MD734Z - Method for treating chronic marginal periodontitis - Google Patents

Method for treating chronic marginal periodontitis Download PDF

Info

Publication number
MD734Z
MD734Z MDS20130126A MDS20130126A MD734Z MD 734 Z MD734 Z MD 734Z MD S20130126 A MDS20130126 A MD S20130126A MD S20130126 A MDS20130126 A MD S20130126A MD 734 Z MD734 Z MD 734Z
Authority
MD
Moldova
Prior art keywords
treatment
periodontitis
treating chronic
marginal periodontitis
periodontal
Prior art date
Application number
MDS20130126A
Other languages
Romanian (ro)
Russian (ru)
Inventor
Юрие СПИНЕЙ
Аурелия СПИНЕЙ
Original Assignee
Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова filed Critical Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова
Priority to MDS20130126A priority Critical patent/MD734Z/en
Publication of MD734Y publication Critical patent/MD734Y/en
Publication of MD734Z publication Critical patent/MD734Z/en

Links

Landscapes

  • Dental Preparations (AREA)

Abstract

The invention relates to medicine, namely to dentistry and can be used for treating chronic marginal periodontitis.The method, according to the invention, consists in that it is carried out the sanitation and curettage of periodontal pockets, then therein is applied toluidine blue gel with the concentration of 0.1 mg/ml, for 1…2 min, it is further irradiated with LED light with the wavelength of 625…635 nm, the power of 2.0…3.0 W, for 40…60 s, the course of treatment is 1…4 procedures.

Description

Invenţia se referă la medicină, şi anume la stomatologie, şi poate fi aplicată pentru tratamentul parodontitei marginale cronice. The invention relates to medicine, namely to dentistry, and can be applied for the treatment of chronic marginal periodontitis.

Este cunoscută metoda de tratament al parodontitei marginale cronice, care constă în prelucrarea supra- şi subgingivală cu ultrasunet şi poleirea suprafeţelor dentare, sanarea şi chiuretajul pungilor parodontale şi efectuarea terapiei fotodinamice cu aplicarea gelului Fotoditazină de 1% pe suprafeţele inflamate ale mucoasei orale şi în pungile parodontale pentru 8…10 min, după lavajul pungilor parodontale se iradiază suprafeţele afectate cu un fascicul de laser LED cu lungimea de undă de 660±5 nm, puterea iradierii de 0,2 W, cu expoziţia de 1…2 min, durata totală a procedurii este de 20…30 min, după care este efectuată o cură de reflexoterapie timp de 15…20 min în decurs de 10 zile [1]. The method of treatment of chronic marginal periodontitis is known, which consists of supra- and subgingival ultrasound processing and polishing of dental surfaces, sanitation and curettage of periodontal pockets and performing photodynamic therapy with the application of 1% Photoditazine gel on the inflamed surfaces of the oral mucosa and in the periodontal pockets for 8…10 min, after the periodontal pockets are washed, the affected surfaces are irradiated with an LED laser beam with a wavelength of 660±5 nm, irradiation power of 0.2 W, with exposure of 1…2 min, the total duration of the procedure is 20…30 min, after which a reflexology course is performed for 15…20 min within 10 days [1].

Însă, această metodă presupune efectuarea terapiei fotodinamice cu iradierea cu un fascicul laser LED cu putere mică, ce nu asigură distrugerea tuturor microorganismelor din pungile parodontale, în special a celor care se află în profunzime, fapt care poate cauza extinderea inflamaţiei şi cronicizarea procesului. Prin urmare, metoda dată nu este eficientă în tratamentul formelor cronice, agresive de parodontită marginală, este dificilă în aplicare, necesită mult timp pentru realizare, din care cauză provoacă disconfortul pacientului în timpul tratamentului. However, this method involves performing photodynamic therapy with irradiation with a low-power LED laser beam, which does not ensure the destruction of all microorganisms in periodontal pockets, especially those located deep inside, which can cause the spread of inflammation and the chronicization of the process. Therefore, this method is not effective in the treatment of chronic, aggressive forms of marginal periodontitis, is difficult to implement, requires a lot of time to perform, which is why it causes discomfort to the patient during treatment.

