WO2019125217A1 - Method for gum protection - Google Patents

Method for gum protection Download PDF

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Publication number
WO2019125217A1
WO2019125217A1 PCT/RU2018/000833 RU2018000833W WO2019125217A1 WO 2019125217 A1 WO2019125217 A1 WO 2019125217A1 RU 2018000833 W RU2018000833 W RU 2018000833W WO 2019125217 A1 WO2019125217 A1 WO 2019125217A1
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WIPO (PCT)
Prior art keywords
gum
splinting
compound
gum protection
gums
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PCT/RU2018/000833
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French (fr)
Russian (ru)
Inventor
Эльвира Нурфикатовна ШАРАФУТДИНОВА
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Эльвира Нурфикатовна ШАРАФУТДИНОВА
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Publication of WO2019125217A1 publication Critical patent/WO2019125217A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61CDENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00Dental auxiliary appliances
    • A61C19/002Cleaning devices specially adapted for dental instruments

Definitions

  • the invention relates to the field of medicine, namely to dentistry, and is intended to isolate the gums during splinting in the treatment of the developed stage of chronic generalized and localized periodontitis.
  • the device for fixing the Rabber Dama consists of a disposable plastic arch structure comprising two side arcs, which are connected integrally to the inner and outer ends of the arcs, horizontal rods, and a U-shaped core design, which is monolithically connected to the outer ends of the arcs.
  • the closest, by its technical essence, to the claimed invention is a method of modeling the gingival surface of a reinforced composite tire described in a scientific article entitled “Forming the gum surface of a reinforced composite tire in the treatment of periodontal-nodal diseases” in the Medical Alphabet magazine Publisher: Alfmed (Moscow) ISSN : 2078-563 l eISSN: 2078-5631 Volume: 2
  • the proposed method of protecting the gums is aimed at obtaining the following technical result, reducing gum trauma and ensuring the fixation of mobile teeth allowing preserving the natural configuration of the interdental space during splinting.
  • SUBSTITUTE SHEET (RULE 26) The problem is solved due to the fact that the method of protecting the gums during splinting is as follows, kneading two components of the silicone impression material until a homogeneous mass is obtained and inject it into each interdental gap with a syringe. The mass solidifies within 1-2 minutes in the interdental spaces has an ideal final hardness, which ensures the fixation of the teeth for their splinting.
  • the use of silicone dental impression mass ensures reliable and high-quality protection of the gums against injury, contributes to the distribution and good adaptation of the reinforced splint, as well as is convenient when the teeth fit tightly to each other and allows you to save the natural configuration of the interdental space.
  • the way to protect the gums using silicone impression mass is as follows.
  • An inspection of the oral cavity is carried out: the state of the periodontal tissues and the degree of mobility of the teeth are determined. The diagnosis is made on the basis of clinical examination and X-ray (orthopantomogram). With the conservative treatment of periodontitis of moderate and severe severity, pain relief, professional oral hygiene, anti-inflammatory therapy, and splinting are performed. Dental pulping is performed before splinting.
  • the two-component silicone impression material is kneaded until a homogeneous mass is obtained and injected into each interdental space using a disposable syringe, for example 5 ml. Mass freezes within 1-2 minutes in the interdental spaces. Splinting of teeth is performed, after which a hardened impression mass is removed from interdental spaces using a probe or tweezers.

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  • Health & Medical Sciences (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Dental Preparations (AREA)

Abstract

A method for gum protection relates to the field of medicine, and specifically to dentistry, and is designed to isolate a gum during splinting, when treating advanced-stage chronic generalised and localised periodontitis. The proposed method for gum protection is aimed at obtaining the following technical result: reducing injury to the gum and ensuring the immobilisation of loose teeth, making it possible to retain the natural configuration of interproximal cavities during splinting. The problem of interest is solved by the fact that the method for gum protection during splinting consists of the following: mixing two components of a silicone impression compound until a homogeneous compound is obtained, and injecting said compound into each interproximal cavity with the aid of a syringe.

