CN110025885A - Use the system and method for electric current therapy mouth disease - Google Patents
Use the system and method for electric current therapy mouth disease Download PDFInfo
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- CN110025885A CN110025885A CN201811300382.4A CN201811300382A CN110025885A CN 110025885 A CN110025885 A CN 110025885A CN 201811300382 A CN201811300382 A CN 201811300382A CN 110025885 A CN110025885 A CN 110025885A
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61N1/00—Electrotherapy; Circuits therefor
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- A61N1/20—Applying electric currents by contact electrodes continuous direct currents
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Abstract
It is a kind of to treat multiple oral disease and problem using direct current, while improving the device and method of comprehensive oral hygiene.Electrode be used for oral gingival tissue provide direct current, with realize many prevent, treat, regenerated benefit.These benefits include killing oral microorganism, promoting oral cavity vasodilation, reduce oral biological film, improve oral cavity blood circulation, reversing oral bone resorption, promote alveolus ostosis, treatment gingival recession and promote gum regeneration.Other benefits further include treatment gingivitis, periodontitis, halitosis and other systems disease relevant to oral cavity pathogen.
Description
Technical field
The present invention relates to field of oral cavity medical equipment, more particularly to use the system and method for electric current therapy mouth disease.
Background technique
Dentist and doctor think that periodontosis is the risk factor of various systemic diseases.These diseases include cardiovascular disease
Disease, Averse pregnancy outcomes and diabetes, newly-discovered evidence support itself and pancreatic disease and arthritic relationship.Although many is ground
Study carefully the correlation established between periodontosis and these overall health of patients, however in most cases, causality is not still
In disconnected research.Set forth below is some, and how the oral bacteria caused by periodontosis causes the biology machine of systemic disease
System:
1. mouth infection directly affects: oral microorganism and its byproduct can be by human recycle systems via in oral cavity
The mucous membrane of impaired tissue and inflammation leads to whole body system.By Whole Body system, oral microorganism is possible to directly affect
The subclinical infection medium of various systemic diseases.
2. inflammation: since oral bacteria level increases, the systemic inflammatorome marker levels of the people with periodontosis are higher.According to
Report, the treatment of periodontosis can reduce systemic inflammatorome level.
3. cross reaction: immune response of the human body to bacterial heat shock protein can generate antibody, the antibody and expression by
The congenital heat shock protein damaged on histocyte forms cross reaction, thus the development of acceleration system disease.
Cardiovascular disease
Investigate the potential association between periodontal disease and cardiovascular disease (including atherosclerosis, coronary heart disease and apoplexy)
The study found that there is significant be positively correlated between oral healthy condition difference and the illness rate of cardiovascular disease.Although both diseases
Disease has a several frequently seen risk factor, but recent studies suggest that, periodontitis may occur prior to atherosclerotic complications,
And lead to atherosclerotic complications.In fact, meta-analysis shows that the risk increasing of cardiovascular disease occurs for patients with periodontitis
Add.
Although specific not yet prove, whether these bacteriums cause atherosclerosis or more specifically invade
Enter the artery being damaged, still, the antibody of the periodontal bacteria including Fusobacterium nucleatum and Streptococcus oralis is in serum
It is found, and related with the risk increase of coronary heart disease.Mice study discovery, intravenous injection porphyromonas gingivalis can accelerate to move
The development of pulse atherosclerosis.In addition, after the Mouse oral inoculation for the sign that visible early atherosclerosis accelerates, infection
Porphyromonas gingivalis DNA is found in the aortic tissue of mouse.Fusobacterium nucleatum is named as Porphyromonas by another research
The synergist of bacterium.Due to the total agglutination effect between two kinds of organisms, Fusobacterium nucleatum enhances Detection of Porphyromonas intrusion host
The ability of cell.This discovery is critically important, is because the bacterium in atherosclerotic plaque may cause atherosclerosis
The development of patch.The viewpoint that evidence so far supports periodontitis that whole body is caused to be encroached on by oral bacteria, oral bacteria are
The potential source of whole body system inflammatory mediator, the Systemic inflammation medium are to generate cell factor in the periodontium infected,
When they enter blood, it can cause or deteriorate atherosclerosis and coronary heart disease.The clinical research of periodontosis also show with
Coronary heart disease has positive correlation, and present focal point is the definite pass understood between periodontal disease and atherosclerosis
System.
Premature labor
Fusobacterium nucleatum is one of the most common bacterium found in the amniotic fluid and placental infection for cause premature labor, is also often claimed
For unique infectant of fetal membrane integrality premature labor.Fusobacterium nucleatum is also highly relevant with various types of periodontosis.In periodontal
During infection, when oral mucosa comes to harm inflammation, and the quantity of periodontal pathogen dramatically increases, wink may occur in which in blood
When bacteria levels, so as to cause selective bacterium be colonized at undesirable position.One studies have shown that into pregnant mouse blood
The Fusobacterium nucleatum that injection is extracted from amniotic fluid infection or oral cavity, will lead to foetal death.
Recently, by analyzing an example stillborn foetus case, it was found that the fact that be not confirmed before one, Fusobacterium nucleatum
Really originate from the oral cavity of mother.Fusobacterium nucleatum may pass through endothelium from the oral cavity of mother by blood flow, in fetal membrane, amniotic fluid and
It breeds and is colonized in embryo, eventually lead to foetal death.In a mouse test, when haematogenous Fusobacterium nucleatum is injected into bosom
In pregnant mouse, the specific bacterial in placenta is caused to be colonized, so as to cause local inflammation.Although Fusobacterium nucleatum is small in injection 24
When after removed from maternal circulation completely, once bacterium is colonized in preferential placenta is immunized, bacterium can fast breeding and at 3 days
Inside cause foetal death.Chronic periodontal disease can by periodontal bacteria/marker of inflammation to placenta transposition come infection cell.
Diabetes
Diabetes are a kind of endocrine system diseases from heredity, environment and behavioral risk factors.In in the past few decades,
Diabetes have always been considered as be periodontosis a modifying factor, interactional relationship is also suggested in recent years between the two.
In addition, the presence of periodontosis has been considered as the risk factors for leading to diabetic complication, i.e. poor blood glucose control.Recent chases after
Track and system research discovery, are compared slightly or without patients with periodontal disease, periodontal disease and ischemic heart disease, diabetic nephropathy, evening
The diseases such as phase nephrosis and insulin resistance increase cause dead risk interrelated.In type-2 diabetes mellitus, insulin resistance
It is related with the effect of proinflammatory cytokine.Periodontosis is considered leading to significantly increasing for these inflammation markers, to assign
Give insulin resistance.One human research checks the bacterial content that compared the adult whether there is or not type-2 diabetes mellitus, as a result, it has been found that
Diabetic has more serious periodontitis, and the higher level of many oral bacterias, including Streptococcus oralis.
Bacterial liver abscess
Nearest Fusobacterium nucleatum is considered related with pyogenic liver abscess.Usual bacterial liver abscess is by biliary tract lesion, rest
Room disease and malignant intestinal tumour, atrophic gastritis and hidden source property hepatopathy, Escherichia coli, Klebsiella and enterobacteria are most common
Slave abscess in the microorganism isolated, and the PLA as caused by Fusobacterium nucleatum is very rare.Fusobacterium nucleatum is in liver purulence
It is found in swollen, and other than oral cavity, is found without other infections sources.It is assumed that due to the cohesion of Fusobacterium nucleatum
Property, it can transmit and destroy mucous membrane of colon and lead to bacteremia, eventually lead to hepatapostema.
