SU1146032A1 - Method of treatment of pulpitis - Google Patents

Abstract

A method for treating a pulp by amputation of the pulp and then covering it with dentin filings, characterized in that, in order to prevent injury to the pulp stump, it is covered with a mixture containing dentinal filings, dry glucose and cyacrine in a 1: 1 ratio: 0.6, voiced at 24.5-28.5 kHz and an instrument oscillation amplitude of 30-35 µm.

Description

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This invention relates to medicine, in particular to therapeutic dentistry.

There is a method of treating pulpitis by introducing high-frequency oscillations 1.

There is also known a method for treating pulpitis by amputation of the pulp and covering with dentin sawdust 2.

However, with the known methods, pulpal injury is possible and complete cessation of bleeding occurs after 3-L minutes.

The aim of the invention is to prevent injury to the pulp stump.

The goal is achieved by the method of treating pulpitis by amputation of the pulp followed by covering it with dentinal sawdust; the pulp is coated with a mixture containing dentinal sawdust, dry glucose and cyacrine in a ratio of 1: 1: 0.6 to sound at a frequency of 24.5-28, 5 kHz and an instrument oscillation amplitude of 30- 35 µm.

The method is carried out as follows.

Under local anesthesia, necrotic hard tooth tissues are excised and the pulp is amputated. The pulp stump is covered with a mixture of dentine sawdust, dry glucose and cyacrine at a ratio of 1: 1: 0.6. A needle waveguide is introduced into the pulp tissue and voiced at a frequency of 24.5-28.5 kHz. Under the influence of the biological active medium of the organism, the dissolution and leaching of glucose and the deposited dentin 110GO conglomerate occurs. Along with this, germination occurs in the pores and channels of the connective tissue that are formed and the conglomerates are rearranged into normal dentinal tissue.

Example 1. Patient K., 26 years old. He complained of pain in the area B of the tooth. Diagnosis: chronic fibrous pulpitis of the b tooth.

Under local conduction anesthesia, necrotic hard tissues are excised and the pulp is amputated. Bleeding is stopped by ultrasound. To do this, a needle-shaped waveguide is introduced into the pulp stump tissue and voiced at a frequency of 26.5 kHz and an instrument oscillation amplitude of 35 microns. In the medial canals, bleeding from the stump of the pulp is stopped after 2 s, in the distal one - after 3 s. Tooth treatment is completed in one visit. The stump of the pulp is covered with a medical paste and a permanent filling is placed. The general condition of the patient is satisfactory. The tooth does not hurt. Immediate and long-term results of treatment of a tooth without complications.

Example 2. Patient N., 44 years old, had a cavity with softened pigmented dentine on the chewing surface of the GB tooth, an open pulp horn was found at the bottom of the carious cavity, sounding when probing. The electrometry readings from the bottom of the cavity are 50 µA. Diagnosis: chronic fibrous pulpitis (6 teeth.

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Under local anesthesia, necrotic hard tissues of the tooth cavity are excised and the pulp is amputated. The stump is covered with a mixture consisting of dentin sawdust, dry glucose and cyacrine in a ratio of 1: 1: 0.6.

0 and voiced for 1 min at a frequency of 26.5 kHz and an amplitude of tool oscillation of 30 microns. The mixture turned into a dense dentin conglomerate, firmly associated with the tissues of the tooth. A layer of phosphate cement is placed on it and a permanent filling is placed on top of it.

5 from sildidonta. The next day, Gb didn’t have a toothache, the patient didn’t complain, the reaction to percussion was painless, the mucous in the 6th tooth area was pink. There was no reaction to the temperature distributors. Electroodontometric data from the tooth cusp is 50 μA.

After 30 days of complaints (the 6. tooth was not presented to the patient, the reaction to percussion was painless, the mucous in the 1b area of the tooth is pink. On the radiograph, the periapical tissues are within normal limits.

The application of the proposed method of treating pulpitis reduces the time and increases the effect of stopping the bleeding from the pulp stump, which favorably reflects on the general condition of the patient and contributes to better pulp tissue regeneration. The effect of stopping bleeding comes through sec. The proposed method allows to treat pulpitis in one session, prevents trauma of the pulp stump, maintains its viability and ensures the formation of dentin.

Claims (1)

METHOD FOR PULPIT TREATMENT by amputation of pulp followed by its coating with dentin filings, characterized in that, in order to prevent injury to the pulp stump, it is covered with a mixture containing dentin filings, dry glucose and cyacrine in a ratio of 1: 1: 0.6, voiced at a frequency 24.5— 28.5 kHz and the amplitude of the instrument 30–35 microns.