RU2577240C1 - Method of treatment of traumatic injuries of oral mucosa in the process of orthodontic treatment - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to orthodontics, and can be used for treatment of traumatic injuries of oral mucosa in the course of orthodontic treatment. To do this, cover the sharp elements of braces with flowable filling material. Dry eroded surface with a cotton ball. After this, the affected area is covered with an ointment of the following composition: 40 % alcohol 1:5 tincture of nodding catchfly or roots of Rhaponticum, flowers of marigold and herbs of meadowsweet, taken in weight parts of 3:1:1, respectively - 30 ml; petrolatum, anhydrous lanolin, taken in weight parts of 3:2, respectively - 68.0 g; clove essential oil - 1.0 g; eucalyptus essential oil - 1.0 g. Treatment is carried out 2 times a day for 2-5 days.

EFFECT: method provides rapid healing of wounds, ulcers and other traumatic effects, no allergic reactions with prolonged therapeutic effect due to the pronounced epithelizing, analgetic and anti-inflammatory action of the used ointment.

1 cl, 4 ex

Description

The invention relates to medicine, namely to orthodontics, and can be used to treat traumatic lesions of the oral cavity in the process of orthodontic treatment.

Among the known inventions, the closest claimed is a tool for the treatment of periodontal disease and oral mucosa "Valeodont" [1]. As active ingredients in this tool, phytoecdysteroids and 40% alcohol tincture from the flowers of marigolds and the fruits of Schisandra chinensis are used.

Also close to the claimed invention is a tool for the treatment of purulent-inflammatory processes of the skin and mucous membranes of various etiologies [2]. As the main active ingredients, it contains chloramphenicol, pyromecaine, dill (or clove, or peppermint, or eucalyptus, or lavender) oil, and as auxiliary substances - the preservative cetylpyridinium chloride, glycerin, sodium carboxymethyl cellulose (or methyl cellulose), purified water.

The disadvantages of these inventions, in our opinion, are:

1) short-term therapeutic effect in chronic injuries of the oral mucosa, which is due to the composition of the above funds;

2) the agent for the treatment of purulent-inflammatory processes of the skin and mucous membranes of various etiologies does not have a hemostatic effect and is contraindicated in cases of blood coagulation, to people who have undergone radiation or cytostatic therapy. It is not recommended to use this tool in the presence of injuries or ulcerations of the oral mucosa, since cetylpyridinium chloride, which is part of it, slows the healing of wounds.

The mucous membrane of the mouth is in direct contact with the external environment and is constantly exposed to various mechanical, thermal, chemical, microbiological, physical and other factors. It has good defense mechanisms, so weak mechanical and physical effects do not have a pronounced effect on it. However, under the influence of stronger suprathreshold stimuli, certain changes occur in the oral mucosa, the nature of which depends on the type, intensity and duration of the traumatic factor, which are classified as traumatic lesions.

The severity of these changes is also determined by the localization of the external factor, the state of the reactivity of the body, the resistance of the mucous membrane, etc.

Traumatic lesions are divided into the following:

1) on causative factors

- mechanical;

- chemical;

- physical;

2) with the flow:

- sharp;

- chronic.

Traumatic factors can be sharp edges of teeth, bridges, removable dentures, tartar deposits, orthodontic appliances, orthodontic constructions that are poorly made or worn out, teeth located outside the arc, bad habits (biting the mucous membrane), etc.

In acute mechanical trauma, the mucous membrane is affected by a short-term, but significant in terms of force of impact factor. In chronic mechanical trauma, the irritant is of weak strength, but the effect is longer, which occurs when wearing various orthodontic structures.

The purpose of the invention: the development of a drug for effective use in orthodontic treatment, providing the most rapid healing of wounds, ulcerations and other traumatic consequences, the absence of allergic reactions and their complications, a longer therapeutic effect.

The essence of the invention lies in the fact that after temporarily coating the sharp elements of the braces with a fluid filling material and drying the erosive surface of the mucous membrane with a cotton swab, a patented ointment is applied to treat traumatic lesions of the oral mucosa during orthodontic treatment.