Osteomyelitis
Osteomyelitis is the infection of bone caused by fungi or other bacteriums by bacterium.Under normal conditions, skin of the bacterium from infection
Skin, muscle or tendon are diffused into bone, and are often accompanied by cutaneous pain.Infection can also start and lead in the other parts of body
Cross blood born.Sometimes Fusobacterium nucleatum can be separated from bone/joint infection site of head and neck, and with it is chronic
Periodontitis is related.Nearest research report an example osteomyelitis case as caused by Fusobacterium nucleatum and muscle abscess.It should
Patient does not have known predisposing factor, without other sources of infection in addition to periodontal medical history.Since the dental health of patient is poor, draw
Fusobacterium nucleatum bacteremia is played, and leads to shank hematogenous osteomyelitis.
Arthritis
Many clinical researches show there is potential association between rheumatoid arthritis and periodontosis, because from trouble
Several oral bacteria species, such as Detection of Porphyromonas and Prevotella intermedia are isolated in the joint fluid of person.Periodontal disease is considered
Allow bacterium to pass through the permeable pocket epithelium in oral cavity, reaches following gum connection tissue.Therefrom, bacterium passes through blood
It is transported to and is colonized elsewhere in vivo.The oral bacteria found from the joint fluid of rheumatoid arthritis patients be cause containing
The reason of synovitis of oral bacteria DNA, it is lasting that this shows that periodontosis may have the function of joint disease.Therefore, periodontal
Inflammation in fact may be the factor for leading to the autoimmune inflammation response feature of rheumatic arthritis.With rheumatic arthritis
Patient may also have higher risk to suffer from periodontal disease, therefore there are bidirectional relationships between two kinds of diseases of prompt.One specific
Research has detected the presence of DNA of bacteria in the self of arthritic and failure prosthetic joint liquid, finds DNA of bacteria at 5
In patient, there are 4 patients to detect Fusobacterium nucleatum.This shows that this bacterium can be transferred to joint fluid from oral cavity, because
It has also been found that Fusobacterium nucleatum in the bacterial plaque sample of patient.
Oral bacteria biomembrane
Periodontitis, gingivitis and saprodontia are oral biological film and the oral infections disease that bacterium plays a leading role.Planting body loses
It loses (such as peri-implantitiss), the pathogenesis and biofilm formation of artificial tooth stomatitis and oral yeast infection (such as monilial infection)
Also related.Oral biological film starts from the tooth mycoderm formed on tooth.This film is made of sialoprotein matter, these eggs
White matter is covered on the surface of tooth exposure, and mainly human gingival epithelial cells, planktonic bacteria is initially adhered on these gums
On endothelial cell surface.Aerobic bacterium, including gram-positive cocci, such as Streptococcus oralis are the morning to form initial biomembrane bacterium colony
Phase bacterium colony mainly passes through cell division Adherent bacteria.Once initial bacterium colony is formed, the bacterial species of other aggregations, such as have
Core Fusobacterium, Detection of Porphyromonas and other gram-negative anaerobic bacterias will be attached on the bacterium colony being previously formed.With these
The maturation of bacterium colony, the lower gum surface of their longer covering gums simultaneously start to cause inflammation in periodontium.
Summary of the invention
The present invention relates to a kind of method and apparatus for facilitating overall oral health, more particularly through to oral surfaces without
Apply weak direct current invasively, treats periodontosis such as gingivitis, periodontitis and peri-implantitiss;Kill includes causing decayed tooth
Oral microorganism including bacterium;Reduce oral biological film;Increase oral cavity tissue blood flow;It ptyalizes;Promote gum
Regeneration;Promote Regeneration of Alveolar Bone;Treat systemic disease relevant to oral bacteria, and the other periodontosis for the treatment of and mouth
Chamber disease.
In order to realize this goal of the invention, the present invention provides the methods for using electric current therapy mouth disease, to oral cavity table
Face is non-invasively continuously applied the direct current of 50 to 250 microamperes of range.
Wherein, tongue side and cheek side gum using electrode seal are fitted in and directly contacts the side of gum, thus to tooth
Tooth and neighbouring gingiva tissue discharge direct current.Gum, tongue side or cheek side it is ipsilateral polarity of electrode it is identical, heteropleural polarity of electrode phase
Instead;Polarity of electrode can be exchanged during treatment or in treatment interval.The gum of lower jaw and maxilla respectively has one group of polar electric pole.
In the treatment conducting medium can apply be distributed in the region in need with galvanic contact, including tooth, gum or surrounding
Tissue.
In addition, the present invention also provides a kind of system using electric current therapy mouth disease, including facing, controller and fill
Electric seat, cradle is for supplying power supply;Controller controls and detects output electric current;Facing includes flat surface and an occlusal surface,
Flat surface includes packed part, wherein having wrapped up flexible circuit and current-carrying part, forms electric current, the electricity in the cavities
Stream is the direct current of 50 to 250 microamperes of range;Occlusal surface forms the U-shaped of fitting human teeth shape, is embedded in for flat surface.
Wherein, the conductive surface of only exposure is electric contact on the distal end and connector of electrode on flexible circuit, far
It holds and is encapsulated in copper-clad laminate the part interconnected between connector, in adhesive sheet or coating.Flat surface has
One group of opening extends to outer surface from inner surface, so that air can circulate over the course for the treatment of;Tension release part can wear
It is tilted down when wearing, and the instruction as the correct direction of facing when using.Flat surface contains spinous process, and the spinous process is on an internal surface
Extended with middle line work, a tension release part is extended on the outer surface with center line section work.Each pair of electrode of flexible circuit is all
Can independent control, the size of current of each pair of electrode on facing can all preset and adjust.
To enable the above objects, features and advantages of the present invention to be clearer and more comprehensible, preferred embodiment is cited below particularly, and cooperate
Appended attached drawing, is described in detail below.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art
Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below
Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor
It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is the perspective view of therapeutic device of the invention.
Fig. 2 is the front diagram of mouthpiece device of the present invention.
Fig. 3 is the back side diagram of mouthpiece device of the present invention.
Fig. 4 is the front diagram of writing board shape after mouthpiece device expansion of the present invention.
Fig. 5 is the back side diagram of writing board shape after mouthpiece device expansion of the present invention.
Fig. 6 is flexible circuit board top view of the present invention.
Fig. 7 is flexible circuit board bottom view of the present invention.
Fig. 8 is the front diagram of occlusion portion of the present invention.
Fig. 9 is the back side diagram of occlusion portion of the present invention.
Figure 10 is the top view of connecting line of the present invention.
Figure 11 is the front view of controller of the present invention.
Figure 12 is the bottom perspective view of controller of the present invention.
Figure 13 is the side view of recharging base of the present invention.
Figure 14 is the disassembly diagram of recharging base of the present invention.
Specific embodiment
Below in conjunction with attached drawing in the embodiment of the present invention, technical solution in the embodiment of the present invention carries out clear, complete
Ground description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.Usually exist
The component of the embodiment of the present invention described and illustrated in attached drawing can be arranged and be designed with a variety of different configurations herein.Cause
This, is not intended to limit claimed invention to the detailed description of the embodiment of the present invention provided in the accompanying drawings below
Range, but it is merely representative of selected embodiment of the invention.Based on the embodiment of the present invention, those skilled in the art are not doing
Every other embodiment obtained under the premise of creative work out, shall fall within the protection scope of the present invention.
