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ukraine is the main topic for ukrainians victories and losses analysis and forecasts politics and geopolitics serhiy rudenko and the guests of his program will talk about all this people who have information and shape public opinion the opinion of the people who defend ukraine and create the future is already the main and interesting thing in the program verdict serhii rudenko from monday to thursday at 13:00 repeat at 21:30 some creatures they wonder about the toilet in the house and we from ukraine can insure cars, even if you are in the toilet hotline finance, insurance, of course, online, congratulations, i'm

iryna koval and it's about health during the war, agree, dental treatment is expensive and yes, we all think that because dental services have a price that is not everyone's pockets, and this is especially relevant now when there is a war in the country and many people have financial difficulties, so they do not seek help from dentists, or they delay until the last moment and lose that precious time and with it the teeth issue we decided to do it in order to destroy a common misconception and show you that free dentistry in ukraine actually exists. so how to treat teeth without all the money in the world. and where they do more complicated maxillofacial surgeries for free for the wounded

during the war. today we will start with the story of anna olenkova as an example in lviv, she found out who in ukraine has free teeth and how to help and get such treatment . free dental care can be obtained in medical institutions that sign the contract of meaning in the city of lviv, we have such institutions that provide dental care as the first dental polyclinic, the fourth public dental polyclinic, the first territorial medical association and the second territorial medical association for children under 17 years old in such institutions, all types of dental services are provided free of charge , certain categories of adults can count on the same conditions, and there is such a

city program that was developed in 2017 and it actually works until 2022. it is extended and extends to the financing of preferential categories of the population that live in a certain territory, so who among ukrainians is included in the preferential categories of the population, this includes the disabled, the disabled of the first and second groups, this includes labor veterans , etc., in addition to this, participants in hostilities and others categories of preferential beneficiaries who receive dental care free of charge and treatment and prosthetics ukrainians who are not beneficiaries can only receive emergency dental care free of charge, this includes acute pulpitis, acute periodontitis and emergency conditions, all of this is provided free of charge to residents

during the war . not only lviv residents can apply to lviv health care facilities. this includes residents, the head, any resident of ukraine, including internally displaced persons which we currently have in sufficient numbers to maintain free dental care, you do not need to go for a referral to a family doctor , it is enough to contact the institution providing such services directly, we do not just come they apply to the registry office, they are registered at the registry office, and they are directed to doctors so that there is such a long queue that we enroll such people in the queue.

a referral to a dentist can be prescribed by a primary care doctor, i.e. your family doctor, but you can get free dental care by self-referral directly to a clinic that has a contract with the national health service of ukraine, there are such institutions in almost every city where you can find a list of them and we will learn about other details by contacting us now, representative of the national health service of ukraine khrystyna petryk mrs. khrystyna i congratulate good day to you, greetings to all, ms. khrystyna. so, please tell our viewers in wartime what free dental care both adults and children can get and where they should go and what to pay attention to when they come to the dental clinic thank you for your questions, both before the war and now, when

we are under martial law, patients who need dental care can get it free of charge. the medical guarantee program covers this. it is about dentistry, if we are talking about such expensive services, and dentistry is really such a service, then the state guarantees the patient only urgent dental care if it is an adult patient, and if it is a child, then urgent and planned, what is urgent dental care about - it is the treatment of acute pain. it is the treatment of those conditions that directly threaten the patient's life, for example, it is a fracture of a tooth , it can be trigeminal neuralgia, carbuncle, furuncle, all this refers to legendary dental care, if the patient is an adult, he has such a problem this assistance must be provided in institutions free of charge with the national

health service, a contract specifically for dental assistance and such a service shall be reimbursed for the cost of such the patient's treatment services are paid for by the national health service of ukraine, if we are talking about planned dentistry for adults, then this service is not included in the medical guarantee program, the patient will have to pay for it out of his own pocket, but when we are talking about children's dentistry, it is for small patients and planned dentistry and emergency dentistry will be free of charge, it is included and covered by the medical guarantee program, how to find this institution, you will probably have a question about where you can go to really get such a service during the war, for security reasons, many dojbords were hidden on the website of the national health service, these were electronic maps where you could find a