Problema pe care o rezolvă prezenta invenţie este sporirea eficienţei tratamentului parodontitelor, majorarea efectului bactericid şi a duratei perioadei de remisie şi prevenirea acutizărilor, complicaţiilor, reducerea durerii şi a disconfortului pacientului în timpul tratamentului. The problem solved by the present invention is to increase the efficiency of periodontitis treatment, increase the bactericidal effect and the duration of the remission period and prevent exacerbations, complications, reduce the patient's pain and discomfort during treatment.

Esenţa invenţiei constă în aceea că după prelucrarea supra- şi subgingivală cu ultrasunet şi poleirea suprafeţelor dentare, se efectuează sanarea şi chiuretajul pungilor parodontale, apoi în ele se aplică albastru de toluidină sub formă de gel cu concentraţia de 0,1 mg/ml, timp de 1…2 min, ulterior se iradiază cu lumină LED cu lungimea de undă de 625…635 nm, puterea de 2,0…3,0 W, timp de 40…60 s, seria de tratament constituie 1…4 şedinţe. The essence of the invention is that after supra- and subgingival ultrasonic processing and polishing of the dental surfaces, the periodontal pockets are cleaned and cured, then toluidine blue is applied in the form of a gel with a concentration of 0.1 mg/ml for 1…2 min, then irradiated with LED light with a wavelength of 625…635 nm, power of 2.0…3.0 W, for 40…60 s, the treatment series consists of 1…4 sessions.

Metoda propusă asigură dezinfectarea eficientă a pungilor parodontale, fapt care stopează propagarea infecţiei în profunzimea lor şi resorbţia ulterioară a ţesutului osos, previne apariţia retracţiei gingivale şi a mobilităţii dinţilor, ceea ce exclude extracţia ulterioară a lor. The proposed method ensures effective disinfection of periodontal pockets, which stops the spread of infection in their depth and subsequent resorption of bone tissue, prevents the occurrence of gingival retraction and tooth mobility, which excludes their subsequent extraction.

Gelul de albastru de toluidină cu viscozitate medie, utilizat în calitate de fotosensibilizator, se introduce cu uşurinţă în punga parodontală şi pătrunde în profunzimea ei, nu se prelinge pe gingie, este inofensiv pentru ţesuturile periapicale, prin urmare se previne eventualitatea de iritare a acestei zone. Fotosensibilizatorul are capacitatea de a penetra rapid membrana celulară a microorganismelor, astfel perioada de timp necesară pentru a-l lega în mod eficient cu celulele microbiene constituie maximum 1…2 min, fapt care permite reducerea duratei şedinţei de tratament. Iradierea cu lumină LED se efectuează cu lungimea de undă corespunzătoare absorbţiei maxime a fotosensibilizatorului de 625…635 nm şi o densitate de putere suficientă pentru activarea lui. În urma iradierii se declanşează reacţii fotochimice, având ca rezultat formarea de oxigen atomic şi de radicali liberi, care induc distrugerea microorganismelor amplasate în profunzimea pungilor parodontale. Puterea de 2,0…3,0 W a iradierii LED asigură producerea unui efect bactericid momentan. Ghidul optic, având forma care repetă configuraţia pungii parodontale, asigură propagarea luminii pe întreaga lungime a lui, în mod uniform la o distanţă de 5 mm de la suprafaţa ghidului, astfel se efectuează o iradiere efectivă a zonei afectate, fără a o trauma. Dispozitivul dat produce vibraţii care majorează gradul de contactare a fotosensibilizatorului cu ghidul optic şi optimizează difuzia fotosensibilizatorului în microcanalele radiculare, în aşa mod asigurându-se înlăturarea mai rapidă a microorganismelor şi prevenindu-se formarea bulelor de aer. The medium-viscosity toluidine blue gel, used as a photosensitizer, is easily introduced into the periodontal pocket and penetrates its depth, does not drip onto the gum, is harmless to periapical tissues, therefore, the possibility of irritation of this area is prevented. The photosensitizer has the ability to quickly penetrate the cell membrane of microorganisms, so the time period required to effectively bind it with microbial cells is a maximum of 1…2 min, which allows reducing the duration of the treatment session. Irradiation with LED light is performed with a wavelength corresponding to the maximum absorption of the photosensitizer of 625…635 nm and a power density sufficient for its activation. Following irradiation, photochemical reactions are triggered, resulting in the formation of atomic oxygen and free radicals, which induce the destruction of microorganisms located in the depths of the periodontal pockets. The power of 2.0…3.0 W of LED irradiation ensures the production of a momentary bactericidal effect. The optical guide, having a shape that repeats the configuration of the periodontal pocket, ensures the propagation of light along its entire length, uniformly at a distance of 5 mm from the surface of the guide, thus providing effective irradiation of the affected area, without traumatizing it. This device produces vibrations that increase the degree of contact of the photosensitizer with the optical guide and optimize the diffusion of the photosensitizer in the root microchannels, thus ensuring faster removal of microorganisms and preventing the formation of air bubbles.