It is known in the art when oral cavity bacterial exposure is when humble peace direct current, oral bacteria cannot survive.
This method killed oral bacteria and treat disease such as gingivitis caused by bacterium is the 1981 of Nachman
It is disclosed in the United States Patent (USP) 4,509,519 in 9 days April in 1985 of the United States Patent (USP) 4,244,373 and Detsch on January 13, in.
Kill the additional benefit that oral bacteria has pre- anti-caries or decayed tooth.In general, decayed tooth is attributed to the acid-producing bacteria for producing acid, generate
Acid will lead to tooth demineralization.However, Nachman does not instruct optimal method to gradually reduce including aerobic and anaerobic bacteria
Oral bacteria inside, but teach a kind of general aimless treatment method.
While influence of the researching DC electricity to oral cavity, it is found by the applicant that by by levels of current increase to about 50 to
The range of 250 microamperes (μ A), galvanism are capable of providing the benefits such as new and unexpected treatment, prevention, regeneration, are these
It is unknown before field.
Specifically, can not only kill bacterium by using the direct current in above range, can also kill virus or
Fungi.From pedopathy field studies have shown that in order to effectively treat fungal infection, need more higher than existing oral area diathermy
Levels of current (" fungicide of the low voltage and direct current as fungicide ", author Kalinowski etc., Podiatric Medicine association, the U.S.
Magazine Vol.94No.6:565-572,2004).By research of the application other than this field, method by increasing electric current,
Applicant can increase known method for disinfection the benefit for killing fungi and virus.Applicant's studies have shown that these are killed
Microbiologic properties comes into effect in treatment about 5 minutes and 15 minutes, reduces the microorganism on gum and under gum.
In addition, the clinical research of applicant unexpectedly proves, the direct current in 50 to 250 microamperes of approximate range
Gingiva tissue can be regenerated, provides non-operative treatment selection for the patient of the gum with recess.Although the osteogenic characteristics of electricity exist
It is known in this field, but before these experiments, contacting between non-bone tissue's regeneration and electricity is unknown in the art
's.Unique current range relevant to the process and apparatus of the present invention is to be realized effectively in dental field with non-surgical way
One of regenerated a small number of effective ways of gingiva tissue.
In further research, applicant carried out preclinical tests, check stimulus of direct current to salt water and saliva solution
In three kinds of different oral bacterias (Fusobacterium nucleatum, Streptococcus oralis, Detection of Porphyromonas) influence.The test has used different
Current strength, the inoculum concentration of bacterium, hydroponics base and treatment time, to develop optimal treatment time, to reduce these three
With periodontal and systemic disease Related Bacteria.
The result of the test produces unexpected as a result, and showing that every kind of different bacterium has galvanic current stimulation
Different dose responses.By specifically testing, applicants have discovered that can be in the single therapy for continuing 30 minutes or shorter time
It is middle kill up to 100% Streptococcus oralis, 99.1% Fusobacterium nucleatum and 52.3% Detection of Porphyromonas treatment parameter.
The research produces the unknown relevant parameter that pathogen targeting is directed to DC treatment before this field.In our current research
It was found that and the optimal treatment parameter that describes in the method a kind of mode of innovation can be provided, come reduce on gum and gum under
These three bacteriums, to prevention and/or treat its related complication, including periodontosis, biofilm formation and with these stomatopathys
The relevant systemic disease of substance.
In addition, before and after using present invention treatment in 30 minutes, respectively with electron microscope to Fusobacterium nucleatum bacterium colony
It is scanned, method to better understand the invention can reduce the mechanism of bacteria levels.Electron microscope image shows root
It according to method interference bacterial cell division of the invention and can weaken outer membrane (cell membrane), lead to the cell knot for being easy to destroy
Structure.This phenomenon is considered as the example of electroporation, in this case cell permeability of the membrane may temporarily or permanently by
To the influence of electro photoluminescence.It is further contemplated that the electroporation as caused by method of the invention can be in the new of exploitation molecular biology
It plays a role in terms of therapy.The molecular biology therapy will utilize this cell permeability and pass through following mechanism for novel substance
It is introduced into the cell of oral cavity pathogen or oral cavity tissue, including but not limited to, inhereditary material (transfection) such as DNA, RNA, sRNA,
SiRNA, plasmid etc..These effects will demonstrate that a kind of new tool applied in oral cavity field target gene therapy.
Particularly, the relevant method of the present invention is proved to reduce the active Colony Forming Unit in different oral bacterias
(CFU)。
Table 1 illustrates the oral cavity for the Colony Forming Unit (CFU) that the method for the present invention is not waited in saline solution 104 to 107
The treatment validity of hammer flora.Investigating current strength is 50 microamperes (μ A), 500 microamperes, action time of investigation is 5 minutes,
10 minutes, 20 minutes, 30 minutes.
Table 1
Table 2 illustrates this bright method to the oral cavity hammer of in saliva solution 104 to 107 Colony Forming Unit (CFU) such as not
The treatment validity of flora.Investigating current strength is 50 microamperes, 500 microamperes, and the action time of investigation is 5 minutes, 10 minutes, 20
Minute, 30 minutes.
Table 2
Table 3 illustrates this bright method in saline solution 104 to the 106 Fusobacterium nucleatum groups of Colony Forming Unit such as not
Treat validity.Investigating current strength is 50 microamperes, 500 microamperes, action time of investigation is 5 minutes, 10 minutes, 20 minutes,
30 minutes.
Table 3
Table 4 illustrates the method for the present invention to the Fusobacterium nucleatum bacterium of in saliva solution 104 to 106 Colony Forming Unit such as not
The treatment validity of group.Investigating current strength is 50 microamperes, 500 microamperes, and the action time of investigation is 5 minutes, 10 minutes, 20 points
Clock, 30 minutes.
Table 4
Table 5, which illustrates the method for the present invention, the treatment of the Porphyromonas flora of 105 Colony Forming Unit in saliva solution
Effect property.Investigating current strength is 50 microamperes, 500 microamperes, and the action time of investigation is 5 minutes, 10 minutes, 20 minutes, 30 minutes.
Table 5
Therefore, this method and relevant device have prevent, treat, the multiple effect of rehabilitation, this combined effect is at it
It was not disclosed in preceding technology.These effects include promoting osteanagenesis, elimination or inhibition oral microorganism, gingiva tissue
Regeneration, the formation for reducing and preventing oral biological film, the prevention of dental caries, the vasodilation for increasing oral cavity and blood flow, oral cavity are common
The treatment of gingivitis and periodontitis, the treatment of systemic disease or oral cavity pathogen related disease, raising oral hygiene are horizontal.
These effects pass through the direct current electro ultrafiltration for directly being contacted the multipair electrode of tongue side and cheek side gingival surface to gum
It is achieved.The outside of electrode is made of an electrically conducting material, include but are not limited to metal material for example silver, stainless steel, copper, gold,
Platinum, palladium, aluminium and above-mentioned alloy electrical-conductive nanometer tube material, charing rubber, electric silica gel or conducting polymer.It should
Electrode can be by of the same race or same material is not made.It fits in the electrode seal tongue side and cheek side gum and directly contacts gum
Side, to discharge direct current to tooth and neighbouring gingiva tissue.
