tooth cleaning, and you haven't brushed your teeth yet, you don't need to leave the toothbrush. You must change it. Because there are bacteria on the old toothbrush. And in the semi-clean teeth, we removed them all with professional hygiene. And you don't need to re-clean the semi-clean teeth with those bacteria that are on the old toothbrush. They were thrown out and took a new one after hygiene. Professional hygiene is necessary every six months. Which brush is better? Electric or conventional? The answer to the question is usually simply no. Because the most important thing when brushing your teeth is how we brush our teeth. That is, manual skills and technique. The doctor chooses a brush for you. We usually choose a manual one. And if the patient wants, he can use an electric one. But all the same movements should be in the electric toothbrush. Tooth thread or irrigator? I am extremely positive about the irrigator and the tooth thread. Irrigators, as well as toothbrushes, should be used twice a day. If there are orthodontic structures in the mouth, if there are crowns, if there are restorations, if there are veneers, if there are plumbs, then the irrigator is our assistant. It helps to remove what we do not clean. And the tooth thread is extremely necessary after eating. If there is food stuck somewhere, then it is necessary to remove it. Many people think that when the tooth thread is inserted, it injures. Do not press with great effort. No, gently insert, pull out. And then it will not injure anything. But the toothpastes injure this gentle toothpick. Therefore, there is no thread and there is no toothpick. Do you need to use a rinser? This is a medical story. If you have problems with gums and the doctor prescribed you a rinser, then you need to use a rinser after brushing your teeth. Why? We brushed our teeth. There are also flavorings in the mouth that freshen the mouth. We rinsed our mouth with plain water and this is quite enough. After brushing your teeth, if there are no medical indications, you should not use a rinser. Because I suffer every day and you suffer once every half a year. So, today we continue our treatment. Earlier we put implants on you, and today we will put temporary crowns on them so that we have a beautiful contour of the gums, like around your teeth. Let's go. Turn on the movie. There is such a game when you start talking and you need to explain to a person so that he understands the words. You would always have all the points in this game. Don't sigh, honey. What products are harmful to teeth? The most harmful products for teeth are caramel and whiskey. These are sugars that are in the mouth for a long time. Our bacteria that cause caries, they use them just as food. We put caramel in our mouth for a long time, our bacteria eat this sugar, and, accordingly, they have a beautiful sour environment, they reproduce, they get their food, and, accordingly, caries progresses. The same goes for young parents. They love their mother very much, make their life easier, give a bottle with a mixture to the child's mouth for the night, and the mixture slowly flows into the cavity of the mouth. Then they are surprised why caries appears in the child's mouth. There is even such a term as bottle caries. They sleep with a bottle for a long time. But chocolate, we put it in our mouth, chewed it, stimulated salivary secretion and saliva rich in minerals. First of all, we immediately swallowed this chocolate, plus saliva rich in minerals washed our teeth. Therefore, if we want to eat chocolate and the choice is between caramel and chocolate, then chocolate is harmless, caramel should not be eaten. Is a sugar substitute healthier than sugar? There are a huge number of sugar substitutes. If we are talking about xylitol, it is healthy because it stimulates salivary secretion and bacteria do not eat it. But again, if these sugars are not in the mouth for a long time, even ordinary sugar, it is also not harmful. The question here is exactly whether caramels or raisins. Caramels with xylitol can be sucked, but they do not harm the teeth. Is chewing gum useful for teeth? In terms of dentistry, chewing gum is absolutely harmless, but on the contrary, it is useful. When we put a chewing gum in our mouth, ideally it should be done 5 minutes after eating, or immediately, so that the chewing gum cleans the surface of the teeth from food residues, plus it stimulates the secretion of gastric juice. For example, if we are hungry and chew chewing gum, it stimulates the secretion of saline acid, which contributes to digestion, and, accordingly, it can cause gastritis. In terms of fighting the smell from the mouth, this is a multi-faceted issue, because there may be reasons both on the part of unhealed teeth, unsatisfactory hygiene, as well as the problem of