RU2377000C2 - Mudtherapy of dental diseases - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to dentistry. It involves preparing two applicators by filling two nonwoven fabric enclosures with homogenised medical mud of Tambukan lake containing (wt %): crystal skeleton 15.0-25.0, colloid complex 10.0-20.0 and mud solution - the rest. The applicators are enclosed with a supplementary light- and gas-tight case and heated to temperature 42 - 45°C. Then the applicators are pulled out of said supplementary light- and gas-tight case. One applicator is inserted into vestibule of oral upper jaw, and the other - into vestibule of oral lower jaw. The applicators are kept with teeth clenched during 10-15 minutes.

EFFECT: method improves gingival microcirculation, reduces venous-limphatic congestion and extends an active capillary surface that leads to reduction of interstitial edema, and terminates horizontal and vertical bone resorption, reduces dental mobility and gingival haemorrhage.

4 cl, 2 ex

Description

The invention relates to medicine, namely to the field of dentistry, and can be used in rehabilitation treatment and rehabilitation of patients with various gum diseases.

Known (R.I. Mikhailov, G.M. Frenkel "The effectiveness of mud therapy at the Yevpatoriya resort in patients with periodontal diseases." "Dentistry" No. 3, 1984, p. 36) the method of introducing mud drugs into the oral cavity in the form of applications with bandages.

The disadvantage of this method is that it is impossible to ensure a tight fit of the mud preparation to the gums and teeth, as well as to exclude contact with saliva. Therefore, during the procedure, a large amount of saliva with dirt particles dissolved in it accumulates in the oral cavity, and it is impossible to exclude its ingestion.

A known method (SU copyright certificate 908354) for the treatment of periodontal disease. According to the known method, gums are hydromassaged with chloride-sulphate mineral water for 2-4 minutes at a temperature of 36-42 ° C, then applications from natural silt mud are applied to gum sections with a temperature close to the temperature of transition folds (15-20 minutes) in particular, silt mud resort "Usolye-Siberian"). During the implementation of the procedure, the temperature of the applications is kept constant, and with each subsequent procedure, the mud temperature is increased by 0.5-2.0 ° C in the range of 37-42 ° C, then the dirt is removed and the gums are hydromassaged with chloride-sulfate mineral water at mud.

Known (RU patent 2129418) is a method of treating periodontal diseases by applying mud drugs to the patient’s gums. When implementing the method, a model of the patient’s jaw is preliminarily made, then wax strips 1.5-7 mm thick, 4-8 mm wide are placed on the marginal part of the gum of the model from the vestibular and lingual sides and a wax pattern is formed on the model, according to which a cell is made from a biologically inert material, and with mud medications fill the cavity of the cuvette for 30-50% and place it on the gum.

The disadvantage of this method should recognize its complexity.

Known (R.I. Mikhailov, G.M. Frenkel "The effectiveness of mud therapy at the Yevpatoriya resort in patients suffering from periodontal diseases." "Dentistry" No. 3, 1984, p. 36) a method of mud therapy of oral diseases, including exposure to therapeutic mud, heated to a temperature of 45-50 ° C and placed in applicators permeable to biologically active components of therapeutic mud. Applicators are placed on the mucous membrane of the upper and lower jaws in anticipation of the oral cavity with the jaws closed for 15-20 minutes.

The disadvantage of this method is its low efficiency due to the non-optimal composition of the therapeutic mud.

The technical problem solved by the implementation of the developed technical solution is to develop an improved method of rehabilitation treatment and rehabilitation of patients with various diseases of the oral cavity, mainly gum disease.

The technical result obtained by the implementation of the developed method consists in increasing the efficiency of the rehabilitation treatment and rehabilitation of patients.

To achieve the specified technical result, it is proposed to use the developed method of mud therapy of oral diseases. When implementing the developed method, two cylindrical applicators are made containing the indicated therapeutic mud, then the gingival applicators are placed in an additional light- and gas-tight shell in which they are heated to 35-50 ° C. Next, the applicators are removed from the light and gas tight shell. One of the applicators is introduced on the eve of the oral cavity of the upper jaw, and the other on the eve of the oral cavity of the lower jaw and these applicators are kept with gritted teeth for 10-30 minutes. Preferably, the healing mud applicator is heated to a temperature of 42-45 ° C. Typically, the procedure is carried out for 10-15 minutes. It is advisable to carry out the procedure daily. For the maximum therapeutic effect, homogenized mud is used containing particles no larger than 0.2 mm in size, while the mud contains a mud solution, a crystalline skeleton and a colloidal complex, in the following ratio of these components (wt.%):

Crystalline skeleton 15.0 ÷ 25.0 Colloid complex 10.0 ÷ 20.0 Mud solution rest

Mainly use the shell of applicators placed in the oral cavity, permeable to biologically active components of the therapeutic mud. This allows you to not destroy the specified shell during the procedure. Preferably, an applicator sheath made of a nonwoven web is used.