The polarity of electrode of gum ipsilateral (tongue side or cheek side) is identical.Gum heteropleural polarity of electrode is opposite.Electric current in this way can be with
It flows through tooth and gum reaches another termination electrode being located on lateral gum, forming circuit.Gum tongue side is all in other words
Electrode forms complete anode or cathode.The electrode of all cheek sides forms opposite polarity.During treatment or between treatment
It can be exchanged every middle polarity of electrode.
The gum of lower jaw and maxilla respectively has one group of polar electric pole, such as foregoing description.This makes the periodontal group of lower jaw and maxilla
Knitting simultaneously or separately to obtain medical treatment.The two arrays of electrodes of lower jaw and maxilla can be by two different power supply power supplies, Huo Zhetong
One adjustable source power supply.
Conductor connects these electrodes to an adjustable source.All anodes can be connected with the anode of power supply, all yin
Pole can be connected with the cathode of power supply.The power supply can provide a direct current stable, about between 1-500 microamperes.Most preferably
, set about between 50-250 microamperes suitable for the electric currents of most of treatments.
In order to increase the electric conductivity of surrounding them tissue, a kind of ion or gelatinous liquid or gel can be used as one kind and lead
Dielectric is added into, to reduce intraoral resistance.This kind of medium can be distributed in the region in need with galvanic contact, packet
Include tooth, gum or surrounding tissue.This kind of conducting medium includes but are not limited to colloid silver gel, collargol liquid, colloid
Copper gel, electrocuprol liquid, colloidal gold gel, colloidal gold liquid, salting liquid gel, any group of salting liquid or above-mentioned substance
It closes.
Single or mixed collargol largely can not only increase electric conductivity, can also provide additional sterilization
Effect.Collargol is the substance of generally acknowledged inhibition bacterial reproduction, and concentration can be down to 5ppm.
This kind of conducting medium can also include dietary supplements, including but not limited to origanum oil.Origanum oil is considered having very
The benefit of multipair health and have bactericidal effect.This kind of Fungicidal substance can have healing effect to the inflammation of conventional oral disease
And it helps to safeguard oral health.
This kind of conducting medium can also include teeth whitening, and this can enable our inventions also to have tooth whitening function
Effect.Teeth whitening can shorten the onset of action time under the action of direct current.
Artificial or natural flavoring agent can equally be added in conducting medium, be similar to pure and fresh mouth while fluoride treatment
Gas.This kind of flavoring agent can cover the taste of conducting medium, facing or electrode itself material.
Fig. 1 illustrates the relevant therapeutic device 10 of the present invention.The device is preferably an independent instrument, includes a tooth
Set 100, a controller 300 and a cradle 400.
Fig. 2 and Fig. 3 illustrates the facing 100 in the present invention.Facing 100 contains flat surface 102 and an occlusal surface 168
(Fig. 8 and Fig. 9 are also shown).
Fig. 4 and Fig. 5 illustrates flat surface 102.Flat surface 102 includes a packed part 104, wherein having wrapped up flexible electrical
Road 122.Packed part 104 is made of flexible macromolecule, includes organosilicon 4040AUI, 4040 activator of Bluesil and indigo plant
Color pigment.Flat surface 102 contains spinous process 106, which is extended on inner surface 110 with the work of middle line 108, a tension release
Part 112 is extended on outer surface 114 with the work of center line section 116.One group of opening 118 extends to outer surface from inner surface 110
114, so that air can circulate over the course for the treatment of.Tension release part 112 can be tilted down when wearing, and as using
When the correct direction of facing 100 instruction.
Flat surface 102 contains conducting polymer 120, preferably electric silica gel.They are placed in flat surface 102 in advance
Selected position, below unfolded discussion.
Fig. 6 and Fig. 7 is the example of flexible circuit 122 in apparatus of the present invention.Flexible circuit 122 is by polyimide copper clad lamination system
At.Flexible circuit 122 contains independent anode 124,128,132,136,140,144,148,152 (illustrating 8 herein)
With corresponding cathode electrode 156 (illustrating 8 herein).
Anode quantity be equal to cathode quantity be it is optimal, but other different numbers arrangement it is also contemplated that.Each
Anode 124,128,132,136,140,144,148,152 all have respectively distal end 126,130,134,138,142,146,
150,154, the electrode in each cathode electrode group 156 has corresponding distal end 158.Although anode and cathode is independent herein
It has been shown that, but it is directed to specific gingival areas, it can be selectively performed immunotherapy targeted autoantibody.In order to provide immunotherapy targeted autoantibody, oral cavity
The electric current at other positions is controlled or reduces preferably by mechanically or electrically submode.Mechanically controlling or reduce electric current can
To be achieved by special electrode arrangement, such as in a facing act on tongue side or cheek side gingiva tissue be located at the
The cathode or anode of one position are at least against an a) tooth that be pulled out and install tooth-implanting or b) for intentionally or meaning
Outer reason tooth has removed, the empty alveolus that leaves or c) before good and sound tooth-implanting part.In addition, mechanically controlling
System reduces electric current stimulation and can continue to enhance, mode be in facing act on tongue side or cheek side gingiva tissue be located at second
The cathode or anode of position (opposite with first position) at least against an a) tooth that be pulled out and install tooth-implanting, or
B) lacked for intentional or unexpected reason tooth, the empty alveolus that leaves or c) before good and sound tooth-implanting part.If
Two electrodes arrange according to the above method, and do not have other electrodes on facing, then the control of electric current stimulation can pass through above-mentioned machine
Tool method is realized.In this way, facing can customize for some particular patients 's, complete kind by mechanical electrode arrangement
Specific aim electro photoluminescence to tooth region is planted.
Non- targetedly by electronically controlling or reducing electric current is obtained by the coordination electrode of controller selectivity
To realize.That is, facing is to may include one group of complete electrode arrangement.But by the control to electrode, each
Electrode possesses the optional state of a power supply.Each electrode can be set as anode, cathode or closed state.Therefore, exist
The region of electric current is needed, the first electrode in facing can be selected as anode or cathode, the first electrode are in facing
Position can against tongue side or the first position of cheek side gingiva tissue, this position at least against: a) one will be pulled out and pacify
It fills the tooth of tooth-implanting or b) has been lacked for intentional or unexpected reason tooth, the empty alveolus or c) good and sound before left
The part of tooth-implanting.In addition, electronically controlling or reduce electric current stimulation can further enhance, mode is second in facing
Electrode can be selected as anode or cathode (opposite with first electrode).The position that second electrode is located in facing can be with
Against tongue side or the second position (opposite with first position) of cheek side gingiva tissue, this position at least against: a) one will be pulled out
Out and the tooth of tooth-implanting is installed or b) has been lacked for intentional or unexpected reason tooth, the empty alveolus that leaves or c) before
The part of good and sound tooth-implanting.If two electrodes select according to the above method, and do not have other electrodes to be activated on facing and (compare
As other all electrodes are closed, or in high impedance mode or electric current tri-state mode), it then passes through and electronically controls or subtract
The method of few electric current stimulation is achieved.In this way, it can be standard in mechanical structure for the facing of different patients
Change, while by being electronically customized to facing, completing the specific aim electro photoluminescence to tooth-implanting region.
Above-mentioned mechanical or electronically control electric current can be directed to single tooth-implanting region, similarly this kind of side
Method (such as can also first act on certain time to a region, then to another in multiple tooth-implanting regions with successive time effect
One different zones remakes with certain time).
