RU2481787C1 - Method of diagnosing intolerance of metal constructions in oral cavity - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to orthopedic dentistry and is intended for application in carrying out differential diagnostics of intolerance of metal constructions in oral cavity and vegeto-neurotic diseases (glossalgia). Successive isolation of metal constructions is carried out by application of mouth guard with elastic mass on metal constructions. Change of microcurrents is performed on remaining non-insulated construction. If values of microcurrents are to 15 mcA and there are no complaints from patient, conclusion about intolerance of insulated metal construction is made. If values of microcurrents are higher than 15 mcA and there are complaints from patients, mouth guard is applied on the next metal construction. If values of microcurrents are lower than 15 mcA, saliva pH is 6.9-7.0 and there are complaints from patient in case of all isolated metal constructions, conclusion about disease which is not associated with metal constructions in oral cavity is made.

EFFECT: method makes it possible to determine causes of galvanosis and intolerance of metal construction in oral cavity due to successive insulation of metal dental constructions from mucous membrane of oral cavity.

Description

The invention relates to medicine, namely to orthopedic dentistry.

A known method for the prevention of galvanosis in the oral cavity (Gajaya L.D. Diseases of the oral mucosa due to materials of dentures: Abstract. Dis. Doc. Medical Sciences. - M., 2001 - 53 s). The essence of the method is to remove metal structures (elimination) with a high potential difference. When removing prostheses from the stainless steel, precious metals, amalgam fillings in the oral cavity, the amalgam fillings are first removed, and then stainless steel.

The disadvantage of this method is the long period of elimination with the sequential removal of orthopedic structures containing various metals. The method is materially costly with a negative result for the patient - a causal relationship with an orthopedic structure containing metals is not confirmed. With the complete elimination of prostheses, the patient experiences psycho-emotional stress, which can cause vegetative disorders in the oral cavity, accompanied by such complaints as with intolerance to metal prostheses. This situation does not help, but makes differential diagnosis difficult. In addition, with complete elimination, phonetics, food intake and aesthetic perception of the patient are disrupted.

A known method for the prevention of galvanosis in the oral cavity (patent No. 22818180, MKI A61B 5/05), taken as a prototype, according to which the patient determines the potential value of each metal structure present in the oral cavity, then alternately after the removal of dentures (elimination) in the oral cavity is injected with blanks in the amount of 2-4 orthopedic metal blanks from various metal alloys, and the patient is sensed and the magnitude of the microcurrent strength in the oral cavity is diagnosed with a cause and a structure made of such material is selected that It does not cause discomfort and the phenomenon of galvanism, thereby preventing intolerance.

The disadvantages of this method is the complete elimination of the existing metal structures of the patient from the oral cavity, which contributes to emotional tension, impaired phonetics, aesthetic appearance, food intake. In addition, for the manufacture of several fractions of temporary orthopedic structures, the patient has to pay costs, which is not always possible. This method does not reveal the cause of intolerance to metal structures in the oral cavity.

Thus, the diagnostic methods available today are psychologically and physiologically traumatic for the patient and material intensive, both for the manufacture of prostheses for testing and for payment for the patient.

The aim of the claimed invention is to create a simple and non-traumatic method.

The essence lies in the fact that according to the method for diagnosing intolerance of metal structures in the oral cavity, including determining the magnitude of microcurrents and pH of saliva during sequential isolation of metal dental structures from the oral mucosa, they are carried out by applying a cap with an elastic mass on metal structures, while measuring microcurrents on an uninsulated metal structure left, and with a microcurrent value of up to 15 μA and the absence of patient complaints, the isolator is intolerant metal structure, and with a microcurrent value of more than 15 μA and in the presence of patient complaints, a cap is applied to the next metal structure, with a microcurrent of up to 15 μA, saliva pH is 6.9-7.0, and if there are complaints with all isolated metal structures, about a disease not associated with metal structures in the oral cavity.

