"Have you ever used an old-fashioned hard bristle toothbrush?" A neat row of teeth was reflected in the mouth mirror in Wang Xingyan's hand, but there was only a "single-plank bridge" where the teeth and gums were connected, which looked like a wedge used by carpenters.
"It has been used, and all old Shanghai people love to use it." The patient lying on the dental chair replied that he was about 60 years old and suffered from wedge defects - a "V"-shaped defect formed by the slow consumption of teeth and neck.
"Hard bristles, plus a hard horizontal brush, will wear the surface of the teeth, causing such a form of teeth," Wang Xingyan picked up an inspection probe and demonstrated it as a toothbrush, "Be sure to use a soft bristle toothbrush, do not brush horizontally, place the bristles at a 45-degree angle when the gums and teeth are in contact with each other, sweep from top to bottom. This is Pap Brushing Method ".
Wang Xingyan is a stomatologist at Qibao Community Health Service Center. This spacious and modern clinic is outside the window with a large old-fashioned tile house. Because they are adjacent to Qibao Old Street , most of the patients who come here for treatment are elderly people over 60 years old. Wang Xingyan always spends a long time asking about their habits of using and brushing their teeth, and helping them understand more scientific methods of tooth protection from details.
After explaining the condition, Wang Xingyan proposed two treatment plans. One is to install porcelain teeth. 6 pills cost at least 6,000 yuan. The advantage is that they have better comfort. However, depending on the patient's condition, other teeth may fall off one after another, and porcelain teeth may fall off. Another solution is to make active dentures , which is economical and has a lower comfort level.
Finally, the patient chose more affordable movable dentures. If other teeth fall off in the future, they can directly add them to the movable dentures. A new one costs only 150 yuan.
"The elderly should understand new things slowly. The patient's patience is very important. The patients have different financial conditions. We also provide a variety of treatment options and give suggestions from a professional perspective to let patients find the most suitable treatment method."
Wang Xingyan receives nearly 20 patients every day, and the average visit time for each patient is 30-40 minutes. The 7 doctors in the Dental Department of Qibao Town Community Health Service Center are like this for everyone.
No. 1 is hard to find
You need to look for a affected tooth, at least two or three times, and at most several months. The reimbursement rate of private dental hospitals is low, and the Grade A hospital is far away and it is hard to get through. Therefore, the Qibao Community Hospital "at the doorstep" has become the most economical and convenient choice for many elderly people.
68-year-old Mr. Yao has visited many famous dental hospitals, but the Dental Department of Qibao Community Hospital is still his "first choice". I made porcelain teeth here 6 years ago and have never had any problems with them until today. More importantly, the doctors here always patiently explain the condition and "will give us the most suitable treatment plan from the patient's perspective."
Once, Mr. Yao's daughter's wisdom teeth were inflamed and the pain was unbearable. She made a special trip from Pudong to Qibao for treatment. The doctor Wang Xingyan of the hospital told her that anti-inflammatory treatment could only be performed on the same day. Because the wisdom tooth is located in a special location and requires special instruments. It is recommended to wait for the anti-inflammatory and go to the Grade A hospital to remove it. After the treatment that day, the daughter quickly subsided. She then went to a Grade A hospital in Pudong to successfully remove it.
html Over the past 16 years, Mr. Yao introduced more than 10 relatives and friends, including his lover, granddaughter, mother-in-law, neighbors, friends, etc., to community hospital, for dentistry, and many of them have become "old customers"."Big hospitals can handle many difficult and complicated diseases because the professional division is more detailed, but patients may run away more. If a patient needs tooth filling, tooth extraction and denture at the same time, he has to go to 3 different departments. Here we are a general practitioner of the oral stomatology, and a clinic can solve multiple problems." Zhao Lu, a stomatologist at Qibao Community Health Service Center, said.
Basic oral treatment needs, such as tooth extraction and filling, porcelain teeth, and movable dentures, can be met in community hospitals. In special circumstances, community hospital doctors who are familiar with the situation of all levels and types of dental hospitals will also formulate the most time-saving and economical plans for patients.
As word of mouth accumulates, more and more patients in dentistry are involved.The Dental Department has also expanded from several cottages on the third floor to seven clinics on the entire 6-story floor, but even so, it is still "number one is hard to find". Many elderly people come to the registration office to queue up at 6:00 in the morning, and when they are released, they often "snatch it all in one go."
Doctor and patient warmth
This year is Zhao Lu's 22nd year in the community health service center . In grassroots hospital , she became friends with many patients. "The ones she has known each other for more than 20 years, and she gets along like relatives."
Doctors in the dentistry department all feel that most patients are simple and kind, and trust doctors very much, so that they can give more strength to do their best. I often encounter deaf and mute people who come to see my teeth, so everyone uses writing to communicate with the patient. They can write two or three pages of paper every time, and they never get tired of it.
Once, a mentally ill patient came to a community hospital. He has been missing teeth for many years and has been to several major hospitals and has been refused to install teeth due to severe gum atrophy. After examination, Zhao Lu found that his condition was very complicated. With the current gum conditions, it is difficult to achieve the chewing strength of a normal person even if the dentures are installed, and it may require continuous debugging in the future. At the same time, the patient has a very laborious communication due to mental problems. Thinking of the difficulty of the patient's life, Zhao Lu decided to put a pair of dentures on the patient. Half a month later, the installed dentures were more effective than expected, and the patient's family also understood the doctor's kindness and expressed a lot of gratitude.
The good results are derived from the continuous improvement of the service capabilities of the dentistry team. Seeing that the public's demand for oral health care treatment is increasing day by day, Qibao Community Health Service Center attaches more importance to the Dental Department. With the support of the hospital, the Dental Department has continuously updated the diagnosis and treatment equipment and materials, supported doctors to study and study in higher-level hospitals such as Minhang Central Hospital, and organized online training for oral professional knowledge during the epidemic... The Dental Department has gone from the earliest two or three doctors to the current 11 doctors, truly "doing practical things" for the people.
Dental Department Team is also responsible for the prevention and control of dental diseases in schools in Qibao area. Every year, doctors are sent to kindergartens and primary schools to check, apply fluoride, fill teeth, and perform fuse sealing for children. "I just started going to kindergarten in 2012. Many children have a mouth full of tooth decay . After years of hard work, I looked at it again last year and my children have a clean mouth." Wang Xingyan smiled proudly.
Author: Qibao Town Media Branch Center Song Shiqing
Editor: Song Shiqing
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