Fig. 6 illustrates the top view of flexible circuit 122, and first group of anode electrode (including 124,128,132,136) is all solely
Vertical is connected with the first planar junction 160.Fig. 7 illustrates the bottom view of flexible circuit 122, and second plate electrode (includes
140,144,148,152) all independent to be connected with the second planar junction 162, and arranged along cathode 156.It should be noted that
It is that an individual connector is located at the position of the first planar junction 160 and the second planar junction 162 and feasible, and
And within the scope of the present invention.Anode 124,128,132,136,140,144,148,152 in above structure is all only
Vertical power supply.Each electrode on facing is Programmable Design, and cathode 156 can also be connected by multiple with connector 162
Absolute electrode replace.The conductive surface of only exposure is on the distal end and connector 160,162 of electrode on flexible circuit 122
Electric contact.Part interconnected between distal end and connector is encapsulated in copper-clad laminate, adhesive sheet or coating
In.
Flexible circuit board 122 as described above, together with the one the second planar junctions 160,162, preferably packed part
104 coat completely.The distal end 126 of anode electrode 124,128,132,136,140,144,148,152,130,134,136,140,
144,148,152 and the distal end 158 of each cathode electrode 156 preferably superscribe conducting polymer 120 (see figure on its surface
5).Ideally, this conducting polymer 120 is only exposed in the inside of plane 102 110 (i.e. treatment face), can so keep away
Exempt from conducting polymer and touches other positions that need to be avoided, such as the lip of patient, gum and/or cheek.
Fig. 8 and Fig. 9 illustrates occlusal surface 168 in detail.The material of occlusal surface 168 is preferred flexible polymer, and and
The material of plane 102 is same or similar, and (such as Silbione 4040AUI, activator Bluesil 4040 and blue pigment is mixed
Close object), then form the U-shaped of fitting human teeth shape.Occlusal surface 168 has a upper surface 170, lower surface 172, inner surface 174,
Outer surface 176, left-hand component 178 and right-hand component 180.Groove 182 preferably extends to outer surface 176 and most inner surface
174。
The groove 182 of occlusal surface 168 matches the chimb 106 (see Fig. 5) on conjoined plane flat 102, and most handy adhesive is (transparent
) ensure to connect.After assembling, the inner surface 174 for being closely located to occlusal surface 168 of cathode electrode 156, each cathode electrode
Distal end 158 extend be distributed on upper surface 170 and under lower surface 172.Anode electrode 124,128,132,136,
140,144,148,152 it is distributed in outer surface 176 nearby and the distal end 126,130,134,138 of anode is distributed in occlusal surface
On 168 upper surface 170, the distal end 142,146,150,154 of anode is distributed under the lower surface 172 of occlusal surface 168, and
And each anode electrode is corresponded in the cathode electrode 156 of inner surface.Under optimal cases, conducting polymer 120 can be separated
Independently with the distal end of each positive grade electrode 124,128,132,136,140,144,148,152 126,130,134,136,140,
144,148,152 and the distal end 158 of cathode electrode 156 be connected.Plane 102 is preferably formed as a suitable shape, so that
Conducting polymer 120 can touch or the closely gingival edge (not shown) of patient, and is bonded (most with the gingiva tissue of patient
Be not in contact with tooth well), then in this case, anode electrode 124,128,132,136,140,144,148,
152 across the surface for being distributed in cheek side gum, and at the same time, cathode electrode 156 is across the surface for being distributed in tongue side gum.
The arrangement of one group of group anode and cathode electrode treatment region be divided into eight regions (be here treatment region 184,
186,188,190,192,194,196,198), and each treatment region can be controlled individually, this part can be later in detail
It describes in detail bright.
Fig. 2 (while can refer to Fig. 3) illustrates treatment region 184 by an anode electrode 124 and an anode electrode pair
The cathode electrode 156 in face is constituted;Treatment region 186 by an anode electrode 128 and an anode electrode opposite cathode electrode
156 are constituted;Treatment region 188 is made of the cathode electrode 156 of an anode electrode 132 and an anode electrode opposite;Treatment
Region 190 is made of the cathode electrode 156 of an anode electrode 136 and an anode electrode opposite.
Fig. 3 (while can refer to Fig. 2) illustrates treatment region 192 by an anode electrode 140 and an anode electrode pair
The cathode electrode 156 in face is constituted;Treatment region 194 by an anode electrode 144 and an anode electrode opposite cathode electrode
156 are constituted;Treatment region 196 is made of the cathode electrode 156 of an anode electrode 148 and an anode electrode opposite;Treatment
Region 198 is made of the cathode electrode 156 of an anode electrode 152 and an anode electrode opposite.
Whenever, or even in the treatment, the anode and cathode of electrode can be interchanged in above-mentioned facing 100.
Figure 10 illustrates a kind of form of expression of conducting wire 200 according to existing invention.This root conducting wire is by the first electric wire connecting junction 202
It is constituted with the second electric wire connecting junction 204 and conductor jointer 206.The one the second electric wire connecting junctions 202,204 contain anode electricity by one group
The conductor 208 of pole 124,128,132,136,140,144,148,152 and cathode electrode 156 is connected to the connection of third conducting wire
Device 206.Wherein the first electric wire connecting junction 202 and the first planar junction 160 are in contact, and the second electric wire connecting junction 204 is connected with the second plane
Device 162 is in contact.It is to use silicon that institute's live conductor in conducting wire 200 should be preferably also in itself by silicon rubber package and conducting wire 200
Rubber package.
Controller 300 is by fuselage 302, liquid crystal display 304, button 306, a controller connector 308 and a bar printing
Circuit board (hiding PCB) is constituted.Controller 300 can transmit direct current according to preset intensity and frequency.In addition to this, two-phase
The electric current of pulse current, alternating current or other forms can be used as.
Operating method for controller 300 is preferably that user's (not shown) is controlled by pressing keys 306.For example,
User can be started or be stopped transmission of the electric current to facing 100 by push button 306.Maloperation in order to prevent, pressing
The duration of key 306 can be perceived.
According to the state of controller 300, pressing keys 306 have multiple functions.For example, in one case, at device
Under closed state, controller 300 will be opened and device is allowed to be in preparation state within long-pressing key 306 about 1.5 seconds or so.
When the apparatus is in a stand-by mode, pressing key 306 can be such that controller 300 runs and transmit electric current to facing 100.And
When standby mode, if long-pressing key 306 will close controller 300 up to 3 seconds or so.After a course for the treatment of is completed, control
Device 300 processed will enter completion mode, and long-pressing key 306 will close controller 300 at this time.
Liquid crystal display 304 can describe the state of therapeutic device 10 to user.For example, liquid crystal display 304 can issue following prompt,
" being for preparing treatments for ", " in treatment ", " inspection ", " mistake ".Wherein, display " being for preparing treatments for " illustrate controller 300 come into
Machine state and controller 300 have been prepared for exporting electric current to facing 100." in treatment " illustrate controller 300 to
Facing 100 transmits electric current.
Ideally, when this device is in the state of " in treatment ", liquid crystal display 304 is by display one just in countdown
Timer, thus tell patient there are also how long can complete the course for the treatment of.Liquid crystal display 304 can show the state of electric current simultaneously, i.e.,
It can show the current strength that current controller 300 is exported to facing 100 and/or the current strength that controller 300 perceives.More preferably
Situation is that current status is shown 5 seconds in every 30 seconds to user, rather than continuously display." inspection " state description system detection arrives
There is the situation of open circuit in device.The case where the case where " mistake " state description current overload or low-voltage.