The application of the claimed method will simplify the implementation of diagnostic measures. The biophysical basis of this method is that while identifying the causes of galvanosis and intolerance to metal structures in the oral cavity, metal prostheses are not removed, but isolated (false elimination) from the saliva and oral mucosa.

Thus, we eliminate the cause of the phenomenon of galvanosis and intolerance to metal structures in the oral cavity: burning of the tongue, metallic taste, hypo-hypersalivation, insomnia, and neurosis. At the time of identifying the cause, food intake, phonetics, and aesthetic perception of oneself are not disturbed. The lack of discomfort is emptiness. It is economically feasible.

The method is as follows. The microcurrents in the oral cavity are measured. An impression is taken from the jaws having metal bridges.

A model is made of gypsum.

A plastic mouthguard 0.20-0.30 mm thick is made.

A plastic mouth guard with elastic mass “Korega” is put in and placed on a metal denture. Carry out a control measurement of the magnitude of microcurrents in the oral cavity.

Sequential insulation of metal structures is carried out by applying a cap with an elastic mass on metal structures. Microcurrents are measured on an uninsulated metal structure. With a microcurrent value of up to 15 μA and the absence of patient complaints, intolerance of an isolated metal structure is judged. When the value of microcurrents is more than 15 μA and in the presence of patient complaints, a cap is applied to the next metal structure. With microcurrents of up to 15 μA, saliva pH of 6.9-7.0 and in the presence of complaints with all isolated metal structures, a disease that is not associated with metal structures in the oral cavity is judged.

Example 1

Patient A

Complaints: burning sensation in the tongue area.

In the oral cavity, on the upper jaw, a stamped-soldered bridge.

The magnitude of microcurrents in the oral cavity is 15 μA, the pH of saliva is 6.5. When insulating a metal prosthesis with a plastic mouthguard with Korega elastic mass, the patient complained.

Conclusion: when isolating a metal prosthesis and maintaining complaints in a patient, one can judge a disease that is not associated with a metal structure in the oral cavity.

Example 2

Patient B

Complaints of burning tongue.

The magnitude of microcurrents in the oral cavity is 28 μA, saliva pH 6.0. A molded bridge with titanium nitride coating on the upper jaw, a brazed bridge with titanium nitride coating on the lower jaw, meet clinical requirements.

There are no complaints while simultaneously isolating metal prostheses on the upper and lower jaws with plastic burls with an elastic mass of Korega.

Complaints are saved only when the bridge is insulated on the upper jaw with a plastic burl with Korega elastic mass.

Conclusion: a bridge-like metal prosthesis on the lower jaw causes a burning tongue, as the patient’s complaints remain only when the metal prosthesis on the upper jaw is isolated.

Example 3

Patient "G"

Complaints: burning sensation in the tongue area.

In the oral cavity, on the lower jaw, a cast bridge.

The magnitude of microcurrents in the oral cavity is 18 μA, saliva pH 6.0. When insulating a metal prosthesis with a plastic mouthguard with Korega elastic mass, the patient has no complaints.

Conclusion: the one-piece bridge prosthesis on the lower jaw is the cause of the tongue burning, since when the prosthesis is insulated with a plastic burl with an elastic mass “Korega”, the patient’s complaints disappear.

It is recommended to make the bridge of another structural material.

Claims (1)

A method for diagnosing intolerance of metal structures in the oral cavity, including determining the magnitude of microcurrents and saliva pH during sequential isolation of metal dental structures from the oral mucosa, characterized in that the sequential isolation of metal structures from the oral mucosa is carried out by applying a cap with an elastic mass to the metal structures while the measurement of microcurrents is carried out on the left uninsulated metal structure, and with the value of microcurrents up to 15 μA and the absence of patient complaints, the intolerance of the isolated metal structure is judged, with a microcurrent value of more than 15 μA and in the presence of patient complaints, the mouthguards are superimposed on the next metal structure, and with a microcurrent of up to 15 μA, saliva pH is 6.9-7.0 and if there are complaints with all isolated metal structures, a disease that is not associated with metal structures in the oral cavity is judged.