In a preferred embodiment of the developed method, the disposable gingival applicators of Tambucan mud are heated in a light and gas impermeable shell to a temperature of 42-45 ° C, one of the applicators is placed on the eve of the upper jaw oral cavity, and the other on the eve of the lower jaw oral cavity, after which the patient is offered close your teeth tightly and stay in this position for 10-20 minutes. After the procedure, mud swabs are removed and rinsing of the oral cavity with warm (about 38 ° C) boiled water is started. Procedures are carried out daily, only 10-15 procedures per treatment course.

The therapeutic mud of Lake Tambukan is a plastic thick colloidal substance of black and gray color. Therapeutic mud is viscous, sticks tightly to the skin. It consists, as noted above, of the liquid phase (mud solution), crystalline skeleton and colloidal complex. It is most preferable to use the therapeutic mud of Lake Tambukan containing a mud solution, a crystalline skeleton and a colloidal complex in the following percentages:

I. Mud solution 63.39, consisting of water and dissolved salts, with their content from the total mass of dirt:

Water 56.2 Dissolved salts 7.19

II. The crystalline skeleton of 21.45, consisting of a calcium-magnesian skeleton and a silicate skeleton, with their content from the total mass of dirt

Calcium Magnesian Skeleton 2.75 Silicate skeleton 18.7

III. The colloidal complex is 14.93, containing sulphurous iron in an amount of 0.93 percent of the total mass of dirt.

The crystalline skeleton of Tambukan mud consists of small particles of clay and sand that are slightly soluble in water, it contains a significant amount of calcium carbonate and calcium sulfate. The structure of the crystalline skeleton of mud is rather thin, which is of great importance in assessing its healing properties.

The colloidal fraction binds all particles of the crystalline skeleton and imparts plastic properties to dirt. The colloidal hydrosulfide of iron, which is always present in this mud, gives it a black color.

An important role in the colloidal complex of Tambukan mud is played by organic substances - a nutrient medium for biological processes that continuously occur in mud sediments.

The physicochemical and therapeutic properties of Tambukan mud are largely determined by biochemical substances, which are the product of the vital activity of microorganisms.

Biochemical processes transform the very substance of the mud and cause the appearance of various compounds of carbon, nitrogen, sulfur, iron, phosphorus and silicon.

Of particular importance are the groups of microorganisms that cause the precipitation of hydrous oxide of sulfur, participating in the decomposition of organic substances. Denitrifying, nitrifying and thionic bacteria also play a significant role.

Hydrogen sulfide, an important component of dirt, is formed due to the activity of sulfate-reducing microorganisms.

The presence of methane, ammonia and other gases is also significantly associated with the vital activity of microflora.

The organic substrate of Tambukan mud, as well as other silt mud, is associated with the vital activity of various micro- and macroorganisms. The decomposition products of organic substances and their subsequent synthesis are always in significant amounts of mud.

The main part of the organic matter of Tambukan mud is composed of humic acids and humic-lignin substances.

Humic substances are formed in therapeutic mud from dead plant and animal organisms as a result of biological and biochemical processes. These processes occur in conditions of limited air intake. First, microbes decompose organic residues into simple compounds, and then synthesize new, complex formations. Humic acids and bitumens have high physiological activity, and their presence in the mud enhances its healing properties.

Tambukan mud is highly flexible, has a high heat capacity and relatively low heat transfer. These properties make it very convenient with the application method of mud therapy. The content of mineral salts in the mud, including such active chemical elements as iron, strontium, lithium, manganese and zinc, as well as the presence in the mud of organic compounds - humic acids and bitumen - make the mud chemically active, directly acting on the skin and mucous membranes shell. The presence of hydrogen sulfide, carbon dioxide and methane in the mud significantly increases this active effect.

The bacteriostatic and bactericidal action of dirt is of particular importance in such treatment methods, when the dirt is in direct contact with the mucous membranes of the intestines, vagina, always rich in bacterial flora.

According to its physicochemical and biological properties, Tambukan mud significantly exceeds the mud of other deposits and is a highly effective therapeutic agent.