Preferably, there is a LED light (hiding) can be bright when controller 300 operates.There is a sounding
Device (buzzer, loudspeaker etc) (hiding) can be according to the state of present machine and/or when user is when switching machine state
It waits to issue and remind.(the following will explain in detail)
The parameter of controller 300 is preferably arranged by doctor or other trained medical staff, alternatively, can be by
Patient oneself setting.A kind of preferably set-up mode is that parameter is arranged in an external hardware (not shown) outside controller,
It can be using wireless means (such as bluetooth, Wi-Fi, NFC are infrared, electromagnetism etc.) and control.Finally, controller 300 will save
One presupposed solution, thus the setting work before eliminating the need for.
The parameter for needing to be arranged includes: for any for the treatment of region 184,186,188,190,192,194,196,198
Combination carries out DC treatment;The occurrence of the current strength of output, for example, 6 μ A, 12 μ A, 18 μ A, 25 μ A, 50 μ A, 62 μ A,
75 μ A, 100 μ A, 125 μ A, 150 μ A and 200 μ A (it is recommended that electric current is no more than 1,000 μ A at any time);And the entire course for the treatment of
Duration (it is recommended that being from 1 minute to 30 minute, using minute as minimum unit).
Controller 300 preferably monitoring device 10 therapeutic state simultaneously recorded in it can delete read-only deposit (EEPROM)
Status data.Controller connector 308 preferably matches JTAG standard, to allow external computer or electronic equipment (not shown)
The data record of therapeutic state can be read from EEPROM.These records, which are aggregated into doctor's hand, to carry out for treatment
Evaluation and analysis.
For example, these, which collect the data come, generally includes (while record date and time): the course for the treatment of number started in total;Always
The course for the treatment of number successfully completed altogether;The number of open circuit fault occurs;Course for the treatment of number under the off state of part;Under the off state of part according to
So successfully complete the course for the treatment of number of the course for the treatment of;The number that current overload mistake occurs;The number that not enough power supply mistake occurs;Device pause
Number;Continual cure after pause is to successfully complete the number of the course for the treatment of;The number of user's device for opening;User closes device
Number;The total duration of the number and device that device is closed by software new record after upper primary caching is reset.
Controller 300 is also required to current status (such as electric current, voltage, the resistance of each treatment region of real-time monitoring simultaneously
Etc.) and doctor can be detached from or patient is adjusted therapeutic scheme automatically.Such as anode electrode 124,128,132,136,
140, any one in 144,148,152 is directly connected with cathode 160 by the metal tooth in oral cavity, thus leads to controller
300 resistance that can perceive a treatment region can be especially low, then will cut off that treatment to protect user security
The electric current in region.
While recording data, it is preferably formed with a real-time clock and watch (hiding) while records time and date.
EEPROM preferably saves following information when treating and carrying out: user amounts to when completing a course for the treatment of
Take how long (longest 30 minutes);Whether facing disconnects when running;Whether current overload mistake hair is had
It is raw;And whether there is low battery mistake;Had over the course for the treatment of and suspended several times;And open circuit warning several times occurred.
Simultaneously it is contemplated that controller 300 can monitor that disconnection occurs for facing 100 and controller.This can be led by test
The connectivity between two pins on the privates connector 206 and controller connector 308 of line 200 is completed.
Controller 300, which also can be set into, can monitor a kind of following situation, i.e., when facing and controller normally connect but
Be facing not in the patient's mouth.In order to realize this function, controller 300 can be monitored on cathode electrode 156 (circuit loop)
Transmission electric current.If it find that not having back flow current on cathode electrode, then the pause of controller 300 is treated and in liquid crystal display 304
On report an error.For example, controller 300 monitors entire stimulation circuit, including anode electrode and cathode electrode.Controller 300 includes one
A circuit for being used to measure and predict to transmit the current strength to facing 100, while measuring from facing 100 and returning to controller 300
Current strength.Then this circuit comparison output electric current and back flow current, if the difference between them be more than threshold value (such as
10%-50%), then the electrode stimulating on entire facing stops, while showing error information on the controller.Once exporting electric current
It is returned in threshold range with the difference of back flow current, entire stimulation programs or scheme will be from the recovery works that reports an error of front
Make, while losing treatment time less as much as possible.
Lower chart 1 illustrates the parameter of monitoring treatment region electric current.As described above, user using therapeutic device 10 it
When preceding progress parameter setting, need to be arranged the intensity and monitoring duration T of running current, it is recommended here that T continues 2
Second.The alert threshold suggestion of open circuit is that the alert threshold suggestion of 80% and current overload of setting electric current is setting electric current
120%.The upper current limit in each treatment channel of whole device is arranged in 200 μ A to 300 μ A.
Chart 1: the current monitoring for the treatment of region
When controller 300, which transmits electric current, is treated to treatment region, reply is monitored in back flow current, is supervised
Measured frequency suggestion is acquired at 8 times per second.
If the threshold value that the electric current monitored on circuit is less than open circuit is more than T seconds, all problematic treatment region will
Pause running, meanwhile, user can be prompted to check facing 100 on liquid crystal display 304.Alternatively, monitoring electric current less than cutout threshold
Later, whole device can suspend running while notify user.
If the threshold value that electric current on circuit is more than overload current is more than T seconds, whole device will stop operating and
It reports an error on liquid crystal display 304.
In addition, 10 expection of therapeutic device can with completely compatible wireless technology, as Bluetooth technology, near field communication technology (NFC),
WIFI etc., realization is connect with the electronic equipment of user, such as mobile phone, tablet computer, PC.User can also further check
Personal use historical record, the comparison of preset treatment plan and/or the two.Therapeutic device 10 can also according to the course for the treatment of to
The electronic equipment at family, which is sent, to be reminded.The function is envisioned for (not showing by the application program for the electronic equipment that can download to user
It is operated out).Application program can also be connect with storage server, shared and used data, remotely monitored, mentioned by doctor
For one-way or bi-directional communication between patient and clinician, and/or doctor is allowed remotely to adjust treatment parameter.In addition, firmware
Upgrading can be by being wirelessly supplied to controller 300.
Charging station 400 preferably includes pedestal 402, bracket 410 and facing 420.Pedestal 402 preferably includes power input
End 404 and Dock Connector 406.Power input 404 receives the electric power from power end and (such as can be converted to standard electric alternating current
The adapter of direct current, is not shown).Dock Connector 406 is preferably connect with interface 308, the rechargeable battery into controller 300
(not shown) charging.
Bracket 410 is structure as a whole with the design of pedestal 402, and can place separable facing bracket 420.Bracket 410
Preferably there is an accommodating groove 412, is used in combination with controller 300.
Facing bracket 420 is preferably designed to place facing 100, and has around and multiple can wind cable 200
Protrusion 422.
In another embodiment of the present invention, or with the embodiment described before combine, can be used liquid or
The ion or colloidal medium of gel form reduces the resistance in mouth, and makes interelectrode current distribution more evenly.It can also be with
It is any combination of one or more ions or colloidal compound.Such medium includes but is not limited to colloid silver gel, colloid
Silvering solution body, electrocuprol gel, electrocuprol liquid, colloidal gold gel, colloidal gold liquid, physiological saline gel, physiological saline or on
Give an account of any combination of matter.Artificial or natural flavouring can also be added in above-mentioned medium, more be attracted with providing a user
The taste of people.Dietary supplements, including but not limited to origanum oil can also be contained in above-mentioned medium.Above-mentioned medium can also contain
Brightener for tooth.It will be most effective in above-mentioned ion or colloidal medium by the brightening agent of direct current electro-catalysis.
