RU2423946C1 - Instrument for determining trigger zones of increased vomiting reflex in oral cavity - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to orthopedic dentistry and can be applied for determining localisation of triggering areas of increased vomiting reflex on surface of oral cavity mucosa. Instrument for determining trigger zones of increased vomiting reflex on surface of oral cavity mucosa includes handle, working part and body, which are connected by thread. Instrument body has bend 135°. Working part is represented by sphere with 10 mm in size.

EFFECT: improving quality of dental orthopedic and orthodontic treatment at stage of making impressions in patients with increased vomiting reflex.

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Description

The invention relates to medicine, namely to orthopedic dentistry, and can be used to determine the location of the launch sites of the increased emetic reflex on the surface of the oral mucosa (MOP).

The manifestation of an increased vomiting reflex that occurs at the dental orthopedic and orthodontic techniques during impression taking, which causes a lot of inconvenience to the doctor and patient, is predicted by palpation examination of the mucous membrane in the suspected trigger zones. Zones include: the distal part of the hard palate, the soft palate, the root of the tongue, the retro-molar region of the lower jaw. On a palpation study of the trigger zones of SOPR [1, 2], it is impossible to identify their clear localization place, because compulsory simultaneous finger touch of various zones of SOPR. In addition to palpation examination, dentists use various tools that are not suitable for this (dental mirror, round plugs, etc.). There is no special tool for identifying trigger zones of increased gag reflex on the surface of the oral mucosa [3].

The purpose of the invention: to improve the quality of dental orthopedic treatment at the stage of imprinting in patients with increased emetic reflex.

The goal is achieved by reliable diagnosis of trigger zones on the surface of the SOP using the proposed tool, the possibility of accentuating the doctor’s attention to these areas, therefore, the ability to accurately select the medical tactics of dental treatment.

The drawing shows a tool for determining the trigger zones of increased gag reflex in the oral cavity, General view. The tool consists of a handle (figure 1), the body of the tool (figure 2), the working part (figure 3). The handle of the tool (figure 1) is used standard from the dental mirror, is a rod with an ergonomic section for fixing the hand, the side directed to the body of the tool (figure 2) contains an internal thread. The body of the instrument (figure 2) is a metal rod made of medical stainless steel. At both ends contains an external thread with a length of 5 mm, a dimension suitable for a standard handle (figure 1). The body length of the tool (figure 2) is 45 mm In the middle part of the body of the tool (figure 2), at a distance of 25 mm from the end of the attachment to the handle (figure 1), there is a bend of 135 °. The working part (figure 3) is represented by a metal sphere containing an internal thread. The size of the sphere (FIG. 3) is 10 mm, the thread dimension is standard, and corresponds to the dimension of the tool body (FIG. 2). The working area (figure 3) is also made of medical stainless steel.

All three parts of the tool are interconnected using thread. Made of stainless steel, the component parts of the tool ensure durability, ease of sterilization, bioinertness. The standard pen (figure 1) is used to reduce costs in the execution of the tool and from the principle of rationality of the use of available resources. The choice of a particular bending of the tool body (figure 2) is made empirically. This design provides an ideal opportunity to bring the working part of the tool (figure 3) to the surface of the SOPR. The working part (figure 3) has a spherical shape of a special size to ensure the most accurate determination of the localization of the trigger zones of the gag reflex on the surface of the SRS. The tool is used as follows.

Before using the proposed tool, it is necessary to heat the body (Fig. 2) and the working part (Fig. 3) using an antiseptic liquid solution to the human body temperature. Holding the handle (figure 1), place the tool in the oral cavity. The working part (figure 3) touching various sections of the SOPR, establish the topography of the trigger zones of the increased gag reflex. Touch should be medium pressure, simulating the process of taking the impression. None of the parts, except for the working one (Fig. 3), should relate to SOP.

Example 1. Patient A., 56 years old, turned to the orthopedic department of the BSP complaining of a partial absence of teeth in the upper jaw. The patient warned that he had an increased vomiting reflex. After the examination, the diagnosis was made: partial absence of teeth of the upper jaw class 1. It is recommended to make a removable clasp prosthesis on the upper jaw. Using the proposed tool, the trigger site of the increased gag reflex was determined, which is located on the distal portion of the hard palate on the right, on the soft palate on the right. Before obtaining a precision impression, conduction anesthesia was performed in the area of a large palatine opening on the right. The patient transferred the dental procedures safely. The clinical stages of orthopedic treatment have been successful.

Example 2. Patient K., 52 years old, turned to the orthopedic department of the BSP complaining of a partial absence of teeth in the upper jaw. In the anamnesis: earlier, when treating teeth, he did not note the presence of an increased emetic reflex, however, one of the doctors spoke about the possible presence of this reflex. In the future, the patient often noticed vomiting during dental interventions. After the examination, the diagnosis was a partial absence of teeth of the upper jaw class 1. It is recommended to make a removable clasp prosthesis on the upper jaw. Using the proposed tool, no trigger zones were detected. In this case, medical tactics became as follows: preliminary preparation for orthopedic treatment using methods of small psychocorrection. After pre-prosthetic preparation, the patient successfully underwent the clinical stages of orthopedic treatment.

Example 3. A 49-year-old patient M. turned to the orthopedic department of the BSP complaining of a partial absence of teeth in the upper jaw. From the anamnesis it turned out that he had previously repeatedly tried to prosthetize, but to no avail due to an increased gag reflex. After the examination, the diagnosis was made: partial absence of teeth of the upper jaw class 1. It is recommended to make a removable clasp prosthesis on the upper jaw. Using the proposed tool, the launch site of the increased gag reflex located at the root of the tongue was revealed. Medical tactics was the choice of hard silicone material for the manufacture of working and auxiliary prints to prevent material from touching the launch zone. The patient transferred the therapeutic measures safely. The clinical stages of treatment were successful.

Thus, the use of the proposed diagnostic tool for determining the trigger zones of an increased gag reflex on the surface of an SOP together with the classical methods of examining a patient makes it possible to improve the quality of orthopedic treatment at the stage of imprinting in patients with an increased gag reflex.

Information sources

1. Therapeutic dentistry. National leadership. Ed. prof. L.A. Dmitrieva, prof. Yu.M. Maksimovsky. M .: GEOTAR-Media. 2009 year

2. Khoroshilkina F.Ya. Orthodontics. Defects in teeth, dentitions, malocclusion, morphofunctional disorders in the maxillofacial region and their complex treatment. Medical News Agency. M., 2006

3. Bazikyan E.A. Dental Instrumentation (color atlas). M .: GEOTAR-Media. 2007 year

Claims (1)

A tool for determining trigger zones of increased gag reflex on the surface of the oral mucosa, including a pen, the body of the instrument has a special bend of 135 ° and the working part, represented by a sphere 10 mm in size, and its components are connected by a thread.

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