Kappa for the treatment of paramountcy masticatory muscles

 

(57) Abstract:

The invention is intended for use in dentistry. Kappa is made of hard plastic, straddle the teeth. Kappa has the imprints of the teeth-antagonists of the lower jaw and inclined pilot with oral side opposite to the offset in the case of lateral shifts, or in the area of the upper front teeth at the distal shift of the mandible. The technical result is to have a reliable treatment effect, reduction of terms of treatment and relapse. 4 Il.

The present invention relates to medicine, namely to the dentist, and can be used in the conservative treatment of paramountcy masticatory muscles.

According to who, the prevalence of paramountcy masticatory muscles is from 10 to 27% in different age groups. Treatment of paramountcy masticatory muscles is one of the most difficult to resolve issues, because the disease is associated with impaired activity of the functions of the neuro-muscular complex. Particularly problematic treatment of paramountcy masticatory muscles, complicated by lateral displacement of the mandible caused by a partial absence of teeth and distal displacement of the mandible, sopronyi publications:

Saligan A. P. Bruxism, treatment and prevention of complications. Diss. Kida. the honey. of Sciences, Kazan, 1987, -231 C.

Panteleev C. D. Features of the prosthetic dentition defects in individuals with parafunctional masticatory muscles. Diss. Kida honey. Sciences., Kalinin, 1989, 202 S.

Horev O. Y. Bruxism, diagnostics, clinic, treatment in children and adolescents. Diss. Kida honey Sciences., Tver, 1996, -216 C.

Seferyan N. Yu Clinic and comprehensive treatment of paramountcy chewing, facial muscles and the muscles of the tongue. Diss. Kida. the honey. Sciences., Tver, 1998,-150 C.

So, the well-known Kappa for the treatment of paramountcy masticatory muscles (Kalinina N. Century Pairfunction facial and masticatory muscles. Clinic and treatment. Journal of Dentistry, 1975, N4, S. 52-55). Kappa is made of basic plastic on the upper jaw. Provides for the separation of teeth 3-4 mm

The goal is the examination of the masticatory muscles during the separation.

Although Kappa is widely spread, it has the following disadvantages: the design of the mouthguard does not take into account peculiarities in the treatment of various clinical forms of paramountcy masticatory muscles (paramountcy when the lateral shift of the mandible at its distal offset). Smooth occlusion is th but also contribute to the further displacement of its lateral or distal to thrust interested chewing muscles, i.e., exacerbating the disease.

For the prototype, we have established the Kappa used for the treatment of paramountcy masticatory muscles (the Magazine "New in dentistry, Moscow, 1999, N3, c.3 14, B. A. Khvatov "diagnostic AIDS"). The author offers tires for symptomatic treatment of paramountcy masticatory muscles. For the treatment of all forms of paramountcy, including lateral and distal shifts, the tire is made of hard plastic, straddle the teeth. However, as in the above analogy, this bus is moving smooth occlusal surface, there is no fixation of the mandible, which does nothing to solve the main task: to bring the jaws in normal physiological position. Slide the lower jaw to the occlusal surface is further exacerbated by its displacement and contributes to the worsening of symptoms paramountcy masticatory muscles.

Objectives: increase the effectiveness of treatment of paramountcy masticatory muscles, complicated by distal and lateral displacement of the mandible by restoring its normal physiological position and olusa the presence of Kappa, made of hard plastic, prints teeth-antagonists on the occlusal surface, inclined peloton with oral side opposite to the offset of the lower jaw in lateral displacements or in the area of the upper anterior teeth with distal displacement of the lower jaw.

The novelty of the proposal is the implementation of the Kappa prints for teeth-antagonists and inclined peloton with oral side or in the upper front teeth.

Inventive step lies in the combination of new features, providing the design of the mouthguard reliable fixation of the mandible the gnashing of teeth.

The reproducibility of the proposed periodontal splints for the treatment of paramountcy masticatory muscles is obvious and requires no further proof.

The technical effect of using mouthguards provides supply additional structural elements.

To explain the design features of the above sketches, where

Fig. 1 is a frontal projection (in terms of level six teeth) subnamespace mouthguard when lateral displacement of the mandible;

Fig. 2 - the same, top view;

Fig. 3 is a front proc - same, top view.

On the sketches: 1 subnamespace Kappa, 2 - disconnection between the teeth-antagonists, inclined pilot when the lateral displacement of the lower jaw, 3 - inclined pilot at the distal displacement of the mandible, 4 - imprints of teeth-antagonists, 5 - teeth of the upper jaw, 6 - teeth of the lower jaw, 7 - language.

