Stomatology

Dental Technology (Russian Market)

Main article: Dental technology (Russian market)

Procedure for Dental Care

2020

Dentistry in Russia warned about the consequences of the order of the Ministry of Health on the analysis of X-ray images

At the end of November 2020, the dental self-regulatory organization League sent a letter to Prime Minister Mikhail Mishustin warning about the consequences of the order of the Ministry of Health, obliging radiologists to analyze each medical report and draw up a protocol on it within 24 hours. This requirement also applies to dentistry. Read more here.

The Ministry of Health approved the procedure for the provision of dental care

In early October 2020, the Ministry of Justice of the Russian Federation registered an order of the Ministry of Health regulating the provision of dental care to adults.

Medical care for the adult population is provided for dental diseases of the teeth, periodontal, mucous membrane of the mouth, tongue, salivary glands, jaws, including:

• carious, non-carious, and other dental lesions;
• acute, chronic and specific inflammatory diseases, acute and chronic trauma, acquired defects and deformities, periodontal cancer, oral mucosa, tongue, salivary glands, jaws;
• anomalies and defects in the development of teeth, dentition, jaws, their prerequisites and consequences.

The procedure for providing dental care to the adult population of the Russian Federation has been approved

According to the document, in the presence of medical indications for the provision of medical care for dental diseases, the paramedic, after carrying out measures aimed at eliminating pain, sends the patient to a medical organization to provide primary specialized medical care to a dentist, dentist, dentist, surgeon, dentist, orthopedic doctor, orthodontist (hereinafter referred to as dental doctors).

The prevention of dental diseases is carried out by medical organizations providing medical care to the adult population for dental diseases, and includes preventive measures, including preventive medical examinations, which are recommended to be carried out 1 once every 6 months.

In addition, as reported in the order of the Ministry of Health of the Russian Federation, medical assistance to the adult population for dental diseases is provided taking into account the standards of medical care and on the basis of clinical recommendations.^[1]

Statistics of oral diseases

According to the World Health Organization at the beginning of 2019, worldwide 60-90% of school-age children suffer from tooth decay, and almost 100% of adults already have dental decay. Oral health statistics also speak of other disappointing facts: severe periodontitis, which leads to tooth loss, is present in 15-20% of people aged 35-44 years. In addition, approximately 30% of people aged 65-74 do not have natural teeth, and factors such as unhealthy eating, alcohol consumption, smoking and poor oral hygiene are risk factors for developing oral cavity diseases.

In the coming years, the market will develop at the expense of two industries: orthodontics and aesthetic orthopedics. Until the 2000s, the culture of oral care in most people was limited to timely brushing of teeth. This was due to the fact that most of the treatments were long and painful, and there were no other ways and quality anesthesia. Moreover, in the 90s, many people simply could not afford treatment from a dentist and went to an appointment when the pain was already unbearable, and the clinical case was more neglected^[2]

Now the situation has changed radically. New treatments allow doctors to perform procedures painlessly, atraumatically and quickly. In addition, active education of the population made it possible to convey to people information about how important it is to regularly visit a doctor and comply with basic recommendations for the prevention of dental diseases.

The number of acute pain decreased, and aesthetic dentistry became a more frequent request from patients. Social media and fashion brands promote naturalness, patients become more demanding on the appearance of orthopedic designs, want veneers and crowns to look like natural teeth. Orthodontics can also satisfy the aesthetic needs of patients: according to individual indications, it became possible to use eliners - removable "invisible" polycarbonate caps that can align the dentition and bite without "damage" to the patient's appearance.

Periodontal disease

Main article: Periodontitis

New technologies in dentistry

Main article: New technologies in dentistry

Rating of clinics in Russia

• Rating of dental clinics in Russia

Recommendations of dentists

In 2018, a group of medical scientists conducted research that showed that 90% of respondents consider health and family to be leading values, but 42% of them smoke, 58% do not consider it necessary to undergo medical examination, only 48% visit a dentist for a preventive purpose 2 times a year and only 14% fully comply with the recommendations of dentists to preserve oral health.

At this time, still the main reason for visiting the dentist's doctor is either acute pain, or the reaction of the tooth to cold or hot, bleeding gums, the need for prosthetics.

For dental health, you just need to follow a few simple rules:

• Brush your teeth at least 2 times a day
• Rinse your mouth with water after each meal
• Eat properly - nutrition should be balanced, consume enough water - 1.5-2 liters per day
• Visit the dentist 2 times a year
• Follow the recommendations of the dentist.

Electric toothbrushes

Main article: Electric toothbrushes

Chronicle

2023

The number of paid appointments for a dentist has decreased in Russia

In 2023, Russians made a total of 70.1 million paid appointments to the dentist, which is 1.7% less than a year earlier. This is evidenced by the data of the analytical company BusinesStat, released in February 2024. Read more here.

Reducing the number of dentists

According to the data Rosstat (published in May 2023), the number of medical personnel (doctors and nurses) of dental institutions in the period 2018-2022. decreased from 78.8 thousand to 77.6 thousand people. The most tangible decrease (by 1.95%) occurred in 2022. More. here

Russian scientists have proposed 3D printing technology for tools for dentistry

For the first time, Russian scientists NUST MISIS and the Skolkovo Institute of Science and Technology proposed the manufacture of an important dental tool - a self-adapting file for cleaning dental canals - using additive technologies, namely selective laser melting (SLP). As representatives of MISIS told Zdrav.Expert on January 17, 2023, the researchers achieved a high resolution of SLP technology (about 100 microns), and in some cases the technology proposed by scientists will reduce and reduce the cost of tool production. Read more here.

