According to the Americans about our dentistry Bashny.Net

An American dentist, visited Russia, and of course the Russian dentistry. That's what he thinks ...




The appearance, organization of rooms, equipment.
At external examination can not see much difference. Conventional clean rooms, modern dental chair ...



However, from a conversation with the doctors found out what a titanic struggle they lead to local regulatory agencies, as strictly regulated activities of dental surgeries. For example, there are strict rules on the size of the cabinet, where the surgery is performed, including teeth removed any complexity. The room itself continues to be not less than 20 square meters. m., and it has yet to be attached dressing room, sterilization and post-operative. In one state the clinic complained to me that they could hardly have found a Department in the room, but she turned out to be 19.5 meters operating and construction operbloka sanepidemstantsii not approved. In America, there is no control over the size of the room, and the teeth are removed in the same room where the teeth are engaged in treatment. All these strict limits seem to me unnecessary and superfluous. I was even more struck by the fact that children can not be treated in the same room with adults. In the children's ward should have a separate entrance, a private reception, private rooms. Logic I did not understand. It is in the fight against pedophilia, or what? Most interesting is that none of the doctors could not really explain the essence of this division. In America, the dental practice general take both children and adults in the same room.

The purity and sterility.
Russian offices resemble treatment - solid tiles and ceramic tiles. All the objects of materials which can be washed in bleach. Even the toys in the children's department. In American practice, and you'll see the painted walls and the carpeting in the hallways, and the scenery that bleach does not outsource.



I am not sure that such an absolute hygienisation justified. My practice, for example, is not even close to the rampant kafelizatsii, and no postoperative infections was observed. And I remove the teeth and implants are screwed ... As you know, in the mouth such trash, such abundance of microbes that enter it any more - not an easy task.

The procedure itself and sterilization equipment is not very different from the US - the same autoclave, only bigger in size, because the Russian doctors in hospitals are usually larger.



Radiology
Again, what is inconceivable sanepidemogranicheniya, lead to the fact that in most clinics X-rays is in a separate room, which greatly hinders the efficiency of diagnosis. In American hospitals each chair is X-ray machine, or have a portable unit that allows you to take pictures even in the toilet.



Only one private clinic in Moscow, I saw the X-rays at each seat, and then to get permission to do so had to paint the walls in the offices of a special paint and build a special camera system.

Radiology still refers to an index of high-tech dental office, it boast promotional wordstrips.



In America, boasting an X-ray in the office - it's like that boast a stove in his kitchen. Virtually no invasive procedure in the American practice is complete without an X-ray.

Dental Laboratory.
Large dental clinics have their own laboratory, for service a large number of doctors.



In America, where the vast majority of dental practitioner is based on one doctor, the majority of dental laboratories have a separate status, and the room is often a very different side of the country.

And so, the laboratory as a laboratory, not the clean production.



Physiotherapy.
In some Russian clinics have special physiotherapy, heating, electrophoresis ... In America, this is not, in principle, any dental practice, or anywhere else where I could send a patient. This we were not taught in dental school, there is no demand or traditions. How I need physiotherapy difficult to say.



Working for yourself or uncle.
In America, more than 90% of dental practices are based on the work of a single dentist who at the king and god. Usually a handful of specialists, such as surgeons, and then two or three, not more. In Russia, the vast majority of classrooms based on the work of several doctors, sometimes dozens of doctors of different specialties. Sometimes vledelets clinic treats himself a little, but mostly sitting in his office and looking to other doctors worked. Yes, and dealing with a disgruntled.



In general, many doctors complained about the rudeness of patients that doctors work is not valued, that many patients vykobenivayutsya measures over and doctors should treat them at all costs. For example, when I disassembled the case, when the doctor was not able to anesthetize the patient with acute pain. I tried for an hour and the patient still felt a tooth did not allow delete. As a result, the doctor gave advised to apply to the other place, because he sat in the other patients and had to move on. Male patients gave scandal and dashed off a complaint. I have over 13 years of practice, there were two cases when I could not anesthetize patients. In medicine, anything can happen, and do not always understand what was happening. Sent to surgeons, they did intravenous, cut off suddenly. What the doctor is punished? He treats as you can ... Of course, if every second can not numb, a different matter. By the way, recording monitors used also to trace what happened in the office, materials for future fights.

About the quality of care is difficult for me to judge, because next to the doctors, I was not sitting, not looking. The only place where I was allowed to attend the reception - clinic "Canadian Dentistry" in Moscow on Paveletskaya. Even my presence on the planned operation, but at the last moment the patient canceled for health reasons. That's about this doctor I can say only good things. A brilliant surgeon implant doctor virtuoso, to which I was not afraid to go to the chair myself, I would Bude took a dental implant: Stanislav Vasilyev stsvv. Advertising is not paid for the doctor, but the restaurant for dinner, he was paying, I admit :-)



Source: valera-kolpakov.livejournal.com