Kappa tested on 67 patients.

Sumanadasa mouthguard use in the following way. Previously with the upper and lower jaws of the patient remove prints cast model is made of wax bite the platen, which in the clinic of a pin is stuck in the mouth. The doctor chooses the amount of midasuno dissociation 2 (mainly 3 to 5 mm), heats the wax roller, and brings him into the oral cavity to the patient, then the patient closes his dentition of the upper and lower jaws in the correct physiological position to align the midline of the face) in the presence of lateral displacement and to the minimum cutting overlapping lower teeth upper with distal displacement of the mandible. Dental technician simulates a wax base template inclined pilot in the area of sixth teeth with lateral displacement and in the area of the anterior teeth in the distal displacement of the mandible. Then vaskuti. On the occlusal surface of the mouthguard the gnashing of teeth in the process of making mouthguards formed imprints of teeth-antagonists. Model sloping of pelota in thickness so that they did not injure the language when using the Kappa.

A mouthguard is worn by a doctor depending on the severity of the clinical course of paramountcy from 2 to 8 months. Locally appointed electrophoresis, antispasmodics, myogymnastics, electrical stimulation. At the same time prescribe drug therapy (if indicated). The treatment is carried out under the control of electromyograms (EMG) up to the normalization of biopotentials in the masticatory muscles After treatment paramountcy masticatory muscles should conduct a rational prosthesis with mandatory medical supervision and General preventive treatment.

The use of the proposed mouthguard provides a guaranteed positive effect of treatment by a reliable fixation of the mandible during treatment that reduces treatment time compared to the prototype by 30-40% and to 40% to prevent the recurrence of the disease.

Kappa for the treatment of paramountcy masticatory muscles, made of hard plastic, straddle the teeth, characterized in that the Kappa is the first bandage with oral side the opposite shift, and when the distal shifts the lower jaw with an oral side of the upper front teeth.

 

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FIELD: medical engineering.

SUBSTANCE: method involves producing an opening of diameter reaching 2 mm with diamond or hard alloy bore in adhesive cover after preparing abutment tooth and prosthesis or widening already available perforation also to diameter of 2 mm. The prosthesis is set on the abutment tooth and place is marked for creating and directing pin-canal in the area of cutting one-third of the frontal abutment tooth or in the lateral abutment tooth equator area. The pin-canal direction is to correspond to path for introducing the prosthesis. The pin is screwed-in with screwdriver and holder to a depth of about 2 mm into dentin. The prosthesis is set on the abutment for making control. The pin is filed-off to adhesive cover layer after having fixed the prosthesis on composition cement.

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FIELD: medical engineering.

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EFFECT: prolonged service life; high functional value.

FIELD: medical engineering.

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EFFECT: significantly accelerated carcass manufacturing process; high accuracy in reproducing sizes; improved connection of locks and telescopic crowns to polymer carcass; low production costs.

FIELD: medical engineering.

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EFFECT: significantly accelerated carcass manufacturing process; high accuracy in reproducing sizes; improved connection of locks and telescopic crowns to polymer carcass; low production costs.

FIELD: medicine.

SUBSTANCE: method involves using obturating prosthesis having basic and auxiliary surface connected to each other with additional anterior, posterior and two lateral vertically arranged surfaces forming a cavity. The anterior and posterior vertically arranged surfaces have slot-like recesses. Reference notch marks are produced on the auxiliary surface near nose. The alveolar process is manufactured as base and wall. Reference notch marks are produced on the base. Wall has holes for making process lightweight. Teeth are set on the wall.

EFFECT: simplified prosthesis design.

6 cl, 3 dwg

FIELD: medical engineering.

SUBSTANCE: device has vestibular and oral parts connected to each other with crosspieces manufactured from orthodontic wire placed in interdental spaces by producing jaw imprints. Working and auxiliary models are molded. To place treating bandage, general clinical equator of all teeth included into the splint is to be determined on working model using parallelometer. Then, space between the clinical equator line and gingiva and a gingiva part 7-8 mm remote from gingival papillae are covered with dental wax layer of thickness equal to or less than 1.5 mm. Next to it, duplicate model is produced for manufacturing the splint having recess equal to wax layer thickness 1.5 mm. Changing wax for transparent plastic, filing and polishing the splint is carried out by applying method of common use.

EFFECT: enhanced effectiveness of treatment.

2 dwg

FIELD: medical engineering.

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EFFECT: high quality of prosthesis manufactured directly in oral cavity.

4 cl, 7 dwg

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