Description

Способ защиты десны  The way to protect the gums
Изобретение относится к области медицины, а именно к стоматологии, и предназначено для изоляции десны во время шинирования при лечении развившейся стадии хронического генерализованного и локализованного пародонтита.  The invention relates to the field of medicine, namely to dentistry, and is intended to isolate the gums during splinting in the treatment of the developed stage of chronic generalized and localized periodontitis.
Известны многие способы и приспособления для обеспечения изоляции десны во время шинирования.  There are many known methods and devices to ensure the isolation of the gums during splinting.
Известно устройство для фиксации РАББЕР ДАМА для изоляции зубов от ротовой и десневой жидкости описанное в патенте N° 2304939 с приоритетом от 20.12.2005г. Устройство для фиксации раббер дама состоит из пластмассовой арочной конструкции одноразового пользования, включающей две боковые дуги, соединенные монолитно с внутренними и наружными концами дуг горизонтальные стержни, и стержневую конструкцию П-образной формы, монолитно связанную с наружными концами дуг.  A device for fixing RABBER DAMA to isolate teeth from oral and gingival fluid is described in patent No. 2304939 with priority from 12/20/2005. The device for fixing the Rabber Dama consists of a disposable plastic arch structure comprising two side arcs, which are connected integrally to the inner and outer ends of the arcs, horizontal rods, and a U-shaped core design, which is monolithically connected to the outer ends of the arcs.
Самым близким, по своей технической сущности, к заявленному изобретению является способ моделирования придесневой поверхности армированной композитной шины описанный в научной статье под названием «Формирование придесневой поверхности армированной композитной шины при лечении заболеваний пародонтанаконечный» в журнале «Медицинский алфавит» Издательство: Альфмед (Москва) ISSN: 2078-563 l eISSN: 2078-5631 Том: 2 The closest, by its technical essence, to the claimed invention is a method of modeling the gingival surface of a reinforced composite tire described in a scientific article entitled “Forming the gum surface of a reinforced composite tire in the treatment of periodontal-nodal diseases” in the Medical Alphabet magazine Publisher: Alfmed (Moscow) ISSN : 2078-563 l eISSN: 2078-5631 Volume: 2
Номер: 7 Год: 2014 Страницы: 30-33, авторы НИКОЛАЕВ А. И., ЦЕПОВ Л.М. ГБОУ ВПО «Смоленская государственная медицинская академия» Минздрава России, г. Смоленск. Описано моделирование придесневой поверхности армированной композитной шины с использованием резиновых межзубных клиньев «Эластик» в комплексном лечении хронических воспалительных заболева ний пародонта. Методика позволяет смоделировать оптимальную форму и структуру поверхности придесневой части шины, сохранить естественную конфигурацию межзубных амбразур, обеспечить условия для проведения гигиенических процедур и профилактики рецидива воспаления десны. Number: 7 Year: 2014 Pages: 30-33, authors Nikolay A.I., Tsepov L.M. SBEE HPE "Smolensk State Medical Academy" of the Ministry of Health of Russia, Smolensk. The modeling of the gingival surface of a reinforced composite tire using Elastic rubber interdental wedges in the complex treatment of chronic inflammatory periodontal diseases is described. The technique allows you to simulate the optimal shape and surface structure of the gingival part of the tire, to preserve the natural configuration of interdental embrasures, to provide conditions for hygienic procedures and the prevention of recurrent inflammation of the gums.
Но данные методы способствовали раздвиганию подвижных зубов, что в дальнейшем сказывалось на качестве шинирования, поскольку не обеспечивали равномерного распределения армированной шины.  But these methods contributed to the spreading of mobile teeth, which further affected the quality of splinting, since they did not ensure uniform distribution of the reinforced tire.
Предлагаемый способ защиты десны направлен на получение следующего технического результата, уменьшение травмировании десны и обеспечение фиксации подвижных зубов позволяющей сохранить естественную конфигурацию межзубного пространства при шинировании.  The proposed method of protecting the gums is aimed at obtaining the following technical result, reducing gum trauma and ensuring the fixation of mobile teeth allowing preserving the natural configuration of the interdental space during splinting.
1  one
ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26) Поставленная задача решается за счёт того, что способ защиты десны во время шинирования заключается в следующем, производят замешивание двух компонентов силиконовой слепочной массы до получения однородной массы и вводят её в каждый межзубный промежуток с помощью шприца. Масса застывает в течении 1-2 минут в межзубных промежутках имеет идеальную конечную твердость, что обеспечивает фиксацию зубов для их шинирования. Применение силиконовой слепочной массы обуславливает надежную и качественную защиту дёсны от травмы, способствует распределению и хорошей адаптации армированной шины, а так же удобен при плотном прилегании зубов друг другу и позволяет сохранить естественную конфигурацию межзубного пространства. Для защиты десны применяемые при шинировании деревянные и пластиковые клинья, поскольку обладают определенной жесткостью, способствовали раздвиганию подвижных зубов, что в последствии сказывалось на качестве шины. Применение жидкого коффердама с этой целью было более предпочтительным, т. к. он заполнял межзубные промежутки и не раздвигал подвижные зубы в силу своей жидкой консистенции, его можно было моделировать в соответствии с формой межзубного промежутка и зафиксировать его форму, заполимеризовав полимеризационной лампой. Однако извлечь из межзубных промежутков затвердевший коффердам очень сложно при этом травмируются десна. SUBSTITUTE SHEET (RULE 26) The problem is solved due to the fact that the method of protecting the gums during splinting is as follows, kneading two components of the silicone impression material until a homogeneous mass is obtained and inject it into each interdental gap with a syringe. The mass solidifies within 1-2 minutes in the interdental spaces has an ideal final hardness, which ensures the fixation of the teeth for their splinting. The use of silicone dental impression mass ensures reliable and high-quality protection of the gums against injury, contributes to the distribution and good adaptation of the reinforced splint, as well as is convenient when the teeth fit tightly to each other and allows you to save the natural configuration of the interdental space. To protect the gums used for splinting wooden and plastic wedges, because they have a certain stiffness, contributed to the moving apart of mobile teeth, which subsequently affected the quality of the tire. The use of a liquid cofferdam for this purpose was more preferable, since it filled the interdental spaces and did not move the movable teeth because of its liquid consistency, it could be modeled in accordance with the shape of the interdental space and fixed in shape by polymerizing a polymerization lamp. However, it is very difficult to remove hardened cofferdam from the interdental spaces, and the gums are injured.
Способ защиты десны с помощью силиконовой слепочной массы осуществляется следующим образом. Проводится осмотр полости рта: определяется состояние тканей пародонта, степень подвижности зубов. Диагноз ставится на основании клинического обследования и рентгенологического (ортопантомограмма). При консервативном лечении пародонтита средней и тяжелой степени тяжести производят обезболивание, профессиональная гигиена полости рта, противовоспалительная терапия, шинирование. Перед шинированием проводится депульпирование зубов. Для защиты дёсны от травмы во время шинирования применяю метод изоляции дёсны с помощью силиконовой слепочной массы. Производится замешивание состоящей из двух компонентов силиконовой слепочной массы до получения однородной массы и вводят ее в каждый межзубной промежуток с помощью одноразового шприца например 5 ml. Масса застывает в течение 1-2 мин в межзубных промежутках. Производится шинирование зубов, после чего из межзубных промежутков извлекают затвердевшую слепочную массу с помощью зонда или пинцета.  The way to protect the gums using silicone impression mass is as follows. An inspection of the oral cavity is carried out: the state of the periodontal tissues and the degree of mobility of the teeth are determined. The diagnosis is made on the basis of clinical examination and X-ray (orthopantomogram). With the conservative treatment of periodontitis of moderate and severe severity, pain relief, professional oral hygiene, anti-inflammatory therapy, and splinting are performed. Dental pulping is performed before splinting. To protect the gums from injury during splinting, I apply the method of isolating the gums with the help of a silicone dental impression material. The two-component silicone impression material is kneaded until a homogeneous mass is obtained and injected into each interdental space using a disposable syringe, for example 5 ml. Mass freezes within 1-2 minutes in the interdental spaces. Splinting of teeth is performed, after which a hardened impression mass is removed from interdental spaces using a probe or tweezers.
2 2
ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26)  SUBSTITUTE SHEET (RULE 26)