clinic , find the contacts of this clinic. 16 77 and ask your questions there. where is the nearest clinic there? he is quickly informed about this. calls to this number are free from all phones, so please, i will ask everyone who needs it. dental care and not only dental care in order to find out what the state guarantees or free of charge and how to get it call our contact 16:77 - this is the short number of ms. khrystyna for internally displaced persons i understand that they are also where they were not in a corner of ukraine e- even if they lived there in chernihiv oblast and moved to transcarpathia, they can apply together with their children and receive this assistance as well. do they need any papers? do they need to provide any certificates? you are absolutely right. the patient's place of residence is the city. his registration does not matter now, the transformation of the health care system, which began even before the war , provided for the actual absence of any

reference to what the patient consumes, where he is registered, the patient chooses the clinic he likes, which is the closest to him, and this refers to any - which region of ukraine, that is, it does not matter whether the patient moved or he simply went to be treated in another region, he should also be provided with this assistance free of charge, no documents are required for this, i mean specific documents for internally displaced persons, it is not necessary to have your passport in order for the doctor to identify you and enter your data into the electronic health care system, this is actually an advantage and we now see that this is the positive that the transformation of the health care system gives us when patients can choose a family doctor in any city in any region , they can often move they are moving to another region ms. khrystyna and is it necessary to register as an internally

displaced person because i, for example, know such a situation when one of the private clinics announced that they conduct admissions free of charge for internally displaced persons but for this it was necessary to provide documents that you are internally displaced a displaced person, otherwise you need to pay for the services of a doctor in order to receive a service under the medical guarantee program, such documents are not required, the rules are the same for everyone if the institution signed a contract with the national health service, whether it is a private health service or a public health service doctor. he must accept a patient who needs medical assistance and who has a referral . additional barriers because the system now works according to this scheme, uniform rules for everyone so that the patient knows what the state guarantees them and the route to this

service is as simple as possible and uncomplicated by such things as the city of registration, for example the patient chooses which clinic is suitable for him, and the national health service pays for the treatment of this patient in that clinic, and ms. khrystyna, i want to thank you for contacting us today and for your advice. thank you. i wish you good health with us. the representative of the national health service of ukraine, khrystyna petryk, told me that the war really changed all areas of our life, this applies in particular to dentistry, and surgeons increasingly have to deal with unique cases to save patients with complex mine-explosive injuries of the jaws and face , extremely complex operations are carried out on the injured , they literally take them out of the other world and restore the function of the jaw, and they do it free of charge, and one of these surgeons is in touch with us, he is the president of the national union of dentists of ukraine, the honorary

president of the association of implantologists of ukraine, an honored doctor of ukraine practicing dentist , implantologist, dentist-orthopedic doctor and surgeon of the highest category myron u green and i want to tell you that myron green is an unusual doctor and a well-known only with his medical practice, because he actively helps servicemen in the combat zone, he goes to the front to conduct free operations, he hands over equipment for mobile dental offices, treats those released from captivity, and the ministry of defense even presented the doctor with a uniform with the semi-humorous title of marshal-dentistry so p mirono i i congratulate you, i am very glad to see and hear you. good day. glory to ukraine , and i thank you for your attention to such an important topic , because you show that you are one with such an important one. components of this process and informativeness for

our patients, this information is very important. so , i thank you very much for this attention, mr. myron . glory to the heroes and please tell me how many wounded soldiers you have already operated on since the beginning of the war, and we are talking precisely since 2014 because i know that you also had a very large program there and treated the teeth for free to the military as well, so tell me all about it, this period, in three parts, these are the events on the maidan, it is then ato er-e oos and now er-e a full-scale war, and at each stage there were their tasks, their own problems, and