lora organs. Also, when the gastrointestinal tract becomes ill, there may be an unpleasant smell from the mouth. Here you need to find out the reason and fight it. If there is a problem in the unhealed teeth, we treat teeth, bad hygiene, we come to professional hygiene and learn to brush our teeth well. If this is a chronic tonsillitis or a problem with the gastrointestinal tract, then we go to a specialist who will treat these problems. If you do not brush your teeth well, there will be no consequences from coffee. Harmful habits always negatively affect the state of the body. If we are talking about the harm of smoking, then we should talk about the general harm of smoking. Of course, nicotine and resin are deposited on the surface of the teeth, but this issue is easily solved by banal professional hygiene. We remove all the pigments from the surface of the teeth, all the resin and all this ugly brown pigment. But it is more scary when we smoke cigarettes, there is quite hot smoke and it burns a little the edge of the teeth, and there is a micro spasm of capillaries. This is more scary because a small gingivitis develops along the edge of the teeth. Therefore, when people smoke, they should not always keep the cigarette in one place, but at least move it in different places. Teeth turn yellow because we do not eat white food. If we ate only milk, sour cream and cottage cheese, they would not turn yellow. But food contains banal pigments and they are deposited both on the surface of the teeth and penetrate deep into the teeth, because enamel is a semi-permeable membrane. These are just food pigments. These are drink pigments, the same coffee we talked about. These are cigarette pigments. The surface part penetrates into the teeth. We remove the surface pigments with professional hygiene. And those that penetrate into the club of the teeth need to be destroyed inside. Then it is whitening. Regarding the harmfulness of whitening, I think every dentist will say I do it for myself, I will not harm myself. If you follow the algorithm of whitening, work with tested systems and materials, it is not more than once a year. For example, I whiten my teeth every 2-3 years. Then there will be no harm to the teeth at all. Before, teeth were not treated, it seems to me, they were tortured. We lived in a village in the Urals. There were no dental offices there. A car came from the district. I drove up to the school. Everyone is driven there. There is a queue. You approach this car and there is such a sound. A dentist is a man in a mask. Everything is white, he has blood here. Like a pathologist. And from this, everyone lost consciousness. And in the car they ran away. Such a memory. It was not very much about dentists. And who would have thought that a dentist would lead us here? The heroine of our next issue is Surda Translator. She grew up in a family of deaf and decided to help people who find it difficult to explain. Subscribe to the channel so as not to miss this and other videos. We will also be happy about your comments on the professions that you want to see on our channel. When do you need veneers? This is a good question. Veneers, like any other construction in the cavity of the mouth, should, in my opinion, be installed according to medical standards. And not just crooked teeth, put me a veneer. When a patient comes to me with a request, I say, let's do orthodontics, and then discuss veneers. Because I see the shape of the teeth and I understand that it will be beautiful when I do orthodontics. And when we solve the issue with health at the expense of veneers, then we need to sharpen the teeth and we will no longer get the health that was before. Therefore, veneers are installed only according to medical standards. For example, large non-aesthetic plumbs. First of all, large plumbs can crack, so we close them with veneers. This creates aesthetics and creates a good function. Is it a trend to wear brackets and aligners? Yes, brackets and aligners have become a trend for general health. And, of course, even beautiful teeth always create a power effect. Therefore, natural teeth, we have already left these snow-white smiles, which are like chewing gum pillows. And we strive for naturalness, for naturalness, but to make it beautiful. Therefore, our beautiful, even, healthy teeth are more important than brackets or aligners. What is better, aligners or brackets? It is impossible to answer this question. Because there are different clinical situations. Somewhere we are faster. The key here is faster. We can handle aligners, somewhere we can handle brackets faster. That is, it is just a tool in the hands of a doctor. And here is the question of how well a doctor knows the technique in working with brackets or aligners. For example, in one case I will fix it in three