2022

The Russian market for paid dental services grew by 8.2%

The Russian market for paid dental services in 2022 grew by 8.2% compared to the volume of one year ago and amounted to 71.3 million appointments. BusinesStat analysts reported this in a study released in March 2023. Read more here.

Scientists have proposed the use of scallop shell in dentistry

An international team of scientists with the participation of NITU MISIS researchers received material for restorative surgery from the shell of the Nodipecten nodosus scallop. It is safe for the body and has high antibacterial properties. In the future, the material can be used in dentistry and maxillofacial implantology. The institute announced this on December 13, 2022. Read more here.

Russia has created a new method of suborbital pain relief

Scientists at the Medical Institute of Northeastern Federal University have created a new method of suborbital pain relief. The press service of the university announced this on October 20, 2022. Read more here.

Launch of the production of implants and sets of sealing materials for 284 million rubles

The scientific and production company Medpromlab announced the production of dental implants and filling materials (photocomposites) on the territory of the special economic zone in Dubna. Investments in the project are estimated at 284 million rubles, the press service of the SEZ reported on October 4, 2022. Read more here.

Created a special dental coating that exceeds the hardness of natural tooth enamel

In mid-September 2022, it became known that researchers from Russia and Egypt developed an innovative coating that managed to surpass natural enamel in characteristics. Hydroxyapatite is used as a starting point for the technology. This compound is a major component in bone tissue and mineralized human and animal tissues.

The researchers doped hydroxyapatite with a complex of amino acids that naturally contribute to the restoration of bone and muscle structures such as lysine and arginine, resulting in a mineralized layer that resembles the main component of natural enamel in properties. The material was then applied to healthy teeth so the team could observe its ability to bind to real dental tissue.

Created a special dental coating that exceeds the hardness of natural tooth enamel

To study the properties of the new material, scientists used chemical imaging, field emission electron and atomic force microscopy. The thickness of the mineralized layer was found to be between 300 and 500 nm, and the nanocrystalline structure corresponds to the structure of apatite crystals in natural enamel. Importantly, the new coating demonstrated impressive strength and even greater hardness than natural enamel when measured at the nanoscale.

Enamel, being a very thin but very strong tooth coating, plays an important role in protecting against tooth decay and destruction, but it is also one of the only tissues in the body that cannot recover. This means that its lifelong erosion can lead to serious dental problems, but we have already seen some inventive approaches to repairing enamel, such as using low-power lasers to stimulate stem cells or toothpaste with peptides.

Offering another potential solution, the team imagines that its technology will help restore enamel erased by erosion or abrasion. But scientists also hope to refine it by exploring the potential for its application to address larger defects such as cracks and fractures.^[3]

In Tatarstan, a man was paralyzed and died after teeth were removed

On August 17, 2022, the Investigative Department of the Investigative Committee of the Russian Federation for Tatarstan announced the initiation of a criminal case on the death of a man after tooth removal. We are talking about 39-year-old Denis Batman. Read more here.

2021

Death of a child in a dental clinic as a result of inhalation anesthesia

In the Samara region, a criminal case was initiated after the death of a child in private dentistry. This was reported on August 10, 2021 in the regional Investigation Department of the TFR. Read more here.

Start of supplies of defibrillators to Russian dentistry

On February 26, 2021, the Shvabe holding announced the supply of more than 240 ANDA A15 defibrillators in dentistry in the Sverdlovsk, Kemerovo and Novosibirsk regions. By the end of the year, clinics will receive another 1,200 units of such medical equipment. Deliveries are carried out on a competitive basis. Read more here.

2020: Russian dental services market up 11.6%

In 2020, dentists in Russia held 239.6 million appointments, which is 11.6% less than a year earlier. Such data analysts BusinesStat released in early August 2022.

According to the researchers, the volume of the Russian dental services market has decreased due to the restrictions on the operation of clinics amid the COVID-19 coronavirus pandemic - they could provide emergency care and receive patients only with acute toothache. Since June 2020, the Government of the Russian Federation has been allowed to resume the provision of dental services in full in compliance with the sanitary and hygienic measures prescribed by Rospotrebnadzor, which made it possible to contain a more serious collapse in the industry.

The Russian dental services market grew by 11.6%

In 2016-2020, the main volume of the Russian dental market accounted for appointments provided in the Campus Management compulsory medical insurance sector - an average of 68.2% (181 million appointments) of their total number. In the context of a decrease in real income, patients saved on paid dental services and more often went to clinics for compulsory medical insurance. The commercial sector held the remaining 31.8% (84.5 million appointments) of the dentistry market. Expensive treatment had to be postponed until better times, the study notes.

It also says that in four years the number of dental appointments in Russia has slightly decreased - from 273 million to 271.1 million appointments. On the one hand, the volume of the dental market was restrained by the unfavorable economic situation in the country, as a result of which for a number of years there was a drop in income and an increase in the debt burden of the population. On the other hand, the market of domestic dentistry has already passed the extensive stage of growth and is quite saturated. It was mainly supported by the objective need to treat teeth, analysts point out.^[4]

1790: Personal dentist of the President of the United States creates the first boron machine

On March 6, 1790, John Greenwood, a Washington dentist and part-time personal dentist of US President George Washington, created the boron machine, which is one of the main professional tools of all dentists. Later, March 6 was recognized as a professional holiday - International Dentist's Day.

Notes