The homogenization of the mud of Lake Tambukan is carried out to the consistency of the cream (particle size not exceeding 0.2 mm). After filling the applicator shell with homogenized therapeutic mud, it is desirable to isolate the surface of the therapeutic mud from contact with the external environment. For this purpose, the filled applicator shell can be placed in a light- and gas-tight additional shell (for example, polymer films laminated with aluminum foil).

It was experimentally established that the use of therapeutic mud homogenized to a particle size of not more than 0.2 mm with crushed large mechanical inclusions significantly increases the physiotherapeutic effect of the application by increasing the area of interaction of active substances with the patient’s skin or mucous membrane.

Method implementation examples

The method proposed above was tested in the Stavropol Regional Hospital for war veterans in 2006 - 2007 on a group of 40 people with periodontitis and periodontosis.

Patient S., born in 1968 Diagnosis: generalized form of periodontitis of moderate severity. He entered outpatient treatment in August 2006. He complained of bleeding gums, enamel hyperesthesia, tooth mobility of 1-2 degrees in the frontal region, II-III degrees in the group of molars.

A comprehensive treatment was carried out, including oral sanitation, removal of supra- and subgingival dental deposits, and granulations. A mud treatment course was carried out according to the developed method, while disposable gingival applicators were used, the shell of which is a non-woven material based on natural fibers, Tambukan mud containing homogenized mud with a particle size of not more than 0.2 mm. The applicators were heated in a foil-coated polypropylene package to a temperature of 42-45 ° C, then one of the applicators was introduced on the threshold of the upper jaw oral cavity, and the other on the threshold of the lower jaw oral cavity. Then the patient closed his teeth tightly and remained in this position for 15-20 minutes. After the procedure, mud swabs were removed and rinsing of the oral cavity with warm (approximately 38 ° C) boiled water was started. The procedures were carried out continuously for 15 days.

Before and after the course of treatment, intravital biomicroscopy, rheoparodontography, and orthopantomogram were performed. An improvement in microcirculation in the gums with a decrease in venous-lymphatic stasis and an increase in the active surface of the capillaries, a decrease in interstitial edema were revealed. On the orthopantomogram, a tendency to the termination of horizontal and vertical bone resorption is noted. Clinically, the gum has the usual color, the mobility of the teeth has decreased to 0-1 degrees, the hyperesthesia of the teeth and bleeding of the gums have disappeared.

Example 2

Patient at 45 years old, diagnosis: chronic generalized gingivitis, moderate hypertrophic form.

Standard medical treatment, removal of dental deposits, curettage of pathological pockets was carried out, and an additional course of rehabilitation treatment was carried out according to the developed and protected method using gingival applicators as in Example 1. The procedures were performed daily for 12 days.

After 7-8 sessions, a significant improvement in the patient's condition was noted. After the 12th session, bleeding of the gums completely stopped.

This method treated 40 people. A group of patients treated using applicators according to the above methodology in 2006 in the amount of 15 people underwent an additional examination a year later. The examination showed that only 3 people had a slight bleeding of the gums when brushing their teeth. In 2007, 8 people applied for repeated preventive treatment, which amounted to 5%.

At the same time, together with a group of patients who agreed to additional preventive treatment with mud gum applicators, a group of patients was observed in the amount of 30 people, consisting of patients of the same age categories and having a similar diagnosis.

Patients who did not undergo mud therapy, in the amount of 23 people, again a year later again complained of the resumption of bleeding gums.

The use of mud gingival applicators in the complex treatment of periodontal disease and periodontal disease gives a good positive therapeutic effect with prolonged remission. All these procedures in the conditions of dental clinics can be performed by medical personnel of physiotherapy rooms.

Claims (4)

1. The method of mud treatment of diseases of the oral cavity, characterized in that pre-made two shells of non-woven fabric and fill them with homogenized therapeutic mud of Lake Tambukan to obtain two gingival applicators, which are placed in an additional light and gas-tight shell, heat the applicators in this shell to a temperature 42 - 45 ° С, both applicators are removed from the additional light and gas impermeable shell, then one of the applicators is inserted on the threshold of the upper jaw oral cavity, and the other in the pre the oral cavity of the lower jaw, and these applicators can withstand gritted teeth for 10-15 minutes, and use homogenized mud containing mud solution, crystalline skeleton and colloidal complex in the following ratio of these components, wt.%:
crystalline skeleton 15.0-25.0 colloidal complex 10.0-20.0 mud solution Rest 2. The method according to claim 1, characterized in that the procedures are carried out daily. 3. The method according to claim 1, characterized in that they use native homogenized mud containing particles not exceeding 0.2 mm in size. 4. The method according to claim 1, characterized in that use the applicator shell, permeable to biologically active components of the therapeutic mud.