Maxillofacial surgery or not? That's the question

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Dear friends, we have already discussed what kind of wisdom teeth are , what happens if you do not touch them , and how the removal itself goes.



It would seem that this is complicated?

But! Until now, patients come for a consultation and say: “But in another clinic the doctor said ...” They say that it’s impossible to remove such wildly complex teeth outside the hospital, department of ChLH (maxillofacial surgery), and even without general anesthesia . Type, fraught with consequences.

Not only do the words “hospital” and “maxillofacial surgery” cause fear in many patients on the verge of a panic attack, but even after such statements it is extremely difficult to convince them of the opposite.


After such intimidation, but I can’t call it another way, many really go to the hospital, collect tests, agree to endotracheal anesthesia and lie in the wards for several days, enjoying the local society, attentive attitude of the nurses and nosocomial infection.

At the same time, to the question “How did you justify the need for tooth extraction exclusively in the department of the ChLH?” I never received a clear answer.

The only thing they usually say: "Well, they told me a complex tooth ... it is deep ... a nerve is near ..." Yes, I can well imagine that all this is true, and the nerve is there, there is also a deep hole, but ... what is the fundamental difference in the technique of inpatient and outpatient removal?



Well, computed tomography (3D 3D image) can be done - anywhere.

For what?

And for the fact that orthopantomography (OPTG, panoramic or panoramic image of the teeth) is planar, which means that each detail of the image is superimposed in layers on top of each other. Therefore, it is impossible to consider the object of study, in particular, the area of ​​the wisdom tooth located next to the mandibular nerve in all planes, from a different angle or from another projection. CBCT (Cone Beam Computed Tomography), on the contrary, gives us this opportunity.


Perhaps specially trained doctors with non-contact extraction of teeth work in these of your PMFs? Which without cuts and any efforts by the mere power of thought will make 8ku dissolve?


So, no, either!

And I keep asking: “Apparently the tooth was quickly removed and nothing bothered?” Damn! I didn’t even get here.

According to patients, the average time of removal of the lower retined wisdom teeth (those that are completely under the gum) in such institutions is 2.5 hours. A couple of times I heard, just think about 4 (!) Hours. Don't you think this is overkill? During this time, you can perform sinus lifting on both sides, install 8 implants, order a lunch, and even take a nap. On my statements like “in our clinic, the removal of such a tooth takes an average of 25-30 minutes, from anesthesia to the suture”, many, to put it mildly, look with surprise.

I think that after spending 4 hours in the dentist’s chair and some professor hung with regalia, you are unlikely to believe that all this could be done “a little” faster. And in a more friendly, calm and comfortable atmosphere. Without unnecessary risks and worries.


So why to remove wisdom teeth, people are sent to the hospital of the ChLH? Who is doing this?

But who:

- either the doctor is not able / afraid to remove such teeth and wants to play it safe by referring you to another specialist (which is most likely)

- or they want to scam you for money.

With the first paragraph, everything is clear. If you do not know how - give it to another. It is right.

But what does the money have to do with it, and why should it be “divorced”? Because you pay for services in which, as we just found out, there is no need:

- The cost of the day spent in the hospital is about 4 thousand rubles. Depending on whether you will have a solitary ward, or for several nights you will hear the snoring of another twenty of these same "lucky ones" with wisdom teeth.

But that is not all.

If general anesthesia is necessary, add to your money spent on the ward the consultation of an anesthetist-resuscitator (about 1.5 thousand rubles), the necessary laboratory examination (on average, 3 thousand rubles), and the procedure for general anesthesia itself. At least two hours, but sometimes more. And it can cost you from 8 to 30 thousand rubles.

But the surgery itself is worth something, right? As a rule, the removal of a retined tooth costs from 14 to 23 thousand rubles. We can assume that in a good hospital the cost of removal will be comparable (not including wards, anesthesia, tests, consultations and anesthesia).

Feel the difference? Well, isn't it a divorce? They scare you, then they shake money from you. A lot of money.

Why did I even write all this?

I want to tell you, dear friends, that there are practically no wisdom teeth that could not be removed outside the hospital at a regular outpatient appointment.Having spent forty minutes on the consultation, examination and the operation itself, you will solve the problem once and for all. In the shortest possible time you will be back in service, you will be able to go about your business, almost without getting out of your usual way of life. No need to take sick leave and hire a nurse. Live a normal life, but with little postoperative recommendations, appointments and examinations.

Thanks for attention. I will be glad to answer your questions in the comments!

Sincerely, Andrey Dashkov

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