months on brackets, but in a year on aligners. Or maybe vice versa. Therefore, here the doctor chooses the method of treatment that will be more preferable for a patient with this or that pathology. Why does an incorrect bite develop? The reason for the development of an incorrect bite can be many factors, starting from the hereditary ones. That is, a mom or dad has an incorrect bite. It can be some genetic mutations. It can also be habits. For example, children who have a permanent bite during the period of change, when there are permanent teeth and temporary teeth. For example, they gnaw a pencil all the time. Here we have prerequisites for the development of an open bite. Do brackets spoil enamel? There is an opinion that brackets cause enamel problems. Not from brackets, but from improper hygiene of the cavity. If we do not clean well around the brackets, there will be enamel spots around the brackets themselves. If we clean our teeth well, where will we have problems? There will simply be no problems. It was a great story. We are in quarantine. And Sergey Grota picks up an old plumb on his front tooth and says, I have to go to work tomorrow. I say, do something. She says, I can't do anything, I'm in Zhenya's office. I say, you are a dentist, how can I go with broken teeth? We called the nurse. She put all the tools and materials in the clinic, sent us home. We were sitting at home in the bathroom, sitting on the toilet, restoring the front tooth. It was done better than it was. And a year passed, probably. How to understand that you have caries? Caries can be as obvious. This is when we already have teeth in the cavity of the mouth, a hole. The tooth can react to sweet, to cold. We can just see a spot on the tooth. If we mark something like this, we need to run to the dentist as soon as possible. Do not wait until it falls through and a hole is formed, a hollow, where the food will be clogged. Do not wait for this, because this is the top of the iceberg. Therefore, if we see a spot, an increase in sensitivity from sweet, it can interfere with oral sex. If your partner is not scared of having caries in the mouth, and he is ready to have oral sex with you, then do it. But keep in mind that this is an increased accumulation of bacteria in the cavity of the mouth. Then go to the shower. Favorite part of the job? I think removing wisdom teeth. And least favorite? I don't do it anymore. Channels treatment is very long and tedious. If not a dentist, who would you become? Either a surgeon or a pathologist. Because I like to operate, and I don't like simple cases. Can a dentist treat his own teeth? I had the experience of treating my own teeth. At the institute, I was told to remove this tooth. I said, no, I'm a doctor, I'm a dentist, and I'll save him. I still saved him with me. How much do dentists earn? I can describe it this way. Dentists and therapists can earn up to 300,000 rubles a month. These are the ones who treat the channels, treat the caries. A dental orthopedist can earn up to half a million rubles a month with a good load. An implantologist can also earn half a million. And an orthodontist is the one who corrects the bite. 300-400 thousand a month. And after the institute, the doctors are inexperienced, and often they go to work as assistants of a dentist. Here, they can earn 80-100 thousand a month. Why is dentistry so expensive? Dentistry is just a very large amount of consumables. We have a huge choice of colors of implants, a huge choice of density of the same color. We don't have a standard, universal color, which, like a chameleon, we have a huge assortment of materials, a huge assortment of tools, which are suitable for the formation of the same plumb. A huge number of drills to put the implant. And a huge number of sizes of these implants, which we select individually. This is why the price is formed, that it is an individual approach. We select each tool, each material, specifically for a specific patient. This is the growth of the currency rate. And we buy everything abroad. We have little production of dental instruments and materials in Russia. Due to the growth and fluctuation of the rates, we have, of course, an increase in the price tag. Plus, quality treatment can be carried out only by an experienced, qualified doctor. Dental training courses are very expensive. It can be a one-day lecture that costs 50-100 thousand. When you go abroad for a week, they can cost 500-1,000,000. The education of a doctor also plays a role. And, accordingly, the cost. Plus, this is where the clinic is located. This is also a rental room. Or if the clinic has property. This is also more global equipment. These are also elements of the service. Unfortunately, everything costs money. And from this, everything accumulates and the cost of treatment.