Our ointment is made as follows.

30 parts of petroleum jelly and 20 parts of anhydrous lanolin are placed in a porcelain cup and, with slight heating to 60 ° C, the components of the ointment are mixed to form an ointment base. Into 68.0 g of ointment base, a tincture of 40% alcohol 1: 5 grass of a drool of a drooping or rhizome with the roots of a leuzea, flowers of marigold medicinal herbs, a herb of a meadowsweet, taken in mass parts of 3: 1: 1, respectively, 30 ml, is introduced, and 30 ml, and thoroughly emulsify the mixture. In the obtained ointment, add 1.0 g of clove and 1.0 g of eucalyptus oil and mix them with ointment. The ointment is a yellowish-white preparation with the smell of essential oils.

The duration of the ointment is from 2 to 5 days. Multiplicity of application 2 times a day.

Examples

Example 1. Patient E., 27 years old. I turned to the Orthodont Center Center on the fourth day after fixing lingual braces with complaints of soreness of the tip of the tongue, aggravated by talking and eating. Objectively: the mucous membrane of the tongue in the region. the tops are eroded, hyperemic, edematous. Based on the anamnesis and clinical examination data, the diagnosis was made: acute mechanical injury to the mucous membrane of the tongue. The following treatment was performed: temporary coating of the sharp elements of the braces with a fluid flowing filling material, drying of the eroded surface of the tongue with a cotton swab, application of our ointment. It is recommended that oral hygiene and ointment application at home 2 times a day, for 2-3 days. At the second visit, the patient noted a complete cessation of pain. Visually: the mucous membrane of the tongue is pale pink, without signs of inflammation, palpation is painless.

Example 2. Patient S., 37 years old. I turned to the Orthodont Center clinic with complaints of pain and bleeding of the mucous membrane in the area of the inner surface of the cheek. Objectively: the patient is at the stage of orthodontic treatment, vestibular aesthetic braces, arches with a section of 17 × 25 SS are fixed on the teeth of the upper and lower jaws, the lower steel arch protrudes 7-8 mm from the groove of the buccal tube on the right. The mucous membrane of the cheek in the region of the sharp edge of the arc is loose, hyperemic, edematous, and bleeds. The wound has fuzzy lacerated edges, a white coating. On the chewing teeth of the lower jaw, deposits of soft plaque are noted on the right. Diagnosis: acute mechanical injury to the oral mucosa, complicated by inflammation. The treatment was carried out: elimination of the protruding edge of the arc with distal nippers, professional cleaning, drying of the traumatic ulcer with a cotton swab, applying the “Valeodont” ointment [1] to the affected area. Further use of the ointment 2 times a day for 5 days is recommended. Repeated visit on the 6th day: the mucous membrane of the cheek is slightly hyperemic, moderately moist, with no visible pathology and signs of scarring, bleeding is practically absent.

Example 3. Patient A., 36 years old. He is undergoing treatment at the clinic "Orthodont Center" for splint therapy. The spline correction was carried out on days 1, 7 and 21. The patient complained of biting the cheek and tongue in the first 3-4 days after correction of the spline. Objectively: the mucous membrane of the tongue and cheeks is stagnantly swollen, compacted, teeth prints are visible along the lines of their closure on the lateral surfaces of the tongue and cheeks, submucous hemorrhages are determined in places. On palpation, dull pain is determined. Based on the anamnesis and clinical examination, the diagnosis was made: chronic mechanical trauma to the oral mucosa. Appointments of our ointment on dried traumatic elements were prescribed 2 times a day for 3 days after correction of the spline. The absence of pain and the pale pink color of the mucous membrane, as well as the absence of complications were noted already on the 2nd day of application of the ointment.

