SU1699430A1 - Method for treating paradontosis - Google Patents

Abstract

The invention relates to medicine, namely to dentistry. The aim of the invention is to reduce the number of complications. This goal is ensured by the fact that the plastic surgery is carried out with a one-piece transplant consisting of two plates - serrated and compact. They are fixed to the bone bed by a bone nail into which the bone pin is inserted, and the space between the bone bed and the transplant plates is filled with bone chips from the alveolar process. A positive effect is evaluated by an improvement in functional results.

Description

The invention relates to medicine, namely to dentistry, and can be used in the treatment of periodontitis.

The aim of the invention is to reduce the number of complications.

The method is carried out as follows.

To treat the affected jaw section, sloughing of the adrenal gland flaps is peeled off, thorough curettage is carried out: tartar, granulations, vegetative epithelium, necrotic cement and bone tissue are removed from the alveolar process defect, after which boring is performed to level up the appearance of bleeding points open the blood vessels). The resulting wound is washed with an aseptic solution.

For transplantation, fetal bones are taken for 26-34 weeks, with pronounced plasticity and high stimulating regenerative abilities, resistance to infection and low antigenic properties.

From brefokosti (spongy substance, more plastic) form brefotransplant slightly larger than the defect of the bone of the alveolar process. Then, from the same fruit from a more rigid bone tissue (cortical plate), an overlay is formed in the form of a plate. Similarly, nails are prepared from a rigid section of the brefi in the form of a round rod with a hat on one side and rounded on the other and having a longitudinal surface groove, the depth of which tapers towards the end of the nail. Studs are made from the same material in size and groove shape with a rounded end.

The breast transplant with the adjacent side is adjusted to the shape of the defect bed, then treated with solutions of antibiotics (lincomycin, sodium fusidine, etc.) and placed in the defect bed, and on top of (/)

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Cover with bone overlay, also treated with antibiotic solution.

Through a lining and brefotransplant, with a filigree boron, holes are drilled in the bone of the alveolar process under the nails, and the chips and sawdust of the bone of the alveolar process are left at the bottom of the bone bed. Nails are inserted into the holes, which tightly clamp the breast transplant to the bottom of the bed, cause it to shrink, and due to its elasticity (reverse deformation reaction) they create a permanent compression between the cover and the bottom of the bed. In order to firmly attach the nails to the bone of the alveolar process, studs are additionally driven into their grooves, which, like a wedge, firmly fix the aeromas in the holes of the bone of the alveolar process as a wedge.

The mucoperiosteal flaps are laid in place, covered with breast transplants, and sutured in the interdental spaces with a double suture. The wound is sealed with a collegiate antibacterial film and medical adhesive (MK-6, MK-7). On the 6-7th day the film falls out.

The use of breast transplant, which is immune inert to the recipient, eliminates the rejection reaction, which is typical of the known method. (suppuration, sequestration, rejection, etc.).

Autorugs and sawdust left in the defect bed provide for filling the gaps between the bone bed and the bone graft, increase its osteogenic properties. Impregnation of brefotransplants with osteotropic antibiotics (lincomycin, fuzidin sodium, etc.) prevents the addition of a secondary infection.

Example. Ill, Ch., 36 years old, diagnosis: chronic generalized paradon

tig, medium and heavy form. 10.29.81 g after preliminary preparation, the patient underwent an operation in the zone of 7654 teeth according to the proposed method. The postoperative course was without complications. On the seventh day, the film and seams fell out. Wound healing by primary tension.

12/01/81, an operation was performed in the area of J4567 teeth by plastics of the defect of the alveolar process with brefanglant using the same technique. On the eighth day the film fell out and the seams were removed. Primary wound healing. Re-examination was performed in December 1982, the gums in the lower jaw teeth are in good condition, there are no pockets, the teeth are stable. On radiographs from 12.23.82 g, stabilization of the process, the appearance of a bone pattern of the edge of the alveolar process, is noted.

Repeated examinations in 1986 and 1988 showed a positive result of the treatment performed - the teeth are stable, there are no parodontal pockets, the gums are of normal color, no bleeding is observed.

The method of treatment of periodontitis reduces the time required for rehabilitation of the patient and reduces the operative invasiveness (compared to the known one) by eliminating again the surgical intervention to remove the metal lining, reduce the likelihood of postoperative complications, and contributes to a more complete recovery of jaw function.

Claims (1)

The method of treating periodontitis by grafting a defect with a graft and then fixing it, characterized in that, in order to reduce the number of complications, the grafting is carried out with a single bone graft consisting of two plates — a toothed and compact — that is fixed to the bone bed with a bone nail, The bone pin is inserted, and the space between the bone bed and the plates of the breast transplant is filled with bone chips from the alveolar process.