Zona efectului citotoxic al oxigenului singlet nu depăşeşte 0,02 µm, iar durata de acţiune în sistemele biologice este mai mică de 0,04 ms, prin urmare este exclusă eventualitatea distrugerii ţesuturilor parodonţiului. The cytotoxic effect zone of singlet oxygen does not exceed 0.02 µm, and the duration of action in biological systems is less than 0.04 ms, therefore the possibility of destruction of periodontal tissues is excluded.

Metoda dată exclude necesitatea aplicării antibioticelor, astfel se evită eventualitatea dezvoltării rezistenţei microorganismelor la tratamentul aplicat, eficienţa metodei nu este influenţată de sensibilitatea microorganismelor patogene la preparatele antibacteriene, sunt distruse tulpinile microbiene antibiorezistente şi cele persistente în formă de biofilme bacteriene. Eliminarea bacteriilor are loc foarte rapid, în câteva minute sau chiar secunde. Terapia fotodinamică are un spectru larg de acţiune asupra tuturor agenţilor patogeni microbieni, efectul antibacterian nu se reduce în timp, în cazul aplicării şedinţelor repetate. Substanţa de fotosensibilizare nu exercită acţiune citotoxică fără fotoactivare, nu exercită acţiune mutagenă, fapt care exclude probabilitatea selectării tulpinilor microbiene rezistente. Acţiunea bactericidă are un caracter local, nu exercită efect nociv asupra florei saprofite a întregului organism, nu provoacă reacţii alergice de tip lent sau imediat. This method eliminates the need for antibiotics, thus avoiding the possibility of developing resistance of microorganisms to the applied treatment, the effectiveness of the method is not influenced by the sensitivity of pathogenic microorganisms to antibacterial preparations, antibiotic-resistant microbial strains and those persistent in the form of bacterial biofilms are destroyed. The elimination of bacteria occurs very quickly, within a few minutes or even seconds. Photodynamic therapy has a broad spectrum of action on all microbial pathogens, the antibacterial effect does not decrease over time, in the case of repeated sessions. The photosensitizing substance does not exert cytotoxic action without photoactivation, does not exert mutagenic action, which excludes the likelihood of selecting resistant microbial strains. The bactericidal action is local in nature, does not exert a harmful effect on the saprophytic flora of the whole organism, does not cause allergic reactions of a slow or immediate type.

