RU10342U1 - DEVICE FOR ADMINISTRATION OF MEDICINES IN PERIODONTAL FABRIC - Google Patents

Abstract

A device for introducing medicines into the tissue of the paradond, made as an impression from the dentition and oral cavity, characterized in that the impression is made of a hydrophilic impression mass.

Description

DEVICE FOR ADMINISTRATION OF MEDICINES IN

PERIODONTAL FABRICS

The device relates to medicine, namely to therapeutic dentistry and can be used in the treatment of periodontal diseases and oral mucosa.

Relevance: According to WHO, periodontal disease occurs in 80% of children and almost the entire adult population of most countries of the world. In this regard, increasing the effectiveness of treatment of periodontitis is an urgent problem.

However, many modern methods of treatment have a significant drawback - this is the high cost of the medicines used, and, in connection with this, the inability to use them in wide dental practice. Therefore, the search for new effective devices for administering medications to save the amount of drugs is an urgent problem.

It is known the use of gingival dressings for a longer contact of a medicinal substance with periodontal tissues (A. I. Rybaokv, Handbook of Dentistry, M., Medicine, 1993). The soft dressings are based on zinc oxide and clove oil .. The dressing hardens in 10-15 minutes, its shelf life in the oral cavity is 2-3 days. Cyanoacrylate glue, which does not irritate the mucous membrane, is polymerized in the presence of traces of moisture for 1-1.5 minutes, the shelf life of adhesive dressings in the oral cavity is 3-5 days. Paraffin, spermaceti, which are stored in the oral cavity for only a few hours, can also be used as gum dressings.

Disadvantages: the inability to introduce the drug in a strictly dosed and for a certain time, due to the diffusion of drugs, in addition to the focus of inflammation, in the environment.

It is known the use of adhesive dressings MK-14I in the complex treatment of inflammatory periodontal diseases (M.S. Kordis, G.S. Chuchmay, A.Ya. Akimova, Dentistry -1988 No. 2, pp. 21-22).

calves are applied directly to the site of inflammation. An adhesive dressing is prepared immediately before use by combining the contents of 2 syringe tubes in a polyethylene mixer. The contents are applied to the gum with a layer of a thickness of 3-5 mm, squeezing out of a plastic mixer. After 2-3 minutes, the polymerization of the composition begins.

Disadvantages: the drug diffuses not only to the periodontium, but also to the environment from the adhesive base, in this regard, it is impossible to accurately dose the drug.

The aim of this work was to increase the effectiveness of treatment of periodontitis. Tasks:

reduction in drug consumption;

targeted increase in the concentration of the drug introduced into the periodontium;

increasing the accuracy of dosage of medicines;

the ability to make medications strictly for a specific time.

The essence of the proposal:

The essence of the proposal is the execution of a print of a hydrophilic impression mass in the form of a dentition.

In this regard, there is a saving in the amount of medicinal substances, without weakening the therapeutic effect, due to the special accuracy of the print. Also, this device allows you to make medicines directly to the site of inflammation, in a strictly dosed and specific time.

The device is prepared as follows:

An impression is taken from the dentition with a hydrophilic impression mass by mixing the base of the mass with the catalyst and adding it to a standard impression spoon. The print is treated with a 1% chlorhexidine solution. Further, in the treatment of periodontitis, medicaments are shown in the print, shown individually in each case.

An impression of a hydrophilic mass is typical of known masses and does not require additional sketches for explanation.

We have carried out using this device the treatment of 45 patients (23 men and 22 women aged 25 to 55 years) with various diseases of the periodontium and oral mucosa. The control was a group of patients of the same age with a similar diagnosis. No. 98I7423 of September 2, 1998

Addition to the application for a utility model

WITH

The applicants Malanyin I.The.

Date: ZJjp.flfc

С # ФЪ. Hand-drawn S.I., $ / f-gЈ Hand-drawn O.N., description, page 2, para. 2 from below The device is illustrated by a sketch, where I is an impression made of an impression hydrophilic mass from the dentition and the mucous membrane of the mouth, 2 is a medication for the treatment of a periodontium, for example, viferon. The device is used as follows. First, an impression of I is obtained in the oral cavity, a medicinal product is placed on the impression, and then it is carefully & carefully introduced into the oral cavity for 30-50 minutes. The course of treatment is 8-GY sessions, only 8-10 procedures.

Prior to the start of treatment, all patients underwent oral sanitation; recommendations were given on special oral hygiene. After preliminary antiseptic treatment, supra and subgingival deposits were removed with a piezoelectric scaler (AIR-FLOW SII from EMS). According to indications, curettage was performed.

The use of a hydrophilic impression mass in the treatment of patients allowed to halve the consumption of drugs used in treatment, without reducing the therapeutic effect.

An analysis of clinical indicators after treatment using a new device for the administration of drugs showed that a 50% reduction in the dose of the drug administered in the study group did not affect the quality of treatment. During the observation period (6 months) in patients of the study group there was no exacerbation of the disease.

