SU1509043A1 - Method of replantation of a tooth - Google Patents

Abstract

The invention relates to medicine, namely to surgical dentistry. The aim of the invention is to improve the adaptation of the replanted tooth. The goal is achieved by drilling holes in the area of the hole passing through the outer cortical plate, then the extracted tooth and the hole are treated with ultrasound in an antiseptic solution. The positive effect is estimated by the high tooth tolerance.

Description

The invention relates to medicine, namely to surgical dentistry.

The purpose of the invention is to improve the adaptation of the replanted tooth.

The method is realized in the following manner.

The circular linkage of the tooth is peeled off, the tooth is removed, the root apex is resected, root canals are filled with phosphate-cement with the introduction of a retrograde-silver pin, a periostomy is carried out along the transition fold from the vestibular side of the jaw, and holes are drilled in the hole. external cortical plate, process the extracted tooth and the hole. with an ultrasound frequency of 30-35 kHz in an antiseptic solution, and the tooth is treated for 4-5 minutes, and the hole for 20-25 seconds.

The drilled holes in the area of the hole that pass through the outer cortical plate allow the exudate to form freely in the postoperative period, and to prevent the development of complications in the postoperative period, make it possible for the tooth to be replanted during the exacerbation of the inflammatory process and reduce temporary disability, which creates a certain economic effect. Engraftment follows the most favorable pathway - the periodontal one.

Treatment of the extracted tooth with an ultrasound frequency of 30-35 kHz in an antiseptic solution for 4-5 minutes prevents the occurrence of complications in the postoperative period.

Microbiological studies of the extracted tooth after ultrasonic treatment of different frequencies and periods of time varying in duration reveal that only when the extracted tooth is treated with an ultrasound frequency of 30-35 kHz and within 4-5 minutes sterility of the replantable tooth is achieved, the tooth enamel is not destroyed.

Example}. The tooth was replanted for chronic. Periodontitis. As a result of the clinical and radiological examination, the patient revealed an exacerbation of chronic periodontitis of the tooth. Carefully peel off the circular bind of the tooth, remove

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7 zuo, resect root tops and fill root ropes with phosphate cement with the introduction of a retrograde silver pin. On the transitional fold from the vestibular side of the jaw, in the area of the projection of the upper tooth root of the Tf of the tooth, the periostometry is conducted and drilled through one hole in the outer cortical plate passing through the hole of the medial and distal roots.

The removed tooth is placed in a jar with a 0.5% chlorhexidine solution and, using a narrow waveguide from the URSC-7N apparatus, the tooth is treated with an ultrasound frequency of 30 kHz for 5 minutes. The same waveguide is treated with ultrasound with a frequency of 30 kHz for 25 s, which was formed after the extraction of a tooth with a constant injection of 0.5% chlorhexidine solution into it from a syringe. The tooth is placed back into the hole and fixed with wire ligature. The ligature is removed after 2.5 weeks. P.

Example 2. A tooth was replanted with a fibrous epulis of the upper jaw in the area of the tooth. A clinical x-ray study found in a patient:. The first is the recurrence of the fibrous epulide of the upper jaw of the 12. tooth.

The circular bind of the tooth is carefully peeled off, the 2 tooth is removed, the apex of the root is cut and the root of the root canal is poured with phosphate-cement with the introduction of a retrograde-silver pin. A periostotomy is made through the transitional fold from the vestibular side of the jaw and with a boron drilled a hole in the outer cortical plate of the nose, but at the bottom of the hole.

The extracted tooth is exchanged in a jar with a 0.5% chlorhexidine solution and through a narrow waveguide from the apparatus

URSK-7N is treated with a 35 kHz ultrasonic tooth for 4 minutes. The same waveguide is treated with an ultrasound frequency of 35 kHz for 20 s, the well formed after removal, with a constant injection of 0.5% chlorhexidine solution from the syringe. The tooth is agitated back into the hole and fixed with a wire ligature. The ligature is removed after three weeks.

The proposed method of tooth replantation is highly effective. The renstant fully engraves, the tooth is stable, participates in the act of chewing. The postoperative period in the observed patients proceeded smoothly, postoperative complications were not observed. As a result of follow-up observation of patients in a single m postoperative period (1982-1986), all 40 operated patients received a 100% effect.

Claims (1)

Invention Formula Method of tooth replantation, including peeling of a circular tooth ligament, tooth extraction, resection of root tips, root canal filling with phosphate cement, insertion of a silver pin 0 retrograde, periostotomy along the transition fold from the vestibular side of the jaw, placing the tooth in the hole and subsequent fixation , characterized in that, in order to improve the adaptation of the replanted tooth, the holes are drilled in the region of the hole passing through the outer cortical plate, further processed tooth and well with ultrasound at a frequency of 30–35 kHz in an antiseptic solution, the tooth being treated for 4–5 minutes, and a well for 20–25 s.