SU1789214A1 - Method of paradontitis treatment - Google Patents

Description

The invention relates to medicine, more specifically to dentistry, and relates to a method for the treatment of periodontitis.

There are various methods of treating periodontitis, determined by the general condition of the body, the form and severity of periodontal inflammation. Gingival and periodontal pockets for periodontitis are removed surgically (curettage, open curettage, patchwork). Subgingival and subgingival dental deposits are removed. Vitamin C and group B vitamins are also prescribed, sex hormones are used, drugs with a stimulating effect (prodigiosan, PhiBS, aloe, etc.), anabolic effect (pentoxyl, nerobol, methyluracil, etc.). Physiotherapy is carried out (darsonvalization, vacuum, hydromassage, etc.). To eliminate pathological occlusion, grinding of tooth crowns, dental prosthetics are performed. In some cases - diet, spa and psychotherapy. Clinical supervision is carried out.

The disadvantages of therapeutic methods in the complex of therapeutic measures are:

the need for a significant (10-12 or more) number of visits by patients to the periodontics office to conduct a generally accepted course of therapy.

No impact on the pathogenesis of the disease.

The presence of a significant number of contraindications for the use of physiotherapeutic procedures (artificial metal crowns, abscessing, the acute phase of tissue inflammation, individual, intolerance to electric current, hypertensive disease (malignant tumors of the oral cavity, erosive and ulcerative processes on the oral mucosa, etc.) ,

1789214 A1

The possibility of developing an allergic reaction of an immediate and delayed type in response to the use of antibiotics, sulfonamides, antiseptics and other drugs.

The prototype of the proposed method is a comprehensive method, which consists in the fact that after careful removal of hard supra- and subgingival tooth deposits in the periodontal pockets from the syringe, a 1% dibunol emulsion is introduced under the dentin bandage. When using dibunol application, normalization of periodontal status in patients with the initial stages of the disease (cessation of bleeding, the disappearance of hyperemia and pasty of the interdental papilla) is noted for the 7th procedure.

The main disadvantage of this method is the low efficiency and the possibility of use only in the initial stages of the disease.

The aim of the invention is to reduce the treatment time.

This goal is achieved in that in the framework of the known method, including the removal of tooth deposits, surgical interventions and drug therapy, an aqueous solution of the sodium salt of poly- (p-dioxo-o-phenylene) thiosulfuric acid is administered daily or every other day as applications (drug Olifen) until the disappearance of signs of the disease.

The method is as follows. After treating the mouth with a solution of antiseptics, carefully removing the supra- and accessible subgingival deposits, eliminating other local irritants (overhanging the edges of the fillings, traumatic occlusion, etc.), local therapy is performed. For this purpose, cotton turundas are impregnated into periodontal pockets soaked in a 7% aqueous solution of oliphene, which is covered with paraffin protective dressings for 2-3 hours in the absence of tissue abscess and 30 minutes. without a protective dressing in the presence of suppuration from pockets and / or tissue abscess. The procedure is repeated daily or every other day after the disappearance of signs of the disease, which occurs after 3-5 visits.

Currently, the drug Olifen in the form of a 7% aqueous solution is approved by the pharmaceutical committee for use as an antihypoxant.

In the treatment of periodontitis, the drug, along with antihypoxic properties, exhibits antioxidant and normalizing purulent-destructive processes, which allows you to dramatically (2-3 times) accelerate the healing process, as well as use the drug in cases of moderate and severe diseases.

