RU2209051C2 - Device for treating parodontosis - Google Patents

Abstract

FIELD: medicine, medicinal technique. SUBSTANCE: the present innovation deals with physiotherapeutic equipment for treating paradontosis. It contains cup-shaped foundation with installed interlayer out of porous material for medicinal solution. This cup-shaped foundation is represented by external and internal horseshoe-shaped plates made of flexible insulating material connected to each other with cross-sectional plate. The suggested device is supplied with a holder and heating elements and electrodes located in plates which have the opportunity to interact with patient's gums. Holder is fixed to cross-sectional plate. Drainage tube is connected to holder to supply medicinal solution to interlayer and a shaft is fixed to connect vibrator. This device is, also, supplied with anti- interference screens and insulating films located in plates above heating elements. The present innovation enables to increase efficiency of therapy, shortens terms of healing and decreases the number of medicinal preparations applied. EFFECT: improved results of therapy. 3 dwg, 1 ex

Description

 The invention relates to medical equipment, namely to physiotherapeutic devices that can be used to treat periodontal disease.

 For the treatment of periodontal disease, many solutions have been proposed that use various physiotherapeutic methods.

 The most numerous and effective are devices for electrophoresis, through which drugs are introduced into the depths of chronically inflamed periodontal tissues. Some devices are inserted into the tooth filling [1], others into the tooth cavity under the filling in the form of a piezoelectric element [2]. Electrophoresis is carried out by electric pulses, which produces a piezoelectric element when it is compressed by teeth [3]. For treatment, various electrical impulses are used that affect the cervical sympathetic nodes [4], various characteristics of laser radiation [5], magnetotherapy [6] and many others are used.

 The disadvantage of the above solutions, according to the authors, is that they are monofactorial, that is, they do not use a complex of physiotherapeutic influences that could lead the pathological process out of a state of chronicity.

 A combination of mutually reinforcing factors would reduce the duration of treatment and reduce the amount of drugs used.

 A device for treating periodontal disease containing a mouthguard with an insert made of a porous material impregnated with a medicinal substance, the mouthguard is made of two side walls connected at the ends, the liners adjacent to the side walls of the mouthguard are covered with a perforated magnetophore film (see RF patent 2005441, class A 61 C 19/06, 1991) - the closest analogue.

 The known device also cannot provide a complex of physiotherapeutic effects on the affected tissue, and therefore cannot be sufficiently effective.

 The basis of the invention is the task of developing a device that, in the treatment of periodontal disease, would allow electrophoresis and electrostimulation, as well as vibration massage, against the background of dosed local hyperthermia (DLH).

 This improves the therapeutic result, speeds up the treatment process and reduces the number of drugs used. It should be noted that only such a combined effect on periodontal tissues can bring the process out of a state of chronicity.

 This object is achieved by the fact that in the device for the treatment of periodontal disease, containing a mouthguard base, on which it is possible to install a pad of porous material for a medicinal solution, the mouthguard base is made of a flexible electrical insulating material, the outer and inner horseshoe-shaped plates connected by a transverse plate, moreover, the device is equipped with a holder located in the plates of the heating elements and electrodes located on the surface Rep plates and are capable of interaction with the patient's gums, a holder secured to the transverse plate and the holder is brought to a drainage tube for feeding through hole formed in the holder, the drug solution is attached to the liner and the shank for connecting the vibrator.

 The device is also equipped with noise shields and electrically insulating films placed in the plates on top of the heating elements.

 Due to the fact that the plates are made of flexible material, it is possible to use the device for patients with various forms of jaws, which makes it possible to use only three sizes of devices. Through the shank, the device is connected to the vibratory massager.

 In the proposed device, due to the presence of heating elements, it is possible, using dosed local hyperthermia, to significantly enhance the effect of electrophoresis, electrical stimulation and vibration massage. At the same time, the rush of blood to the pathological focus sharply increases, microcirculation, tissue and cell metabolism, immunity reactions and a depressing effect on the microflora increase, which helps to remove the process from the stage of chronic inflammation. Films and screens increase the efficiency of the device.

 We believe that the information set forth in the application materials is sufficient for the practical implementation of the invention.

