RU2557700C1 - Method of treating patients with dental caries - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: patient is anaesthetised. The dental deposit is removed. A filling material colour is chosen. A tooth decay cavity is prepared, disinfected, washed with water, desalivated and dried. The cavity walls and bottom are wetted with Gluftored liquid on an applicator, exposed to a blue light emitting diode for 30 seconds passing through a ring magnet tip; the cavity is dried. The cavity bottom is wetted with a suspension applied on the applicator and activated with the blue light emitting diode with a magnetic tip for 30 sec, and dried. The total exposure is 60 seconds. An etching solution for total etching is administered into the cavity, washed out; the cavity is dried; an adhesive is administered, inflated with air, exposed to a blue light polymerisation activator for 20 sec. The decay cavity is filled by introducing the filling material in layers and exposed to the blue light polymerisation activator for 20 seconds. The filling is polished with final light exposure. The patient is advised to follow oral hygiene and given reasons for using Mexidol dent Calcium toothpaste.

EFFECT: method provides preventing post-therapeutic complications and increases clinical effectiveness.

5 dwg, 1 ex

Description

The invention relates to medicine, namely to dentistry, and is intended for the complex treatment and prevention of complications in patients with dental caries.

Use the “Gluftorad” dental kit for deep fluorination of tooth enamel and dentin, which includes a liquid with fluorine ions F and copper Cu and a finely dispersed suspension of calcium hydroxide Ca (OH) ² in distilled water, additionally step by step, first, after wetting with liquid, the walls and the bottom, prepared for filling the cavity, then to the bottom, after wetting the suspension, emitting blue light from the LED, passing it through the magnet of the annular nozzle, and appoint the patient with Mexidol dent Complex toothpaste with the content of antioxidant and antihypoxant mexidol and calcium citrate.

A method of treating patients with dental caries improves clinical efficacy, provides prevention of recurrent, secondary caries, pulpitis, after the tooth's operational sensitivity due to the fact that the course of chemical reactions in the liquid and suspension is activated by the photomagnetic interaction of the radiation energy of the blue range of the LED spectrum, increasing in a magnetic field ring magnet nozzles; fluid fluidity, the depth of fluorination, the formation of more and better quality crystals of calcium compounds and copper compounds in the dentinal tubules of the tooth, forming a block on the path of the spread of microbes, toxins, tissue breakdown products from the carious cavity into the tooth pulp; copper crystals provides disinfection of tooth tissues enhanced by the bactericidal action of blue light; a step-by-step method of applying radiation enhanced by passing through the nozzle of a ring magnet, lengthens the trace reaction, ensures the formation of more perfect in shape, orderly arranged, crystals concentrating around copper crystals integrated with dentin; Toothpaste "Mexidol dent with calcium" is prescribed as an antihypoxant and antioxidant, restoring homeostasis in the oral cavity, and for the prevention of caries.

Radiation in the blue spectral range, the wavelength range of 240-280 nm, LEDs in interaction with a constant magnetic field, induction of 40 mT, activates the course of chemical reactions of the ingredients of the Gluftorad kit, increases fluidity, stimulates blood flow in the tooth pulp and periodontium, tissue metabolism, local immunity, promotes regeneration, has a bactericidal effect. Blue light increases the energy potential of a cell, reduces blood viscosity, affects the functions of the cardiovascular, respiratory systems and immunity, has analgesic and bactericidal effects, and improves the pharmacotherapeutic properties of drugs; magnetotherapy stimulates the neuro-endocrine and cardiovascular systems, dilutes the blood, improves its rheological properties, has a decongestant and hypocoagulation effect, and changes the physicochemical properties of water, its structure [V.S. Ulashchik, I.V. Lukomsky / General physiotherapy. Minsk .: Book House, 2008. - 572]. Mexidol dent Complex toothpaste with the active components Mexidol and Calcium Citrate has antioxidant, antihypoxic, anti-inflammatory and anti-caries effects and restores oral homeostasis [dent@mexidol.ru]

Closest to the technical solution adopted for the prototype is the "Method for the treatment of patients with deep tooth decay using" Dentin - sealing liquid ", consisting of two fluids: No. 1 and No. 2, as well as the additional use of the step-by-step effect of low-intensity laser radiation on dentin prepared for filling the cavity, after each wetting it with “Dentin - sealing liquid”, at the same time, first the dentin is moistened with liquid No. 2, then with liquid No. 1 and again moistened with liquid No. 2. The treatment method ensures the effectiveness of the treatment due to the fact that dentin is a sealing liquid activated by laser radiation in the red spectrum, the wavelength of 632 nm penetrates deeper into the dentinal tubules, and the step effect lengthens the trace effect of the action of laser radiation [Kovaleva MS , Britova A.A., Proshina L.G. Treatment of deep caries with the use of low-intensity laser radiation // Bulletin of NovSU. Velikiy Novgorod. 2010, No1.- p. 30-33].