Prin urmare, eficacitatea înaltă a metodei propuse asigură prevenirea acutizărilor şi a complicaţiilor parodontitelor marginale. Metoda revendicată este simplă şi rapidă în aplicare, nu provoacă lezarea ţesuturilor cavităţii orale, durere sau discomfort pacientului în timpul tratamentului. Therefore, the high effectiveness of the proposed method ensures the prevention of exacerbations and complications of marginal periodontitis. The claimed method is simple and quick to implement, does not cause damage to the tissues of the oral cavity, pain or discomfort to the patient during treatment.

Rezultatul tehnic constă în sporirea eficacităţii tratamentului parodontitelor marginale cronice, majorarea efectului bactericid, ameliorarea rapidă a stării locale cu diminuarea simptomelor de afectare a ţesuturilor parodonţiului, reducerea semnificativă a duratei tratamentului, regenerarea rapidă, reducerea frecvenţei recidivelor, prevenirea apariţiei complicaţiilor, reducerea rapidă a durerii, disconfortului şi ameliorarea calităţii vieţii pacientului. The technical result consists in increasing the effectiveness of the treatment of chronic marginal periodontitis, increasing the bactericidal effect, rapid improvement of the local condition with a decrease in the symptoms of damage to periodontal tissues, significant reduction in the duration of treatment, rapid regeneration, reduction in the frequency of relapses, prevention of complications, rapid reduction of pain, discomfort and improvement of the patient's quality of life.

Metoda de tratament al parodontitelor marginale cronice se realizează în modul următor: după prelucrarea supra- şi subgingivală cu ultrasunet şi poleirea suprafeţelor dentare, se efectuează sanarea şi chiuretajul pungilor parodontale, apoi în ele se aplică albastru de toluidină sub formă de gel cu concentraţia de 0,1 mg/ml, timp de 1…2 min, ulterior se iradiază cu lumină LED cu lungimea de undă de 625…635 nm, puterea de 2,0…3,0 W, timp de 40…60 s, seria de tratament constituie 1…4 şedinţe în funcţie de gravitatea parodontitei. The treatment method for chronic marginal periodontitis is carried out as follows: after supra- and subgingival ultrasound processing and polishing of the tooth surfaces, the periodontal pockets are cleaned and cured, then toluidine blue is applied in the form of a gel with a concentration of 0.1 mg/ml for 1…2 min, then irradiated with LED light with a wavelength of 625…635 nm, power of 2.0…3.0 W, for 40…60 s, the treatment series consists of 1…4 sessions depending on the severity of periodontitis.

Exemplul 1 Example 1

Pacientul A., 38 ani. Diagnosticul: parodontită cronică generalizată, formă gravă. Tratamentul parodontitei a fost efectuat după metoda descrisă, s-au aplicat 4 şedinţe de tratament. Pacientul a suportat bine şedinţele curative, fără a manifesta semne de disconfort. După 1 an de la efectuarea tratamentului, semne de progresare a leziunilor ţesuturilor parodonţiului şi a resorbţiei osoase nu s-au depistat. Patient A., 38 years old. Diagnosis: generalized chronic periodontitis, severe form. Treatment of periodontitis was carried out according to the described method, 4 treatment sessions were applied. The patient tolerated the curative sessions well, without showing signs of discomfort. After 1 year of treatment, signs of progression of periodontal tissue lesions and bone resorption were not detected.

Exemplul 2 Example 2

Pacienta M., 16 ani. Diagnosticul: parodontită cronică generalizată, formă medie. Tratamentul parodontitei a fost efectuat după metoda descrisă. Pacienta a suportat bine şedinţa de tratament. După 8 luni de la efectuarea tratamentului, semne de inflamaţie sau de distrucţie a ţesuturilor parodonţiului nu s-au depistat. Patient M., 16 years old. Diagnosis: generalized chronic periodontitis, moderate form. Treatment of periodontitis was performed according to the described method. The patient tolerated the treatment session well. After 8 months of treatment, no signs of inflammation or destruction of periodontal tissues were detected.