Claims

Формула  Formula
Способ защиты десны во время шинирования заключается в следующем, производят замешивание двух компонентов силиконовой слепочной массы до получения однородной массы и вводят её в каждый межзубный промежуток с помощью шприца. The method of protecting the gums during splinting is as follows, kneading two components of the silicone impression compound until a homogeneous mass is obtained and inject it into each interdental space with a syringe.
3 3
ЗАМЕНЯЮЩИЙ ЛИСТ (ПРАВИЛО 26)  SUBSTITUTE SHEET (RULE 26)
PCT/RU2018/000833 2017-12-22 2018-12-17 Method for gum protection WO2019125217A1 (en)

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Publication number Priority date Publication date Assignee Title
RU2743025C1 (en) * 2020-10-16 2021-02-12 Эльвира Нурфикатовна Шарафутдинова Method for isolating teeth during dental operations
RU2749687C1 (en) * 2020-12-01 2021-06-16 Эльвира Нурфикатовна Шарафутдинова Method for making individual impression for orthopedic inlay
RU2749694C1 (en) * 2020-12-25 2021-06-16 федеральное государственное автономное образовательное учреждение высшего образования "Казанский (Приволжский) федеральный университет" (ФГАОУ ВО КФУ) A method for manufacturing a post-and-core inlay for restoring single-root teeth and a device for its implementation

Citations (3)

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EP0528998B1 (en) * 1990-05-14 1997-07-23 JERNBERG, Gary R. Periodontal tissue regeneration barrier
US20040241620A1 (en) * 2003-05-23 2004-12-02 Allred Peter M. Oral treatment devices that include a thin, flexible barrier layer and an endoskeleton treatment or adhesive composition
US9072570B2 (en) * 2009-07-30 2015-07-07 Produits Dentaires Pierre Rolland Application tip

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SU1461439A1 (en) * 1987-03-30 1989-02-28 Башкирский Государственный Медицинский Институт Им.15-Летия Влксм Protective device for oral cavity
RU2193873C2 (en) * 2000-07-31 2002-12-10 Аюпова Фарида Сагитовна Device for treating periodontitis
US7658193B2 (en) * 2007-06-04 2010-02-09 Hayloft Enterprises, Inc. Interocclusal appliance and method
RU136328U1 (en) * 2013-03-29 2014-01-10 Лариса Алексеевна Зюлькина INDIVIDUAL KAPPA FOR TREATMENT OF PERIODONTAL DISEASES

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0528998B1 (en) * 1990-05-14 1997-07-23 JERNBERG, Gary R. Periodontal tissue regeneration barrier
US20040241620A1 (en) * 2003-05-23 2004-12-02 Allred Peter M. Oral treatment devices that include a thin, flexible barrier layer and an endoskeleton treatment or adhesive composition
US9072570B2 (en) * 2009-07-30 2015-07-07 Produits Dentaires Pierre Rolland Application tip

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