The invention is illustrated graphic materials on which:
in FIG. 1 - a device for the treatment of periodontal disease, General view, figure 2 - section aa in figure 1; figure 3 is a plate in section.

 A device for treating periodontal disease is made in the form of a mouthguard base, which is a flexible outer plate 1 and inner plate 2 made of an insulating material.

 The plates are horseshoe-shaped and connected to each other in the middle part by a transverse curved plate 3. A holder 4 with a shank 5 is attached to the plate 3. A drainage tube 6 with a tip 7 is attached to the holder 4 for feeding the drug solution through a hole (not shown) into a disposable gasket of porous material (not shown).

 The device contains electrophoresis electrodes 8 located on the plates 1, 2, and also heating elements 10 wound on the insulating plates located in the plates 1, 2 10. The latter have noise shields 11 separated from the heating elements by insulating spacers 12. On the outer plate there is a heating element equipped with an electronic thermometer sensor 13 for automatic temperature control. The conclusions of the sensor 13, the heating elements 10, the screens 11 and the electrodes 8 for electrophoresis with harnesses 14 are displayed on the connector 15.

 A device for the treatment of periodontal disease works as follows.

A lining of porous material impregnated with a medicinal substance for electrophoresis is applied to plates 1 and 2 from the inside. The device is put on one or two jaws, turn on the heating of the elements 10 and create the necessary temperature for hyperthermia. The operating mode begins with a pleasant feeling of warmth for the patient, and each procedure increases the temperature by 0.5 ^o C, reaching the required values. Against the background of hyperthermia, electrophoresis is performed. In this case, the electrode 8 is active, and the neutral electrode in the form of a standard plate is placed on the shoulder. During electrophoresis, the medicinal fluid is supplied through a drainage tube 6 to a porous pad. During the procedure, electrostimulation is also carried out with selected forms of current supplied to the electrodes 8, and vibration massage using a vibrator, which is connected to the shank 5. The procedures are carried out for 14-18 days. Each procedure lasts 30-35 minutes.

 The effectiveness of the treatment using the proposed device is confirmed by the following example. Patient V., 35 years old, complained of pain when biting, pain with temperature irritants, tooth mobility and purulent discharge. The disease lasted 8 years and periodically worsened. With repeated visits to doctors, tartar was removed, various applications and physiotherapeutic procedures were made. The patient took vitamins and antibiotics. There were periods of relief, followed by exacerbation. Teething intensified, purulent discharge appeared.

 Diagnosis: generalized chronic periodontosis of moderate severity, tooth mobility II-III degree.

The patient underwent rehabilitation of the oral cavity. 12 DLG procedures were carried out (from 45 to 70 ^o C), against the background of which 10 electrophoresis procedures were carried out (5 times with cyprobe and 5 times with tarid). Additionally, 8 sessions of electrical stimulation and 8 sessions of vibration massage were made. After the 6th procedure, the patient noted a decrease in pain during chewing and from temperature irritants. Teething decreased markedly. Purulent discharge and swelling of the gums disappeared. The patient completed treatment with significant improvement. A month later, the patient stopped complaining of pain, the teeth became stable, there was no discharge. It is recommended to make a bridge prosthesis.

Sources of information
1. Copyright certificate of the USSR 1706641, cl. A 61 M 1/32, publ. 1992

 2. Copyright certificate of the USSR 1279394, cl. A 61 M 1/30, publ. 1987 year

 3. Patent of the Russian Federation 2014 107, cl. A 61 M 1/30, publ. 1994

 4. Patent of the Russian Federation 2008073, cl. A 61 M 1/30, publ. 1994

 5. Copyright certificate of the USSR 1586720, cl. A 61 M 1/32, publ. 1990 g.

 6. Copyright certificate of the USSR 1078691, cl. A 61 M 1/42, publ. 1984 year

Claims (1)

 A device for treating periodontal disease containing a mouthguard base with a spacer made of a porous material for a medicinal solution, characterized in that the mouthguard base is made of a flexible electrical insulating material, the horseshoe-shaped outer and inner plates interconnected by a transverse plate, and the device is equipped with a holder attached to the transverse plate with a shank, heating elements located in the plates with noise shields, electrodes, data on the surfaces of the plates, a drainage tube connected to the holder for supplying the drug solution to the gasket, and a vibrator connected to the shank.

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