INTRODUCTION: Identification of morbidity (based on requests) and the population’s need for dental care optimizes the planning and distribution of compulsory health insurance (CHI) funds between medical organizations at the regional level. However, due to a decrease in the population’s demand for medical care in the context of the new coronavirus infection (Corona Virus Disease 2019, COVID-19), the dynamics of the provision of dental care and the structure of dental morbidity taken into account in the compulsory medical insurance system, have changed. AIM: To study the structure and dynamics of the provision of dental care in the period 2018–2021 (pre-pandemic and COVID-19 pandemic period) based on the volume of dental care paid for in the compulsory medical insurance system provided to citizens of the Ryazan region (RR). MATERIALS AND METHODS: The analysis was carried out on the basis of registers of bills accepted for payment submitted by medical organizations, taking into account the results of control and expert measures. All completed cases of treatment of insured persons with dental diseases in medical organizations of the Ryazan Region for 2018–2021 were selected for study according to territorial compulsory medical insurance programs. RESULTS: In the structure of outpatient primary health care in 2021, cases of its provision in the ‘Dentistry’ profile amounted to 7.40 ± 0.10%, taking 3rd place; the total number of cases of providing medical care to patients with this pathology decreased by 5.60% compared to 2018. Despite the reduction in the volume of primary dental care, the volume of dental examinations of the population of the RR increased by 30.46%. There was also a 34.08% reduction in completed cases of treatment of chronic periodontitis (p 0.02). For the 2018–2021 period 73,049 medical and economic examinations (MEE) and 1,626 examinations of medical care quality (EMCQ) were carried out, and 1,966 violations were identified (1,316 based on the results of the MEE and 650 based on the results of the EMСQ). The vast majority of these concerned non-compliance with standards of care and clinical guidelines. CONCLUSION: The results of the study indicate a reduction in the number of cases of insured persons seeking medical care for dental diseases during the COVID-19 pandemic. Owing to the approval of Order No. 231n of the Ministry of Health of Russia of March 19, 2021, obliging medical insurance organizations to carry out control and expert measures in each medical organization in a certain amount of dental care cases accepted for payment, the number of examinations has increased, and, as a result, the identification of violations in the provision of dental care.

INTRODUCTION: New modern technology – rehabilitation of missing teeth by dental implantation is relevant nowadays, since it determines the high result of orthopedic rehabilitation and improves the quality of patients’ life. The work presents the aspects of the implantological treatment in the system of public healthcare of the Ryazan region. The article, on an example of the united city dental organization providing dental services to the entire population of the regional center, presents difficulties in identifying the real need for dental implantation at the regional level, which is associated with the fact of receiving dental care by a part of patients in private clinics that do not submit statistical data to the reports of the region. The data of a scientific study conducted in the Ryazan region to identify the loyalty of old-age pensioners to public dental organizations are presented. The influence of preventive measures aimed at combating the pandemic of the new coronavirus infection (COVID-19) on the implementation of the volumes of dental care, including dental implantation, is noted. CONCLUSION: The development of the method of orthopedic rehabilitation using dental implantation in the public healthcare system is an important method of rehabilitation of patients with partial and complete loss of teeth, including a socially unprotected group of people of non-working age – pensioners by age who are loyal mainly to public dental organizations.

The new coronavirus infection has made significant changes in the life of the country, in the organization of production, including medical and diagnostic processes. The work of a dentist requires direct contact with the patient during treatment, dental instruments create an aerosol cloud that increases the risk of infection of the doctor. The current situation required the development of additional measures in order to reduce the risks of infection of dental specialists. In this regard, innovations in the organization of the work of a large city dental clinic in the conditions of the COVID-19 pandemic, presented in this article, are interesting.

INTRODUCTION: The issues of accessibility, quality of organization and satisfaction of Russian citizens with dental orthopedic care (DOC) are insufficiently studied and covered in the literature, which increases the relevance of the topic of our study Scientific Substantiation of Criteria and Pa-rameters of Accessibility and Quality of Organization of Dental Orthopedic Care. For this study, a medico-sociological toolkit is tested, which presents a questionnaire of 36 questions developed by the authors for evaluation of the quality of organization of DOC and of its affordability for the population. AIM: To test the medico-sociological toolkit by evaluating the filling out of the questionnaire by patients. MATERIALS AND METHODS: The questionnaire was developed on the basis of ethical and de-ontological principles with taking into account the quality management standards (ISO 9001:2015). In a comparative analysis and evaluation of affordability of DOC, the level of family income of patients was expressed in relative parameters minimum living wages. The pilot study was conducted on the basis of an enlarged dental clinic with surveying 41 patients who received DOC. RESULTS: Filling out of the questionnaire by patients of a dental clinic was evaluated in part of the study of affordability and the study of satisfaction with the quality of DOC organization 7 and 12 questions, respectively. Positive results of testing of the medico-sociological toolkit are presented. CONCLUSION: In the course of the pilot study, the Questionnaire was tested, no primary cor-rections were required. The algorithm of processing and analysis of the primary materials of the planned medico-sociological study was determined.