The disadvantage of the prototype is that:

- The energy of a constant magnetic field is not used, which enhances the effect of low-intensity laser radiation and contributes to the formation of a larger number of more perfect crystals of the drug, which contributes to better sealing of the dentinal tubules of the tooth.

- First, a suspension is added to the cavity prepared for filling, then a liquid is added, then a suspension is added again, activating each portion of the preparation; in the proposed method, the combined effect of blue light and a magnetic field activates and orders crystallization, creates a reliable barrier and re-application of the suspension is optional.

- Two spectra of laser radiation waves are used: red for activating the ingredients of the Gluftored kit and blue as an activator for the polymerization of filling material.

- Change of glasses by a doctor to protect eyes with blue glass, when using radiation in the red wavelength range, to red glasses, when filling a cavity with an LED polymerization activator in the blue wavelength range, causes the doctor’s eyes to become tired, increases treatment time.

The objective of the invention is to increase clinical efficacy, prevention of complications, optimizing the treatment of patients with dental caries due to photomagnetic stimulation of physicochemical processes in the ingredients of the set "Gluftorad" by LED radiation and magnetic field energy, increasing the fluidity of the fluids, the depth of fluorination, the formation of crystals in dentin tubes blocking the path of penetration of microbes and toxins into the pulp of the tooth; obtaining a long-term, renewable bactericidal effect of copper ions concentrating crystals around them, activating blood flow in the tooth pulp and periodontium, using the same type of radiation and equipment, reducing treatment time, reducing the level of free radical oxidation of cell membrane lipids and tissue hypoxia by prescribing Mexidol toothpaste dent with calcium ”, providing additional mineralization of the tooth enamel surface.

To solve this problem, a method for the treatment of caries based on the basic protocol for the management of a patient with dental caries is proposed. The first preparatory stage: motivation and teaching the patient oral hygiene using Mexidol dent calcium toothpaste, anesthesia, plaque cleaning and tooth color determination, preparation, disinfection, washing, isolation and drainage of the carious cavity. The second stage: wetting with the applicator the walls and bottom of the preparation “Gluftorad” prepared for filling the carious cavity with liquid and exposure to it by LED radiation in the blue range of the spectrum passing through the ring magnet of the nozzle, drying with an air stream. The third stage: the bottom of the cavity is moistened with a suspension, exposed to the radiation of the LED in the blue range of the spectrum passing through the ring magnet of the nozzle, and the cavity is drained with a stream of air. The fourth stage: the etching gel is applied to the walls and the bottom, it is washed off, the cavity is dried, the adhesive is applied, it is illuminated by activating the polymerization activator with blue light, the cavity is filled in layers, each layer is illuminated with the activator blue light, they are modeled and the filling is finished. The patient is assigned a follow-up visit and recommendations.

The present invention allows to obtain the following technical result in the treatment of patients with dental caries.

- Increases the effectiveness of treatment and preventive measures carried out for patients with dental caries.

- The principles of ergonomics are observed when working at all stages of the patient’s treatment, expanding the indications for the use of blue light polymerization activator to activate the ingredients of the drug “Gluftorad”, as well as when using safety glasses with red glass during the entire period of work with the light.

- Photomagnetic stimulation of physical and chemical processes between a fluid containing fluorine and copper ions, a finely dispersed suspension of calcium hydroxide and dentin of the tooth is carried out, the main inorganic composition of which is hydroxyapatite, calcium carbonate and calcium fluoride, the volume of reacted reagents increases and their consumption decreases.

- Photomagnetic stimulation of blood flow, dentinal fluid, metabolism and immunity in the pulp of the tooth and periodontium is carried out.

- The energy exchange between biological fluids (dentin fluid and blood), fluid and suspension of the “Gluftorad” kit is stimulated.

- Increases the energy efficiency of radiation in the blue range of the spectrum of the LED in the constant magnetic field of the nozzle of the ring magnet.

- The fluidity of fluids, the depth of fluorination, the crystal formation in the dentinal tubules of the teeth, their sealing are enhanced, and the path of the advancement of microbes and toxins into the tooth pulp is more reliably blocked.

- There is a permanent bactericidal effect of copper, concentrating crystals around itself, and enhanced by the use of blue light, which also has an antimicrobial effect.

- The time of the trace effect of stepwise photomagnetic activation of the ingredients of the drug “Gluftorad” and the blood flow of the pulp of the tooth and periodontium is lengthening.

- Prevention is carried out after filling sensitivity, recurrent, secondary caries of teeth and pulpitis.

- Pharmacological activity is stimulated, the course of chemical and physical processes in the ingredients of the “Gluftorad” kit, the recombination of crystals that take on a more perfect shape, close arrangement, the level of mineralization, the strength of the tooth structure, weakened by caries, preparation and etching with acid, increase.

