RU2008842C1 - Method for treatment of chronic periodontics - Google Patents

Abstract

FIELD: stomatology. SUBSTANCE: method involves specific treatment of root canal of a tooth and small cavity of a tooth with the help of ultrasound. The process is carried out through antiseptic solution. Jaw bone defect is substituted, reimplanted tooth is fixed with medical glue. EFFECT: decreases complications.

Description

 The invention relates to medicine, in particular to surgical dentistry, and relates to surgical methods for the treatment of chronic periodontitis.

 There is a method of treating chronic periodontitis by replantation, which consists in the fact that after careful tooth extraction, the tooth canal is expanded and filled with phosphate cement. Moreover, the canals of multi-rooted teeth are optically aligned only at the level of the apices of the roots. In all cases, the conical part of the tooth root in the area of its apex is filled with an amalgam. Antiseptic treatment of the tooth and the hole is carried out with antibiotics. The implanted tooth is fixed by Vasiliev’s tire, quick-hardening plastic.

 In another method, which differs only in that the tooth channels are sealed with quick-hardening plastic, after fixation, they additionally grind its tubercles or tubercles of its antagonist to occlusion from the occlusion.

 The disadvantages of these methods are that the filling materials used, for example, amalgam and quick-hardening plastic, used to equate the tooth root, due to the content of toxic substances in them (monomer, mercury, etc.) have a negative effect on the processes of osteoreparative bone tissue of the jaw , intensify the processes of lysis of cement of the root of the tooth and thereby reduce the functioning of the replanted teeth.

 However, these methods do not provide for reliable sterilization of the surgical wound, tooth root, and most importantly, macro- and microchannels of the tooth. Pathogenic microflora in the dentinal tubules of the tooth continues to be a powerful source of sensitization of the body and suppuration of the bone wound with the formation of persistent postoperative fistulas.

 The aim of the invention is to increase the effectiveness of the surgical treatment of chronic periodontitis.

 The method is as follows. Under local anesthesia, a gentle, less traumatic tooth extraction is performed. The tooth hole is closed with a gauze swab moistened with a 5% solution of aminocaproic acid. Then proceed to the processing of the tooth moistened with a 5% solution of aminocaproic acid. The tooth canals are expanded with a drill or a special thin drill, then a tooth cavity is formed under the filling. Moreover, the rotation speed of the tool should be no more than 500-1000 revolutions per minute and kept under cooling with a 0.05% solution of chlorhexidine bigluconate. Then produce an antiseptic treatment of the tooth canal and the tooth cavity formed under the filling. For this, within 1-3 minutes, depending on the area of the treated surface, they are produced by exposure to low-frequency ultrasound from the URSK-7N-18 installation and a special waveguide through a 0.05% solution of chlorhexidine bigluconate.

 A tooth prepared in this way is filled, and the tooth canal is covered with a thin titanium pin (fixed liquid phosphate cement), and the formed carious cavity of the tooth is filled with a modern light-hardening composite (Stomadent, Helibox) or plastic.

 Carefully, in order not to damage the periosteum, the root of the tooth is cleaned of scraps of the mucous membrane of the gums, cystogranuloma, dental deposits, epithelial tissues. Then make a thorough curettage of the hole, especially in the area of its bottom, if there is a defect in the bone tissue of the jaw, then the latter is filled with a demineralized bone graft strictly by the size of the defect.

 Then, for three minutes, they are treated with low-frequency ultrasound with a 0.05% solution of chlorhexidine bigluconate to the tooth well, then the root of the tooth.

 Then, with a sterile brush, medical glue is applied to the root of the tooth, for example MK 12, and the tooth is put into the hole, while a sterile gauze swab is placed on the tooth crown and the patient is asked to close his teeth with little effort and keep them in this state for 5 minutes. Additional fixation is not performed.

 The proposed method allows you to reliably and quickly fill the tooth canals, to achieve effective sterilization of the root canals of the tooth and the tooth socket. The physiological method of fixing a replanted tooth does not violate the processes of osteoreparation. All this increases the effectiveness of the results of the surgical method of treating teeth with chronic periodontitis.

 (56) 1. Odontoplasty. Leningrad, "Medicine", 1974, Edited by Kozlov V. A.

 2. Textbook "Surgical Dentistry", Moscow, "Medicine", 1990, pp. 156-157. Edited by T. G. Robustova.

Claims (1)

 METHOD FOR TREATING CHRONIC PERIODONTITIS by tooth extraction, expansion and filling of the canal with phosphate cement, antiseptic treatment of the tooth socket and fixation of the replanted tooth, characterized in that, in order to reduce complications, the antiseptic treatment of the root and hole channels is performed by low-frequency ultrasound through a solution of 0.05% chlorhexidine bigluconate for 3 min, root canals are filled with a titanium pin and liquid phosphate cement, and the bone jaw defect is replaced with a demineralized alloco transplant ty, fixed replanted tooth medical glue.