Example 1. Patient M., 42 years old, complained of constant bleeding of the gums when eating, brushing your teeth. Sick for more than 5 years. Previously, treatment courses were carried out by periodontists, which gave a short-term effect. After the examination, the diagnosis was established: exacerbation of chronic generalized periodontitis of moderate severity. Treatment: on the first day of treatment, hard dental deposits and soft plaque were removed in the area of the teeth of the upper and lower jaw on the right. Turundas, impregnated with a 7% aqueous solution of drying oil, were introduced into periodontal pockets under a 3-paraffin dressing

h. At the second visit (the next day), the patient noted a lack of bleeding during meals and only a slight - when brushing teeth. On examination: the interdental papillae decreased in volume, the swelling of the free gum also decreased, and the bluish color of the marginal gum disappeared. Removed supra-gingival deposits in the area of the teeth of the upper and lower jaw on the left and become accessible on the right. Turundas are again introduced into the periodontal pockets, soaked in a 7% solution of olifene under a protective paraffin dressing for 2 hours. At the third visit (5th day from the start of treatment) it was found that the patient had no complaints; the mucous membrane is pink, the marginal gum fits snugly against the neck of the teeth; the Schiller-Pisarev test is negative: the resistance of the capillaries has normalized (Kulazhenko test), the activity of catalase in the oral fluid has increased.

PRI me R 2. Patient S., 50 years old, complained of pain in the area of 6.7 teeth of constant aching nature, aggravated by eating, tooth mobility, suppuration from the gums, constant bleeding of the latter, bad breath. The patient considers himself more than 10 years. Previously treated irregularly, the effect of treatment was short-lived. After the examination, the diagnosis was established: exacerbation of chronic generalized periodontitis of a severe degree. Treatment: on the first visit, solid tooth nadis subgingival deposits in the region of the teeth of the upper and lower jaw of the alloy were removed, in periodontal pockets for 30 minutes. Turunds impregnated with a 7% solution of olifene are introduced. The next day, the patient noted the absence of suppuration from periodontal pockets, a significant reduction in pain in the gums. On this and the next visit (3-5th day of treatment), hard tooth deposits were removed from the necks and roots of the upper and lower jaw teeth on the left, periodontal pockets were cured in the region of the upper molars and premolars on the right and left, and the final removal of the supra- and subgingival teeth 5 deposits from the roots of all other teeth. Turundas were introduced into the periodontal pockets soaked in a 7% solution of linseed oil under a paraffin dressing for 3 hours. At the fourth visit: no complaints: the mucous membrane of the gums is pink in color, the interdental papillae are of normal size: tooth mobility has decreased, bad breath disappeared: the level of catalase activity increased and the level of malonic 15 dialdehyde of the oral fluid decreased (as indicators characterizing the state of lipid peroxidation - LPO).

The indicated method of treatment was used in 65 patients with generalized periodontitis of moderate and severe degree and all obtained good immediate treatment results due to the antiradical and antioxidant properties of oliphene, its anti-inflammatory, hemostatic, antibacterial and anti-edematous effects. Follow-up observation (i.e. assessment of patients

Claims (1)

Claim A method for the treatment of periodontitis by means of surgical intervention and medicinal applications, characterized by the fact that they have periodontal status after diagnosis and treatment) continues. The proposed method for the treatment of periodontitis provides the following advantages: significantly (from 7-10 to 3-5) reduces the number of visits to patients by a periodontist: allows in a shorter time to eliminate inflammation (especially its exacerbation) of periodontal tissues: allows you to use for the treatment of patients with moderate and severe periodontitis, as well as people suffering from allergies; the use of olifen leads to a significant improvement in the condition of patients and periodontal tissues (cessation of suppuration, bleeding, edema) without additional use of other drugs; the method is simple, not associated with injections of the drug and can be put into practice, dentists of periodontics, departments of dental clinics, outpatient clinics and medical units. that, in order to reduce the duration of treatment, the application is carried out with drying oil, for 2-3 hours. Compiled by Y. Kononenko Editor Tehred M. Morgenthal Corrector m. Motyl Order 312 Circulation Subscription VNIIIPI of the State Committee for Inventions and Discoveries at the State Committee for Science and Technology 113035, Moscow. Zh-35, Raushskaya nab., 4/5 Production and Publishing Combine Patent, Uzhgorod, 101 Gagarin St.