Examples:

1. Patient Victor Victorovich Marinichev, 36 years old, complained of recurrent bleeding of the gums, bad breath, mobility of the teeth, especially the frontal group, exposure of the necks of the teeth and increased sensitivity in the frontal section. According to the patient, the above symptoms appeared about 10 years ago. I have not consulted a doctor before. Over the past 3 years, tooth mobility and gum bleeding have intensified.

An objective examination determined periodontal pockets 4 mm deep, of which serous-purulent exudate stood out. Tooth mobility - II Art. Exposure of the necks and partially the roots of the teeth was observed. The height of the alveolar ridge was unevenly reduced to 1 / 3-1 / 2 of the root length. Multiple bone pockets were also revealed. Ds: chronic generalized periodontitis of moderate severity.

For treatment, an impression of a hydrophilic mass was used. For this, after careful removal of dental plaque from the upper and lower jaw by the EMS AIR-FLOW S II piezoelectric scaler, the impressions were taken with the Voco Contrast impression mass. The print was treated with a 1% chlorhexidine solution and was ready for use 10 minutes after the start of the procedure. “VIFERON at a dose of 500,000 ME, for 1 session was made on the print. The course of treatment was 8 procedures for 40 minutes with an interval of 1 day.

10 days after the course of treatment, the condition of periodontal tissues significantly improved, which was manifested by a decrease in the depth of periodontal pockets, the disappearance of inflammatory reactions and bleeding gums.

When examining the patient 5 months after the treatment, the smell from the mouth completely disappeared, tooth mobility decreased, hyperesthesia in the frontal section disappeared. Clinical improvement was confirmed by the positive dynamics of periodontal indices.

2. Patient Onishchenko Nikolai Vasilievich, 55 years old, complained of a large number of soft plaque, the appearance of bleeding gums when brushing teeth and biting off solid foods, slight tooth mobility, swelling and redness of the interdental papillae. According to the patient, the above symptoms appeared about 5 years ago. I have not consulted a doctor before. Over the past 2 months, unpleasant sensations in the gum region appeared. An objective examination determined the phenomena of chronic catarrhal inflammation of the interdental papilla and marginal gum, the depth of periodontal pockets - 2 mm, a large amount of soft plaque in the cervical region of the frontal group of teeth; supra- and subgingival dental deposits. Mobility of teeth - I Art. Ds: mild chronic generalized periodontitis.

For treatment, an impression of a hydrophilic mass was used. For this, after careful removal of dental plaque from the upper and lower jaws, the EMS AIR-FLOW S II scaler by EMS Voco impressions were taken with the Voco Contrast impression mass. The print was treated with a 1% chlorhexidine solution and was ready for use 10 minutes after the start of the procedure. “VIFERON at a dose of 250,000 ME, for 1 session was made on the print. The course of treatment was 8 procedures for 40 minutes with an interval of 1 day.

After 6 visits, the condition of periodontal tissues improved, which was manifested by the disappearance of edema and hyperemia of the interdental papillae, a decrease in the depth of periodontal pockets, and the absence of unpleasant sensations in the gum region.

When examining the patient after 5 months, the tooth mobility disappeared, the gingival margin is pale pink, did not bleed, and was firmly attached to the teeth. Cheap papillae, forming a clear scallop, occupied the interdental spaces in the area of the necks of the teeth. The gum is dense, painless, periodontal pockets were absent, the depth of the gingival grooves is 1-1.5 mm. A vascular pattern of the capillary network appeared on the moving mucous membrane.

These examples show that when the dose is halved, a sufficient therapeutic effect is achieved.

Medical and social significance:

When using this device, there is a saving in the amount of medicinal substances, without weakening the therapeutic effect, due to the special accuracy of the print. Also, this device allows you to make medicines directly to the site of inflammation, in a strictly dosed and specific time.

A new device for introducing medicines into periodontal tissues allows: 1) for a short time (6-8 visits), with a 50% reduction in the dose of a drug, to effectively influence the main pathogenetic mechanisms of periodontitis development, 2) to obtain a stable therapeutic effect, 3) accurately dose the drug by activity. Analyzing the results of the study, we can conclude that the new device for administering medications using impressions from hydrophilic impression materials is convenient for use, well tolerated by patients, has no side effects and contraindications. Also, this device can significantly reduce the cost of the course of treatment by reducing the doses of drugs, without reducing the therapeutic effect, due to the special accuracy of the cast. The manufacturing technology of this device is simple and does not require such additional time-consuming and expensive stages, such as the manufacture of mouth guards in the dental laboratory. The data obtained allow us to recommend a new device for the introduction of medicines into widespread dental practice. Applicants: Date ЗД Malanyin Igor Valentinovich. Insured Sergey Isaakovich o / S 2- Risovannaya Olga Nikolaevna

Claims (1)

A device for introducing medicines into the tissue of the paradond, made as an impression from the dentition and oral cavity, characterized in that the impression is made of a hydrophilic impression mass.