It can be seen that at least one embodiment meets the expectation of oral hygiene and dental field, so that with more having
Effect, less invasive and cheaper mode treat common mouth disease and illness simultaneously.These embodiments can promote mouth
Chamber health, reduces oral biological film, treats periodontosis such as gingivitis and periodontitis, kills the micro- life in oral cavity including bacterium
Object increases blood vessel dilatation and blood flow in oral cavity tissue to prevent decayed tooth and saprodontia, promotes gingiva tissue regeneration, helps
Regeneration of Alveolar Bone treats systemic disease relevant to oral cavity pathogen, and passes through the non-invasive weak DC treatment of oral surfaces
Other periodontals and mouth disease.
In some cases, dental operation can destroy the oral bacteria bacterium colony found in biomembrane, and introduce bacteria into
Blood flow causes bacteremia and other infection.It is further envisioned that, it may be necessary to this hair is used before it will carry out dental operation
Bright facing.Therapeutic equipment 10 of the invention can be used at home or in dental clinic by patient.In this way, in operation
Before can reduce viable bacteria (including on gum and gum under) in patient oral cavity, and reduce risks of bacteremia and other infection.Example
Such as (but being not limited only to), therapeutic equipment 10 can be controlled in the prevention of the dentistry of dental clinic or subgingival debridement and root planing (SRP)
It is used before treating, to reduce the risk introduced bacteria into blood stream of patients.
Therapeutic device 10 can also be used as infection mitigation after surgery, after including but not limited to having tooth pulled out and after plantation.
Prevention system disease
The present invention can be also used for prevention or treatment system disease, and details are as follows.The present invention has shown that for subtracting
Oral bacteria is effective less, especially Fusobacterium nucleatum, Detection of Porphyromonas and Streptococcus oralis.
1 cardiovascular disease
Facing of the invention can be used for reducing oral bacteria (including but not limited to Streptococcus oralis, Detection of Porphyromonas and
Fusobacterium nucleatum), reduce oral bacteria from gingiva tissue be displaced to remaining position of body so as to cause microorganism burden, reduce
By the amount for the inflammatory mediator that oral bacteria generates.In addition, passing through the amount for reducing Fusobacterium nucleatum, it is contemplated that porphyromonas gingivalis is invaded
The ability for entering host cell will weaken, to reduce bacteremia related with generation/deterioration of atherosclerosis and coronary heart disease
Development.
Facing of the invention can be used according to scheduled therapeutic scheme, to prevent, treat and/or mitigate cardiovascular disease
Disease.In scheduled therapeutic scheme, patient will wear the time of predetermined amount with scheduled levels of current, scheduled time interval.
It is further contemplated that can determine specific therapeutic scheme based on bacteria levels present in patient.According to this hair
Bright one embodiment, therapeutic scheme will include wearing facing of the present invention once a day, and 20 minutes every time, current strength was
500μA.For acute cardiovascular disease, this treatment can continue daily, until recovering.For chronic cardiovascular disease, this
Kind treatment can be repeated several times weekly, lasting to carry out.
2 stillborn foetuses
Further, facing of the present invention is used according to scheduled therapeutic scheme, treatment will reduce related with periodontosis
Stillborn foetus is treated and/or avoided to Fusobacterium nucleatum to prevent.The reduction of Fusobacterium nucleatum will reduce it from oral cavity conversely speaking,
A possibility that being displaced in blood flow, and migrating, be colonized to placenta from blood flow.It is contemplated that facing of the present invention can root
It uses according to scheduled therapeutic scheme to prevent stillbirth.In scheduled therapeutic scheme, patient will be with scheduled levels of current
The time of predetermined amount is worn with scheduled time interval.It is further contemplated that can be based on bacteria levels present in patient come really
Fixed specific therapeutic scheme.According to one embodiment of present invention, therapeutic scheme will include wearing facing of the present invention, cherish
Daily using once between pregnancy period, 20 minutes every time, current strength was 500 μ A.The aforementioned treatment parameter listed has been demonstrated in mouth
In the case that the clump count of chamber streptococcus and Fusobacterium nucleatum reaches 107, reduces its bacterium colony level and be very effective.
3. diabetes
Facing of the present invention is used according to scheduled therapeutic scheme, can by reduce oral cavity in Streptococcus oralis, into
And the blood serum designated object of inflammation caused by bacterium infection is reduced, to play the role of preventing, treating and/or mitigating diabetes.
In scheduled therapeutic scheme, patient will be pre- with scheduled levels of current, scheduled time interval wearing facing of the present invention
Fixed duration.It is further contemplated that can determine specific therapeutic scheme based on bacteria levels present in patient.According to this hair
Bright one embodiment, therapeutic scheme will include wearing facing of the present invention once a day, and 20 minutes every time, current strength was
500μA.Streptococcus oralis level is effectively reduced, and correspondingly reduce the amount of systemic inflammatory marker.This treatment can be with
It is repeated as many times weekly, it is lasting to carry out, to help to reduce marker of inflammation.
4. pyogenic liver abscess
Facing of the present invention is used according to scheduled therapeutic scheme, can be by reducing Fusobacterium nucleatum, to play pre-
Anti-, treatment and/or the effect for mitigating pyogenic liver abscess.Specifically, carrying out treatment using facing of the present invention will reduce
Bacteria levels prevent Fusobacterium nucleatum and other oral bacterias from entering liver and mitigate whole bacteremia.In scheduled treatment side
In case, patient will wear the scheduled duration of facing of the present invention with scheduled levels of current, scheduled time interval.Further
Imagine, specific therapeutic scheme can be determined based on bacteria levels present in patient.According to one embodiment of present invention,
Therapeutic scheme will include wearing facing of the present invention once a day, and 20 minutes every time, current strength was 500 μ A.Effectively to drop
Low Fusobacterium nucleatum is horizontal, to prevent any bacterium from systematically being transported from oral cavity.This treatment can repeat weekly more
It is secondary, it is lasting to carry out, until abscess mitigates.
5. osteomyelitis
Facing of the present invention is used according to scheduled therapeutic scheme, can be by reducing Fusobacterium nucleatum, to play pre-
Anti-, treatment and/or the effect for mitigating osteomyelitis.In scheduled therapeutic scheme, patient will be with scheduled levels of current, scheduled
Time interval wears the scheduled duration of facing of the present invention.It is further contemplated that can be based on bacteria levels present in patient
To determine specific therapeutic scheme.According to one embodiment of present invention, therapeutic scheme will include wearing facing of the present invention
Once a day, every time 20 minutes, current strength was 500 μ A.Fusobacterium nucleatum level is effectively reduced, to prevent any bacterium
It is systematically transported from oral cavity.This treatment can be used in combination or separate with the osteomyelitis treatment based on antibiotic of standard
It uses.When with Antibiotic combination in use, treatment would generally continue about 29~42 days.When being used separately with antibiotic,
Treatment is primary daily when being in a bad way, and continues some months;It is then lasting in chronic seizures to be controlled with the frequency for the treatment of in one week for several times
It treats.