Example 4. Patient B., 18 years old. He complained of pain in the lower lip. The pain appeared on day 2 after fixing the vestibular braces on the lower dentition. Objectively: on the mucous membrane of the inner surface of the lower lip, a round bleeding formation of bright red color is determined, the surrounding tissues are hyperemic, edematous. By location and shape, the ulcer repeats the size and position of the bracket (on 43 tooth). Based on the anamnesis and clinical examination, the diagnosis was made: acute mechanical injury to the oral mucosa. The treatment was carried out: grinding of the sharp edges of the bracket, application of the agent for the treatment of purulent-inflammatory processes of the skin and mucous membranes of various etiologies [2] for a traumatic ulcer. A second visit on the second day: pain is determined during a conversation and eating, the mucous membrane of the affected area is hyperemic, slightly swollen. The ulcer is reduced in size, differs from the surrounding area in a brighter color. It is recommended to continue treatment with this drug 2 times a day for 5 days. Repeated visit on the 6th day: the mucous membrane in the area of the traumatic bracket is hyperemic, bleeds slightly, slightly swollen.

Clinical trials of our ointment were performed in 26 patients at the Orthodont Center dental clinic in Moscow and the Department of Orthopedic Dentistry and Orthodontics, GBOU VPO Ryazan State Medical University of the Ministry of Health of the Russian Federation. None of the patients who used the claimed ointment to treat traumatic injuries of the oral mucosa at the stages of orthodontic treatment had no allergic complications, and the terms of regeneration of the oral mucosa were reduced by an average of 60%.

Thus, it can be argued that the claimed ointment has a pronounced epithelizing, analgesic and anti-inflammatory effect. It can be recommended for the treatment of traumatic lesions of the oral mucosa during orthodontic treatment. It has a long therapeutic effect, which is due to the above composition, has a hemostatic effect. Its use is possible with a concomitant violation of blood coagulation by patients who underwent radiation and cytostatic therapy.

Information sources

[1] Pat. 2168979 RF, IPC A61K 7/26, A61K 7/18, A61K 6/00. Means for the treatment of periodontal disease and oral mucosa "Valeodont". / V.N. Darmograi and [others]; GOU VPO RyazGMU them. Acad. I.P. Pavlova - No. 2000100545/14; declared 01/10/2000; publ. 06/20/2001.

[2] Pat. 2102979 RF, IPC A61K 9/06, A61K 35/48. Means for the treatment of purulent-inflammatory processes of the skin and mucous membranes of various etiologies. / T.A. Pankrushev and [others]; Pankrusheva Tatyana Alexandrovna - No. 94027255/14; declared 07/18/1994; publ. 01/27/1998.

[3] Medicinal plants, raw materials and herbal remedies: a training manual in 2 parts. / V.N. Tikhonov, G.I. Kalinkina, E.N. Salnikova. - Tomsk - 2007. - Part 1. - 111 p.

[4] Medicinal plants, raw materials and herbal remedies: a training manual in 2 parts. / V.N. Tikhonov, G.I. Kalinkina, E.N. Salnikova. - Tomsk - 2007. - Part 2. - 137 p.

[5] Medicines: a manual for doctors. / M.D. Mashkovsky. - 15th ed., Rev., Rev. and add. - M.: New Wave, 2006 .-- 1216 p.

[6] Kurkin V.A. Pharmacognosy. / V.A. Kurkin. - Samara: Etching, 2004 .-- 1180 p.

[7] Khoroshilkina F.Ya. Orthodontics. Defects in teeth, dentitions, malocclusion, morphofunctional disorders in the maxillofacial region and their complex treatment: a training manual. / F.Ya. Khoroshilkina. - M .: Medical Information Agency LLC, 2006. - 544 p.

Claims (1)

A method of treating traumatic lesions of the oral mucosa during orthodontic treatment, characterized in that after coating the sharp elements of the braces with a fluid flowing filling material and drying the eroded surface with a cotton swab, an ointment of the following composition is applied 2 times a day for 2-5 days: 40 % alcohol 1: 5 tincture of the grass of the drool of the drooping or rhizomes with the roots of the leuzea, the flowers of the medicinal marigolds, the grass of the meadowsweet, taken in the mass parts of 3: 1: 1, respectively - 30 m l; petrolatum, anhydrous lanolin, taken in mass parts 3: 2, respectively - 68.0 g; clove essential oil - 1.0 g; Eucalyptus essential oil - 1.0 g.