RU1811387C - Pulp devitalization method - Google Patents

Abstract

Usage: medicine, dentists for the treatment of various forms of pulpitis. Essence: a mucous paste is applied to the opened horn of the pulp, then 1/2 of the volume of the carious cavity is filled with AUBM Dnepr MN- sorbent, after which the tooth cavity is sealed with dentin paste for 24 -48 hours. Positive effect: prevention of pain in 100% of cases.

Description

The invention relates to medicine, namely to therapeutic dentistry and can be used to treat various forms of pulpitis.

An object of the invention is to prevent the syndrome by providing accelerated adsorption of exudate and relieving swelling of inflamed pulp tissue.

The goal is achieved by introducing into the carious cavity a mouse paste, then the carious cavity is filled into T / 2 volumes with a sorbent, for example AUVM Dnepr MN, hermetically sealed with dentin paste.

The essence of the pulp devitalization method is as follows.

After removing softened dentin from a patient with acute diffuse pulpitis, a mouse-like paste is applied to the pulp horn, then 1/2 of the cavity volume is filled with AUBM Dnepr MN sorbent, after which the tooth cavity is sealed with dentin paste. The pain disappears a few minutes after application of the mouse to a cobby paste. A second visit is prescribed after 24 - 48 hours, depending on

the severity of the carious process. Further treatment of a diseased tooth is carried out according to the generally accepted technique.

Example 1. Patient V., 28 years old, was treated for acute diffuse pulpitis of the sixth tooth of the lower jaw on the right. For 2-3 days, she was disturbed by long-lasting, spontaneous arising pain attacks with short inter-pain gaps. The pain radiated to the submandibular region, to the region of the ear, occiput, and upper jaw. Objective symptoms: a carious cavity with soft dentin is deep in the tooth. Probing the carious cavity painfully throughout the bottom. Percussion is slightly painful. Electric excitation of the pulp is reduced. The reaction to temperature stimuli is painful. Probing of exposed pulp is sharply painful.

During treatment, softened dentin was removed from the carious cavity, a kovist paste mouse was applied to the pulp horn, then 1/2 of the cavity volume was filled with the AUBM Dnepr MN sorbent, tooth cavity

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hermetically sealed with dentin paste. A follow-up appointment is scheduled after 48 hours.

On the second visit, the patient noted a complete absence of a pain reaction within a few minutes after application of the mouse with a kovy paste. Further treatment was carried out according to the generally accepted technique.

Example 2. Patient S., aged 40, was undergoing treatment for chronic fibrous pulpitis of the fifth tooth in the lower jaw on the left. For 5-7 days, the patient was disturbed by periodic, spontaneously appearing pains, aggravated by cold temperature irritants and with food intake. Objective symptoms: in the fifth tooth, the carious cavity with softened dentin is deep, communicating with the tooth cavity. When probing, the pulp bleeds, painful. The reaction to temperature stimuli is painful. The electrical excitation of the pulp is reduced to 40 μA.

During the treatment, the carious cavity was repaired. A mouse of a kovist paste with sorbent under a sealed dressing was left in the tooth according to the method described above.

At the second visit, the patient had no complaints. The pain disappeared several minutes after the drug was left in the cavity. Further treatment was carried out according to the generally accepted technique.

The development of the claimed method for the treatment of pulpitis has become possible due to

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The high dehydration effect of the sorbent revealed in the experiment, which markedly reduces swelling of inflamed tissues, was revealed. A unique sorption capacity for low and high molecular weight toxins and metabolites, active drainage and capillary functions provide high performance characteristics of the AUVM Dnepr MN material. The sorbent does not have a pathological effect on the surrounding healthy tooth tissue.

The method is simple and accessible to a dentist of any skill.

Approbation of the method in 105 patients with

5 different forms of pulpitis showed its high reliability and lack of pain in 100 cases, compared with the control group of patients consisting of 50 people treated by the prototype method, in which

0 pain reaction was observed in 82% of cases.

Claims (1)

Formula from gaining. A method for pulp devitalization, comprising introducing a mouse paste into the carious cavity, characterized in that, in order to prevent the syndrome by providing accelerated adsorption of exudate and relieving swelling of the inflamed pulp tissue, after introducing the mouse paste into the carious cavity, the carious cavity is filled in 1-3 volumes AUBM Dnepr MN sorbent and hermetically seal dentin paste.