Metoda propusă a fost aplicată pentru tratamentul parodontitelor marginale cronice la 38 de pacienţi în cadrul Catedrei Chirurgie O.M.F. Pediatrică, Pedodonţie şi Ortodonţie a USMF ”Nicolae Testemiţanu”. Rezultatele sunt pozitive, în perioada de observaţie de la 1 până la 2 ani nu s-au înregistrat complicaţii şi efecte secundare. The proposed method was applied for the treatment of chronic marginal periodontitis in 38 patients within the Department of Pediatric O.M.F. Surgery, Pedodontics and Orthodontics of the "Nicolae Testemiţanu" University of Medicine and Pharmacy. The results are positive, during the observation period of 1 to 2 years no complications and side effects were recorded.

1. RU 2460491 C2 2012.09.10 1. RU 2460491 C2 2012.09.10

Claims (1)

Metodă de tratament al parodontitei marginale cronice care constă în aceea că se efectuează sanarea şi chiuretajul pungilor parodontale, apoi în ele se aplică albastru de toluidină sub formă de gel cu concentraţia de 0,1 mg/ml, timp de 1…2 min, ulterior se iradiază cu lumină LED cu lungimea de undă de 625…635 nm, puterea de 2,0…3,0 W, timp de 40…60 s, seria de tratament constituie 1…4 şedinţe.A method of treating chronic marginal periodontitis that consists of performing the sanitation and curettage of periodontal pockets, then applying toluidine blue in the form of a gel with a concentration of 0.1 mg/ml, for 1…2 min, then irradiating with LED light with a wavelength of 625…635 nm, power of 2.0…3.0 W, for 40…60 s, the treatment series consists of 1…4 sessions.
MDS20130126A 2013-07-12 2013-07-12 Method for treating chronic marginal periodontitis MD734Z (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
MDS20130126A MD734Z (en) 2013-07-12 2013-07-12 Method for treating chronic marginal periodontitis

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
MDS20130126A MD734Z (en) 2013-07-12 2013-07-12 Method for treating chronic marginal periodontitis

Publications (2)

Publication Number Publication Date
MD734Y MD734Y (en) 2014-02-28
MD734Z true MD734Z (en) 2014-09-30

Family

ID=50231654

Family Applications (1)

Application Number Title Priority Date Filing Date
MDS20130126A MD734Z (en) 2013-07-12 2013-07-12 Method for treating chronic marginal periodontitis

Country Status (1)

Country Link
MD (1) MD734Z (en)

Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD916G2 (en) * 1996-12-09 1998-12-31 Институтул Национал Де Фармачие Ungent for stomatologic deseases treatment
MD3904G2 (en) * 2008-05-07 2009-12-31 Валериу ФАЛА Composition for biosoluble medicated film for treatment of parodentium affections and of lesions of tunica mucosa of mouth (variants)
MD3905G2 (en) * 2008-05-07 2010-01-31 Валериу ФАЛА Remedy of durable action in the form of gel for treatment of parodentium affections (variants)
MD3938G2 (en) * 2008-05-07 2010-02-28 Валериу ФАЛА Method for treating the migratory periodontitis
MD424Z (en) * 2010-09-06 2012-05-31 Валериу ФАЛА Method for treatment of periodontium diseases
RU2460491C2 (en) * 2010-08-30 2012-09-10 Альберт Анатольевич Лютиков Method of treating chronic periodontitis
MD569Z (en) * 2011-03-29 2013-07-31 Дорин ИСТРАТИ Method of regenerating the roots of immature permanent teeth in children
MD582Z (en) * 2012-07-09 2013-08-31 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method for preventing the dental caries in children with intellectual disabilities
MD597Z (en) * 2012-08-16 2013-09-30 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method for treating the dental caries in children with intellectual disabilities
  • 2013