dentists, as one of the most active parts of the medical community, actively participated in the work starting from the maidan, and for example , my first small such an operation took place at night in january of the 14th year in the zhovtnev palace near the ukraine hotel, so we, it ’s called this palace, that’s the name of this palace, and practically, then it was just a question emergency care and how events unfolded in kyiv it was easier to do because many dentists in kyiv actively connected and there was not such a big problem, but all those three periods unfortunately, they are happening against the background of a general problem with the

dental health of ukrainians in general so that there would be it is clear that according to nato standards, a maximum of 10% is allowed in the combat zone. now they reduce this percentage to 5 and no more than 5-10% of people with dental problems, we currently have 95-98 percent of patients who are already fighting, this is caries and the consequences of caries. and we did this research with military dentists at all training grounds when we were working on a sanitation project, we opened stomatological offices for those who were mobilized for those who passed, it was higher at the training grounds great, very great efforts. especially since it was

against the background of the outflow and now even more of the outflow of personnel from the combat zone, and today there are many destroyed dental offices, eh, practices and in the ato, eh, when we started working 15 years ago, the famous eh the trident e-e trident-2 project and he e-e learned e-e from the fact that a-e it became very necessary e-e the availability of mobile e-e dental offices the second is the creation of a single medical space among the power structures so that the power structures united in the plan of providing dental care and i even personally had a letter from the governor of luhansk e-e and the civil-military administration of luhansk oblast about the importance e of

mobile offices e-e e-e especially in luhansk oblast e especially for remote areas and not only along the line of demarcation, therefore, practically released from captivity, then groups joined, it's families, uh, oleg , oleg, and practically all of this was built exclusively almost on a volunteer basis, on a volunteer basis , the nature of aid changed, and according to the rules, too according to the rules, there will be a sphere and others, uh, no one pulls medical care at zero on at zero e-e on the demarcation line to the front line, and the task

is to bring these wounded out to a place where you can provide safe assistance, but you are automatically affected by the disease. well, to be clear, 98% are affected by carious disease, 52% needed tooth extraction, and what a terrible thing that 8%, eh- they had some kind of removable prostheses, which is not allowed by any regulations, so we practically had to bring specialized help to the front line. therefore, in karlivtsi of the donetsk region, it is 17 km from the donetsk airport, we created the famous trident er, the trident project and in shirokino it was directly at zero trident er-er there are two er-er in trident - this is ihor

yashchenko er-he manages this project and in trident-2 artem artem inclined if at zero we provided emergency aid what i am doing now and organizing now, i will tell you later what the specifics are today , uh, this and that have a computer tomography it is possible to have a laser scanner, it is possible to scan the oral cavity and manufacture without the help of 3d printers or 3d milling machines , to manufacture prosthetic structures within a day , that is, complex complex interventions, and the most important thing is that we have done what has not been done so far and we have made a single electronic card -e patient

, therefore, no matter where the patient was, the wound was injured, he was released, he is always his doctor has the opportunity to see what was done to him, who did it with what materials, and so on, unfortunately for us, until now pir does not even have a register of dentists because of today's war. unfortunately, the state, the ministry of health, cannot say how many dentists left, how many left the war zone, how many left ukraine, where they work, how they are arranged, how to involve them in helping refugees so far. well, we'll talk about it later, that is , there are three components, and since you started with the nature of the injuries, i would start with the most important component today, the third component

, if you allow me. i'm just worried that we it was enough for the whole time because there is not so much of it, so let's try to summarize what was the problem, the first problem - this is what everyone understood, it is the responsibility of all patients themselves for their own health and for their health of your teeth, this is hygiene prevention or any specialized things, no groups of dentists will do this, and secondly, you know what is happening now and everyone is watching television, that today we are practically covered with er rockets er shells er bombs and accordingly, the nature of the wounds is practically shot gran against the background of these early days does not

mean much today means that 65% - these are wounds of arms and legs 35% - these are wounds of the head and neck because what is not protected by a bulletproof vest or a helmet and uh, it's obvious on the window you see the nature of those injuries and what is needed to put it all together and that's why today such a high percentage of those injuries has become a problem the first problem was - it is the lack of good communication between the maxillofacial departments, both military and civil and cathedral. the second problem is that these operations require this is called

