Overnight dentistry: dentist on duty, emergency toothache, where to extract a tooth

Even a person who leads a healthy lifestyle is not immune from the appearance of toothache, which disrupts a comfortable life, the usual daily routine and reduces efficiency.

Particularly puzzling is the pain that appears at night, since many people do not know what to do, where to go and where to quickly remove a tooth. Night dentistry comes to the rescue, whose employees know that at night the discomfort is aggravated for obvious reasons.

Causes of nighttime ailments

Not only toothache, but any other pathological processes have the property of exacerbating at night.

This is due to the following characteristics of the body:

1. The time of day from 12 am to 5 am is calling slowing down the basic processes of life, a person's blood pressure rises and the body becomes susceptible to any manifestations of pathology.
2. During the daytime, a sufficient amount of adrenal cortex hormones (glucocorticosteroids) are released into the bloodstream. They reflexively affect the center of pain, relieving its severity and intensity. And at night
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   the work of the adrenal glands goes into "sleep" mode, therefore, the painful sensations come to the fore.
3. At night happens change in the work of the vagus nerve (vagus). Its ability to influence the mood of a person and cause an exacerbation of pain manifestations has been scientifically proven.
4. Taking a horizontal position during sleep causes increased blood flow to the head. This creates increased pressure, which has an irritating effect on the nerve endings of the dentition, and the pain syndrome becomes intense.
5. The peculiarity of the human psyche lies in the fact that, doing everyday activities, he concentrates on the work being performed, which distracts from any unpleasant sensations. At night, the body is in state of relaxation, this allows pain to come to the fore. In this case, even ordinary pain will seem stronger.

Therefore, the dentist on duty, who knows such features of the body, is always ready to help a suffering night patient. But many are interested in whether it is possible to call an ambulance for a child or an adult if the tooth hurts unbearably when the sun has disappeared behind the horizon.

Where to go with acute toothache

When there is pain in the dentition at night, patients have a number of questions related to the peculiarities of the work of dental clinics. The answers to them are provided in the table.

Essence of the question	Solution
Where to urgently go with acute toothache that appeared at night, if even a strong one does not help pain reliever	If you have a night or 24-hour dentistry number, you can call them directly. Otherwise, you need to call the ambulance station. Since there are dental trauma centers and private round-the-clock clinics in cities, the ambulance dispatcher will prompt the required phone number, and also tell you about the additional equipment that the dental office is equipped with (apparatus for X-ray). The dentist on duty usually works at the clinic, and after providing first aid, he will make an appointment for a second appointment without presenting a coupon. If necessary, he can make an emergency removal of a tooth. In private dentistry, night duty is a common practice, allowing an appointment with severe pain.
What to do if a resident of a small town or village has an acute pain in a tooth	In this case, you need to call the district hospital and find out if there is a dental department and a doctor on duty. Emergency assistance for toothache will be provided in any, even a highly specialized institution, but this will be an injection of an analgesic that will temporarily relieve severe pain. In the morning, you need to seek help from a dental clinic.
Where to go with pain on the weekend	In dental centers and hospitals, usually on weekends (Saturday or Sunday), a doctor on duty remains, who, if necessary, will install a temporary filling with a medicine or carry out (according to indications) the removal of a dental units. The address and telephone number can be obtained from the information desk or by calling the ambulance station.
What types of manipulations can the dentist on duty perform?	It all depends on the equipment of the dental office, the patient's condition and indications for a particular procedure. If the dental unit does not respond to treatment, then after local anesthesia it is removed. If the process of inflammation has led to the development abscess, then it is opened, followed by washing and setting drainage.
When a tooth needs to be removed	Tooth extraction is performed if an abscess has developed, the gums are swollen and purulent contents are released through the destroyed tooth crown. Also, the doctor can pull out a tooth if it begins to stagger or there is a threat of the infection spreading throughout the body (sepsis).
Is it possible to have a free tooth extraction and where to do it at night or on Sunday	If you have a compulsory medical insurance policy and a passport, you can go to a dental clinic, and if the situation arose at night, then to a 24-hour emergency room. In the daytime, a patient with acute pain is admitted out of turn. At the same time, there is one caveat: a tooth that hurts badly can be pulled out for free, but if a doctor prescribes treatment, then medical services may be paid. This does not violate current legislation, since this situation is considered as not requiring emergency assistance.
What is needed for free dental treatment	The presence of a passport, policy and insurance certificate make it possible to free medical care for the treatment and prosthetics of the dentition. At the same time, filling materials, anesthetics and dentist work are paid from the social insurance fund. If for any reason a person is not satisfied with the raw materials and medical preparations, then he is provided with the opportunity for an additional fee to make an independent choice, but at the same time the services of a specialist remain free.