6. arthritis
Facing of the present invention is used according to scheduled therapeutic scheme, can be by reducing Fusobacterium nucleatum, to play pre-
Prevent, treat and/or mitigate arthritic effect.In scheduled therapeutic scheme, patient will be with scheduled levels of current, scheduled
Time interval wears the scheduled duration of facing of the present invention.
It is further contemplated that can determine specific therapeutic scheme based on bacteria levels present in patient.According to this hair
Bright one embodiment, therapeutic scheme will include wearing facing of the present invention once a day, and 20 minutes every time, current strength was
500μA.Fusobacterium nucleatum level is effectively reduced, prevents any bacterium to be transported from oral cavity and be displaced to joint fluid, reduce
Relevant inflammation.This kind of chronic disease can be repeated as many times weekly and treat, lasting to carry out.
It reduces biomembrane and prevents biofilm formation
Facing of the present invention according to can be used with scheduled therapeutic scheme, can by reduce oral biological film it is main at
Divide Fusobacterium nucleatum, porphyromonas gingivalis, Streptococcus oralis, prevents, treats and/or mitigate oral biological film to play
Effect.In scheduled therapeutic scheme, patient will wear tooth of the present invention with scheduled levels of current, scheduled time interval
Cover scheduled duration.It is further contemplated that can determine specific therapeutic scheme based on bacteria levels present in patient.According to
One embodiment of the present of invention, therapeutic scheme will include wearing facing of the present invention once a day, and 20 minutes every time, electric current was strong
Degree is 500 μ A.Fusobacterium nucleatum level is effectively reduced, further prevent being caused by Fusobacterium nucleatum forming more biomembranes,
And reduce the vigor of existing Fusobacterium nucleatum biomembrane bacterium colony.
According to another embodiment of the invention, therapeutic scheme will include wearing facing of the present invention once a day, often
Secondary 20 minutes, current strength was 50 μ A.It is horizontal with the oral cavity that porphyromonas gingivalis is effectively reduced, it further prevents by gum porphin
Quinoline monad causes to form more biomembranes, and reduces the vigor of existing porphyromonas gingivalis biomembrane bacterium colony.
In addition, according to another embodiment of the invention, therapeutic scheme will include wearing facing daily one of the present invention
Secondary, 20 minutes every time, current strength was 500 μ A.Streptococcus oralis level is effectively reduced, further prevent by Streptococcus oralis
Initiation forms more biomembranes, and reduces the vigor of existing Streptococcus oralis biomembrane bacterium colony.
For reducing or preventing this treatment of biomembrane can carry out daily, continued for 3 to 6 weeks.For chronic biomembrane
Illness, this treatment can once a week or be repeated several times, and continue to carry out.
The treatment and/or prevention of peri-implantitiss
Peri-implantitiss are usually after dental implant implantation, around oral cavity tissue and dental implant or with other sides
The inflammation that formula physical contact causes.Before or after the operation that dental implant is implanted into or is replaced, using treatment side of the invention
This inflammation can be prevented or be mitigated to method.
Will partially or fully be implanted into/replace planting body before, reduce peri-implantitiss possibility a kind of method be
The gingiva tissue that electric current is applied or is transmitted near the predetermined implant site of planting body.Although electric current may pass through oral cavity tissue point
Cloth is not less than 6 μ A to elsewhere simultaneously, and preferably not below the electric current of about 50 μ A (being ideally no more than 300 μ A) will
The gingiva tissue being transmitted near the predetermined implant site of planting body.The electricity thorn that preoperative treatment scheme is about 20 minutes daily
Swash, treatment continue dental implant implant surgery it is previous to fortnight.
Partially or fully be implanted into /replace planting body after, prevention or mitigate peri-implantitiss a kind of method be
The gingiva tissue that electric current is applied or is transmitted near planting body implant site.Although electric current may be distributed to by oral cavity tissue
Elsewhere, but simultaneously be not less than 6 μ A, more preferably in the case of at least about electric current of 50 μ A (be ideally no more than 300
μ A) gingiva tissue near planting body implant site will be transmitted to.The electricity that post-operative treatment scheme is about 20 minutes daily
Stimulation, treatment continue dental implant implant surgery it is latter to fortnight, or until inflammation is mitigated.
Although for the sake of clarity, being carried out to operation consent and postoperative method described separately.But in fact, specific patient
The user of either facing can be selected with both methods, or select any of which.
Above-mentioned is the principle of the present invention explanation.Since those skilled in the art can easily carry out many modifications and change
Become, thus the present invention be not limited to shown in and it is described it is definite structurally and operationally on.While preferred embodiments have been described, but
It is that detail can be made without departing from the present invention and change.
Claims (10)
1. using the method for electric current therapy mouth disease, it is characterised in that be non-invasively continuously applied 50 to 250 to oral surfaces
Direct current in the range of microampere.
2. the method according to claim 1 using electric current therapy mouth disease, it is characterised in that using electrode seal
It fits in tongue side and cheek side gum and directly contacts the side of gum, to discharge direct current to tooth and neighbouring gingiva tissue
Electricity.
3. the method according to claim 2 using electric current therapy mouth disease, it is characterised in that gum, tongue side or cheek side
Ipsilateral polarity of electrode is identical, and heteropleural polarity of electrode is opposite;Polarity of electrode can be exchanged during treatment or in treatment interval.
4. the method according to claim 1 using electric current therapy mouth disease, it is characterised in that the tooth of lower jaw and maxilla
Gum respectively has one or more pairs of polar electric poles.
5. the method according to claim 1 using electric current therapy mouth disease, it is characterised in that can apply in treatment
Conducting medium, be distributed in the region in need with galvanic contact, including tooth, gum or surrounding tissue.
6. using the system of electric current therapy mouth disease, including facing, controller and cradle, it is characterised in that: cradle is used
In supply power supply;Controller controls and detects output electric current;Facing includes flat surface and an occlusal surface, and flat surface includes envelope
It fills part and forms electric current in the oral cavity wherein having wrapped up flexible circuit and current-carrying part, the electric current is 50 microamperes to 250
The direct current of microampere range;Occlusal surface forms the U-shaped of fitting human teeth shape, is embedded in for flat surface.
7. the system according to claim 6 using electric current therapy mouth disease, it is characterised in that the flexible circuit
The conductive surface of upper only exposure is the electric contact on the distal end and connector of electrode, the mutually interconnection between distal end and connector
The part connect is encapsulated in copper-clad laminate, in adhesive sheet or coating.
8. the system according to claim 6 using electric current therapy mouth disease, it is characterised in that the flat surface has
One group of opening extends to outer surface from inner surface, so that air can circulate over the course for the treatment of;Tension release part can wear
It is tilted down when wearing, and the instruction as the correct direction of facing when using.
9. the system according to claim 6 using electric current therapy mouth disease, it is characterised in that the platform bread
Spinous process is contained, which is extended on an internal surface with middle line work, and a tension release part is extended on the outer surface with middle line work.
10. the system according to claim 6 using electric current therapy mouth disease, it is characterised in that the flexible circuit
Each pair of electrode all can independent control, the size of current of each pair of electrode on facing can all preset and adjust.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN113559418A (en) * | 2020-04-29 | 2021-10-29 | 上海库石医疗技术有限公司 | Micro-current oral cavity sterilization instrument with adjustable current direction |
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CN109939351A (en) * | 2018-01-24 | 2019-06-28 | 上海持科医疗技术有限公司 | Use the system and method for electric current therapy mouth disease |
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