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD916G2 (en) * 1996-12-09 1998-12-31 Институтул Национал Де Фармачие Ungent for stomatologic deseases treatment
MD3904G2 (en) * 2008-05-07 2009-12-31 Валериу ФАЛА Composition for biosoluble medicated film for treatment of parodentium affections and of lesions of tunica mucosa of mouth (variants)
MD3905G2 (en) * 2008-05-07 2010-01-31 Валериу ФАЛА Remedy of durable action in the form of gel for treatment of parodentium affections (variants)
MD3938G2 (en) * 2008-05-07 2010-02-28 Валериу ФАЛА Method for treating the migratory periodontitis
RU2460491C2 (en) * 2010-08-30 2012-09-10 Альберт Анатольевич Лютиков Method of treating chronic periodontitis
MD424Z (en) * 2010-09-06 2012-05-31 Валериу ФАЛА Method for treatment of periodontium diseases
MD569Z (en) * 2011-03-29 2013-07-31 Дорин ИСТРАТИ Method of regenerating the roots of immature permanent teeth in children
MD582Z (en) * 2012-07-09 2013-08-31 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method for preventing the dental caries in children with intellectual disabilities
MD597Z (en) * 2012-08-16 2013-09-30 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method for treating the dental caries in children with intellectual disabilities

Also Published As

Publication number Publication date
MD734Y (en) 2014-02-28

Similar Documents

Publication Publication Date Title
Karimi et al. Efficacy of antimicrobial photodynamic therapy as an adjunctive to mechanical debridement in the treatment of peri-implant diseases: a randomized controlled clinical trial
Caccianiga et al. Clinical, radiographic and microbiological evaluation of high level laser therapy, a new photodynamic therapy protocol, in peri‐implantitis treatment; a pilot experience
Maver-Biscanin et al. Effect of low-level laser therapy on Candida albicans growth in patients with denture stomatitis
Bal et al. Effects of photodynamic therapy with indocyanine green on Streptococcus mutans biofilm
Derikvand et al. Antimicrobial Photodynamic Therapy with Diode laser and Methylene blue as an adjunct to scaling and root planning: A clinical trial
Tokuc et al. Bactericidal effect of 2780 nm Er, Cr: YSGG laser combined with 940 nm diode laser in Enterococcus faecalis elimination: a comparative study
Gutknecht Lasers in endodontics
RU2460491C2 (en) Method of treating chronic periodontitis
Shibli Is laser the best choice for the treatment of peri-implantitis
RU2235568C1 (en) Method for treating chronic tonsillitis
Almoharib Erbium-doped yttrium aluminium garnet (Er: YAG) lasers in the treatment of peri-implantitis
RU2379073C2 (en) Method of laser treatment of chronic tonsillitis with using photosensitiser
Asnaashari et al. Clinical application of 810nm diode laser and low level laser therapy for treating an endodontic problem a case presentation
MD734Z (en) Method for treating chronic marginal periodontitis
RU2696228C1 (en) Method for complex therapy of periodontium diseases by laser microsurgery and singlet phototherapy
RU2522211C1 (en) Method of treating periodontitis
RU2543031C1 (en) Method of treating radicular cysts
RU2248785C1 (en) Method for treating the cases of chronic generalized periodontitis of mild and moderate severity degree
Stănuşi et al. Endodontic bacterial reduction using Diode LASER radiation–short literature review
RU2652565C1 (en) Method for treating odontogenic diseases using laser photodynamic singlet oxytherapy
RU2556971C1 (en) Method of deep caries treatment
RU2753794C1 (en) Method for the treatment of chronic periodontitis using the technology of transcanal laser non-pigment photoablation
RU2491031C1 (en) Method of treating complicated intra-canal perforations of solid dental tissues
RU2852466C1 (en) Method for preventing peri-implantitis in maxillofacial surgery
Al-Jaberi et al. In vitro evaluation of photodynamic disinfection and conventional root canal irriga-tion protocol.

Legal Events

Date Code Title Description
FG9Y Short term patent issued
KA4Y Short-term patent lapsed due to non-payment of fees (with right of restoration)