Night clinics in Moscow and St. Petersburg

In Moscow, there are many medical centers, night dentists, which provide different types of dental services, including free ones.

So in case of acute toothache, you can apply:

• children's dental clinic № 28 on General Ermolov Street (12) - works on weekdays until 20:00 and on Saturdays until 15:00;
• 9 Lesteva Street (Maxillofacial Hospital) - works on weekdays until 20:00 and on Saturday until 18:00, emergency assistance is provided from 20:00 to 8:00;
• dental clinic №7 - Leninsky prospect, 40 (on weekends and holidays, emergency dental care is provided daily from 8:00 to 20:00);
• round-the-clock dentistry "Dianta" in Lyublino (Krasnodarskaya str. 57, building 1);
• round-the-clock dentistry "Specialist" - Novoslobodskaya 46.

In Moscow and any other city with acute pain, you can go to any state polyclinics for first aid or call an ambulance for free. List paid night dentistry in the capital will also help you choose the right clinic.

In St. Petersburg, you can contact the night dentist on duty at the following addresses:

• polyclinic number 32 ave. Mentors (d. 22);
• "MEDI" (Suvorovsky pr. house 57);
• dental clinic №20 - Marshal Kazakov street, bldg. 3 house 14;
• dental clinic №12 - Blagodatnaya street, 16 (round-the-clock emergency care).

In St. Petersburg there are many paid 24/7 dental clinics.

According to patients' reviews, free help consists in removing a tooth, and if it can be cured, then the patient is given an injection of a non-narcotic analgesic to relieve pain until morning. Treatment must be resumed the next day by contacting a private or municipal dental clinic.

The situation is different if the patient goes to a private dental clinic. In this case, for a fee, he is provided with the entire range of necessary services, from relief of severe pain to prosthetics. These medical centers provide treatment and prosthetics, providing discounts and guarantees for a period of one to 10 years.

Emergency self-help: do's and don'ts

You can try to remove the night pain syndrome in the area of ​​the tooth yourself, for which you need to consistently perform the following manipulations:

1. Rinse your mouth with a soda solution with table salt, after cleaning the tooth from food particles with a toothbrush.
2. Take a pill of any drug with an analgesic effect. In this case, it is best to use Ketanov or Ketorol, Ibuprofen, or Tempalgin.
3. For the purpose of local anesthesia, it is allowed to use a special gel (Metrogyl Denta, Solcoseryl or Holisal).
4. The presence of a carious cavity makes it necessary to place a small piece of cotton wool in it, which should be soaked in clove oil or a solution Lidocaine.
5. Pharmacy dental drops will help relieve pain Dentaguttal. Their action is provided by the medicinal composition of the infusion of valerian, camphor and clove oil.
6. Periodically, you can rinse your mouth using a decoction of chamomile or calendula inflorescences, as well as using a decoction of oak or yarrow bark.

In order not to aggravate the process prohibited carry out the following activities:

• apply warm compresses and warm with salt;
• use antibacterial agents, as they will mask the clinical picture of the pathology that has arisen;
• apply acetylsalicylic acid to the tooth (the risk of getting a chemical burn increases);
• use drugs that belong to the spasmodic group (Spazmalgon or No-shpa), since they stop the spasm and will be useless in case of toothache.

Even if it was possible to stop a nocturnal toothache and the next morning a person forgets about night suffering, this does not mean that the visit to the dentist should be canceled. Inflammatory processes in the mouth tend to progress rapidly. And therefore, often the most minimal harm to health is caused by the removal of a dental unit, and in the worst case inflammatory processes affecting the periosteum can lead to sepsis (common infection blood).