- Increases economic efficiency with multi-use polymerization activator of polymer filling materials.

- The aspect of the therapeutic use of blue LED light in dentistry has been expanded.

- Oral homeostasis is restored when using Mexidol dent calcium toothpaste, which has antioxidant, antihypoxant, anti-inflammatory, anti-caries effects.

To explain the proposed method, in particular, to illustrate the activation of crystal formation in the liquid of the “Gluftorad” set by the radiation of an LED in the blue spectral range and blue light in interaction with the constant magnetic field of a ring magnet, a list of microcrystallogram figures is given: FIG. 1, 2, 3.

FIG. 1. Liquid crystals of the drug “Gluftorad” after activation of the blue light-emitting diode for 30 seconds. SW 200.

FIG. 2. Crystals of the liquid of the drug “Gluftorad, activated by the blue light of the LED for 60 seconds. SW 200.

FIG. 3. Fluid crystals of the drug “Gluftorad” after photomagnetic activation with blue light for 60 sec. SW 200.

Exposure to light of the LED polymerization activator led to an increase in the number of reagents that reacted in the liquid of the “Gluftorad” preparation, the number of crystals formed, and they recombined. They lengthened, orderly and closely spaced, especially in the areola of copper crystals. The combined photomagnetic activation of the Gluftorad liquid enhanced crystallization more than activation only with blue light, the size, length of crystals, and ordering of arrangement increased in comparison with crystals where there was no activation of the liquid, FIG. four.

FIG. 4. Liquid crystals of the drug "Gluftorad" without activation. SW 200.

The activated and non-activated blue light calcium suspension of the drug “Gluftorad” was impervious to the light microscope, had the form of a homogeneous mass, FIG. 5.

FIG. 5. Crystals of the suspension of the drug "Gluftorad." SW 200.

The method is as follows.

Teach the patient oral hygiene, motivating the use of toothpaste Mexidol dent with calcium. Anesthesia is carried out, the tooth is cleaned of plaque, the color of the filling material is selected on a color scale identical to the color of the tooth. A cavity is prepared, it is disinfected, washed with water, isolated from saliva and drained. Using the applicator, the walls and the bottom of the cavity are moistened with Gluftorad liquid, illuminating the LED with blue light for 30 seconds, passing through the nozzle of the ring magnet, the cavity is drained, then the cavity bottom is wetted with the suspension, activating the LED with the magnetic nozzle with blue light for 30 seconds, drained. The total exposure is 60 seconds. The etching gel is introduced into the cavity for total etching, it is washed off, the cavity is dried, the adhesive is applied, it is inflated with air, the polymerization activator is illuminated with blue light for 20 seconds, the carious cavity is sealed, the filling material is layered, the polymerization activator is illuminated with blue light for 20 seconds . The seal is finished, finishing finishing is carried out. The patient is given recommendations. The doctor performs all the manipulations in goggles with red glass.

There is a clinical example of the invention. Extract from the medical history of patient Sh., 20 years old. After examining the patient using basic and additional methods, the diagnosis was made: dentin caries 37, Black class I. The preparatory stage of treatment, including anesthesia and preparation of the carious cavity, was completed. The walls and the bottom of the prepared cavity are moistened with an applicator using the liquid of the “Gluftorad” preparation, the radiation was illuminated by a LED with a magnetic nozzle in the blue range of the polymerization activator spectrum, the exposure time was 30 seconds. After 1 minute, the cavity was drained by a stream of air. Then, the bottom of the cavity is moistened with a suspension, the polymerization activator LED is illuminated with blue light for 30 seconds with a ring magnet nozzle. After a minute, the cavity was drained and etched gel was introduced into it for 30 seconds, the gel was washed off, the cavity was drained. The walls and bottom of the cavity are moistened with OptiBondSolo plus adhesive, illuminated for 20 seconds with the blue light of the polymerization activator, layer-by-layer filling of the cavity was performed with Filtek 2250 light-polymer filling material, each layer being illuminated for 20 seconds. Seals were finished and 20 seconds finished. A control examination of the patient was carried out after 6 months. There are no complaints. The seal is in satisfactory condition, there is no change in the color of the seal and the color of the tooth. Indicators of electroodontometry of 37 tooth 5 μA, gum pale pink. Tooth percussion is painless.

Claims (1)

A method for treating patients with dental caries, including the use of the “Gluftorad” kit for deep fluorination of tooth enamel and dentin, consisting of a liquid and suspension, characterized in that they additionally carry out a step-by-step exposure of the LEDs of the ring magnet to the dentin of the walls and bottom with a blue LED light prepared cavity after wetting with liquid, then the bottom after wetting with a suspension, and toothpaste "Mexidoldent with calcium" is also prescribed.

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