RU2062127C1 - Method for treating periodontal diseases - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves exposing infraorbital and mandibular nerve region to artificially created in advance low pressure and high frequency discharges during 2 min. EFFECT: improved functional results; reduced risk of complications.

Description

 The invention relates to medicine, namely to dentistry. A known method of treating patients with periodontal disease, including the simultaneous impact on the area of the pathological focus with reduced pressure of 20 to 80 mm RT. Art. and high-frequency spark discharges (1).

 However, exposure to constant reduced pressure on the lesion often causes pain in patients. At the site of exposure, pronounced stagnation in the tissues appears, exacerbating pain, a local physiotherapeutic reaction occurs, pronounced fun (hemorrhage), often not disappearing for 3 to 5 days, which leads to disruption of the course of treatment.

 The aim of the invention is to reduce the complications associated with the effect of reduced pressure on the lesion.

This goal is achieved by the fact that according to the method of treating patients with periodontal disease, including the impact on the area of the pathological focus in the period of systole with a low pressure of 20 to 80 mm RT. Art. for 10
60 sec, and by high-frequency spark discharges, preliminarily act during the systole period with a reduced pressure of 20 8O mm Hg. Art. and high-frequency spark discharges to the infraorbital or mandibular nerve region for 2 minutes.

 The method is as follows.

 Preliminarily eliminate adverse local endogenous factors. They carry out anti-inflammatory therapy and at the decline of the inflammatory process, a reduced pressure of 20–80 mm Hg is applied to the area of the infraorbital or mandibular nerve during the systole. Art. and high-frequency spark discharges power, which are individually selected for each patient so that the muscle fibers begin to contract. The rhythmic exposure to high-frequency discharges together with reduced pressure during the systole and pause during the diastole leads to short-term muscle contraction, followed by relaxation during the pause. Such a rhythmic effect is very effective and most gentle for the patient, which allows it to be used for children.

 The rhythmic muscle contraction for 2 5 min has an analgesic effect, improves local hemodynamics, has an anti-inflammatory effect, which shortens the treatment time.

 Further, the area of the pathological focus is affected during the systole with a reduced pressure of 20 80 mm RT. Art. for 30-60 seconds, and high-frequency spark discharges. The procedures of the proposed method were better tolerated by patients. So the local physiotherapeutic reaction was observed only in 2 patients, and it was short-term, weakly expressed and did not affect the treatment results. Whereas in patients treated in a known manner, it was noted in almost all cases, and it was more pronounced.

 The treatment process according to the proposed method is carried out practically without side pain effects, the patient feels more comfortable, which helps to increase the effectiveness of treatment.

 EXAMPLE 1. Patient C. 36 years. She complained of pain and bleeding gums, bad breath. These sensations appeared 2 years ago, had not previously been treated. Based on data from objective studies, the diagnosis was made: chronic generalized periodontal disease of mild severity.

 After sanitation of the oral cavity to the patient, a set of therapeutic and preventive measures included vacuum darsanvalization, synchronized with the work of the heart according to the proposed method.

 During the procedures used a cuvette with a diameter of 7 mm, a vacuum depth of P 20 mm RT. Art. the magnitude of the current individually to the visible contraction of the muscle in the nerve field and to the sensation of slight tingling in the field of the affected area. Exposure on one field of the infraorbital or mandibular nerve for 2 minutes, the affected area, depending on the resistance of the gingival capillaries to 1 minute. The number of fields to be treated is 10, the total procedure time is 20 minutes, the number of sessions is 4. After treatment of the oral cavity with an antiseptic solution, a sterile glass cuvette is introduced into the oral cavity to the area of the infraorbital nerve and a vacuum is created, synchronized with the work of the heart. 30 seconds after the removal of saliva, a high-frequency discharge is connected, which, like the vacuum, acts for 2 minutes on the field only during systological pressure. After 2 minutes, the vacuum and high-frequency discharge are turned off. The process is repeated in the area of the mandibular nerve and the affected area.

 During the procedure according to the proposed method, the patient does not notice pain reactions, easily tolerates a physiotherapeutic effect. After the procedure, he feels a comfortable state, pain disappears, bad breath.

 After 3 procedures daily, the patient noted the disappearance of pain and bleeding gums. Objective studies have shown a decrease in the degree of inflammation in the gums. Four procedures were sufficient to completely eliminate inflammation in the gums. Then the procedure did not cause any special changes and was carried out to consolidate the achieved result.

 EXAMPLE 2. Patient U. 47 years old. He complained of itching, burning of the gums, discomfort, and hyperesthesia of the teeth on thermal and chemical irritants for 3 years. Previously treated, but short-term improvement was noted.

 Based on data from an objective study, the diagnosis was made: mild periodontosis.

 After sanitation of the oral cavity to the patient, a set of treatment and prophylactic measures includes vacuum darsonvalization carried out by the proposed method.

 During the procedures, a cuvette with a diameter of 10 mm and a vacuum depth of 80 mm Hg were used. Art. the amount of current individually (until the contraction of the muscle is visible) in the nerve field and until there is a slight tingling sensation in the field of the affected area, exposure in one field of the infraorbital, mandibular nerve and affected area 2 minutes, the number of fields treated 10, the total time of the procedure 20 minutes, the number of sessions 4.

 After treating the oral cavity with an antiseptic solution, we introduce a sterile vacuum darsonval cuvette into the oral cavity and the procedure is carried out such as in example No. 1, The process is repeated in an adjacent area. After conducting vacuum darsonvalization according to the proposed method for 20 minutes, the patient notes a feeling of freshness in the oral cavity, slight numbness, the disappearance of dental hypersthesia. The following procedures are carried out daily or every other day.

 After 3 procedures the patient has no complaints. The parameters of objective tests are within normal limits. The fourth procedure was appointed in order to consolidate the achieved result.

 The results of treatment of patients with periodontitis, depending on the treatment used, are given in the table.

 During the research period, it was found that the effect of biosynchronous vacuum darsonvalization on reflexogenic wounds within 2 minutes has a slight vializing effect. Full analgesic effect was carried out after the procedure for 2 minutes. At the same time, an increase in the exposure of the procedure by 2 minutes or more objective changes was not detected.

 Due to the preliminary 2-minute effect of reduced pressure and high-frequency spark charges on the area of the infraorbital or mandibular nerve, which has an analgesic effect, favorable conditions are created for the treatment of patients with periodontal diseases using reduced pressure and high-frequency spark charges. In addition, muscle contraction improves trophism of tissues, blood circulation, provides faster removal of decay products, which reduces swelling and stagnation in the affected area, and promotes faster restoration of periodontal tissues. All this leads to a reduction in treatment time by 1.2 1.5 times.

 The advantages of the proposed method of treatment are that it increases the effectiveness of treatment, allows for therapy without complications associated with pain reactions, in a shorter time.

 The method is simple, painless and can be used in people with impaired pain sensitivity (hyperesthesia, hypesthesia, hemihypesthesia), where due to intolerance to pain, treatment with the help of low pressure and high-frequency spark discharges on the lesion site becomes impossible. It is simple to perform, does not require special preparation of patients, and can be widely used in any dental office. TTT1

Claims (1)

 A method for the treatment of periodontal diseases by affecting the area of the pathological focus during systole with a reduced pressure of 20 to 80 mm Hg within 30-60 s and high-frequency spark discharges, characterized in that, in order to reduce complications, pre-reduced pressure and high-frequency spark discharges act on the infraorbital or mandibular nerve region for 2 minutes.

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