a method of metal synthesis of various titanium plates of various screws so that it is clear in order to twist together all those notes so that they are well experienced. practically, back to the beginning there was no war , there was no size, and thanks to international organizations, from lithuania, from poland, from lithuania, from lithuania, a well-known surgeon, from a professor from poland, they all helped to make the first deliveries of er companies er kvs martin and saa mma of these tools, that is 1,000 articles, that is 1,000 screws a-a further we managed to create it

behind er, behind my shoulders i have a map where we managed to targets in ukraine er-er-er those circles are introduced er-er this is another front office where we deliver, that is, we covered all of ukraine, connected them together and created a so -called general warehouse where you can exchange those things and consult the second thing what is very important today and not because of what is not closed nerve today there is a delayed evacuation of the injured mandibular-facial area character injured also this area so that everyone would understand a-and everyone a is the most difficult the most difficult in appearance the most difficult in the treatment and the most difficult then you the existence of e-e these people after e after treatment it was from napolevanovsky he first world second world second and it is now we do not have, you asked how many are injured to date, unfortunately, there is no

single statistic, uh, for those different departments and there is no single such point where it was possible to decide who to send, who to treat in ukraine and send abroad, because a lot of our western colleagues are ready to help us, but there should be a clear organization, as of today , all departments are already provided, i got feedback from all of you, every week i called they received, they received er, er, the fact that practically they are providing er, means, but not yet providing sufficient er, enough logistics so that injuries er, for example, er from the dnipro did not er reach kyiv within a day or to lviv or vinnytsia or in general such branches that you are talking about and which are marked on your map

eh, well, there are more than 20 eh, there are more than 20 eh branches, but we will say eh, unfortunately there is no we have now managed to establish such a connection and the consultant in this matter is the chief maxillofacial dentist of the ministry of defense and the city of dan, former colonel fedirko, a colonel of the medical service, who helps us coordinate it and we are able to make glass and it is enough complex operations uh this guys, what was added to the specificity was that neurosurgeons joined us in those groups of surgeons because they help you with a wound in the head, and now we have created two

operating theaters and helped to create two additional operations on to our lviv hospital, where in one department there are wounded like in the head , arms, legs, and sometimes on the same table , the head, neck, and arms are vaporized, arms, hands, legs, because he is such a combination, combination injuries , we just don't have much time now remains therefore, i would like to talk with you about civilians , that is, i understand that we can already do these extremely complex mine-explosive operations on the jaw and face. that is, we can do them in ukraine and help our soldiers and people who were wounded in general, but look, there are one more side of the coin about which you said at the beginning of our conversation that from the very beginning we already have ukrainians with sick teeth and even those soldiers who went to the and in general and civilians. and i also heard such an expression that after the war

we need to prepare for what almost all ours the nation will be toothless because people are now in shelters in basements and pay very little attention to hygiene itself, whether you share this opinion at all or not is quite preliminary he shows that it is not quite obviously it is a risk factor but it is not quite so sometimes such stressful situations, as they say, caries sleep, and this, but obviously, this will not happen. that there will be a toothless nation, because we have enough efforts in ukraine and with the right organization, and already this organization, uh, obviously, its own private volunteer dentists showed and the fact that we manage even without the direct intervention of the states, and it was written in the cover letter

, it was written in the development program that dentistry in ukraine developed only because there was no direct intervention of the state in its development, we take care of refugees, for example, my clinic together with the neighboring orphanage. here, on lychakivska , we created an office and we took care of the children of mariupol. other dentists take care of refugees. unfortunately, there is no such thing as the poles and i held a zoom conference where e-e on website in poland, you can go to the website of any city and, for example, look at the list of offices that are ready to provide assistance to ukrainian refugees, we have the only such website, well, at least i have not come across it, maybe i have time to read it, but it would be good. it should have been