The general way of treating periodontal disease

 

(57) Abstract:

The invention relates to medicine, namely to dentistry. The method consists in the use of the drug Normase 1 des. spoon 2 times a day for months, that chinaroot teeth selectively proshlifovat, provide medical treatment furacin, hydrogen peroxide and place periodontal dressings with buttonboy, metiluratsilovoy and indomethacin ointment, the method improves the efficiency of the treatment.

The invention relates to the field of medicine, can be used in the practice of dentistry.

Periodontal disease is one of the most common and complex pathologies of the maxillofacial area According to the who, functional disorders of the teeth-jaw system, caused by tooth loss from periodontal diseases, particularly periodontal disease, develop 5 times more frequent than the complications of caries.

Therapy of patients with periodontal disease should be comprehensive, focused and strictly individually. It includes local and General treatment. Despite the fact that the most important part of complex therapy of periodontitis are local interference, you can achieve a rational General treatment. Regardless of the cause disturbances in the periodontal tissues, the orientation of the local and General treatment are unanimous. The deterioration of the General condition almost always leads to an exacerbation of the pathological process in the periodontal tissues. [1]

General treatment aims to increase the resistance of the body, to stimulate the regeneration process, to stimulate the immune system, have anti-inflammatory action.

Currently, the General problem of treatment of patients with periodontitis is not completely solved due to the lack of available and effective drugs, with no side effects, has a complex effect on the body of the patient with periodontitis. [2]

The known method of the General treatment of periodontitis, representing an Antiprotozoal drug action trichopol of 0.25, which is mainly used for the treatment of all patients with periodontitis, and used if found in periodontal pockets Trichomonas. Trichopol has a broad spectrum of antibacterial activity that can accumulate in the periodontal pocket, which provides a concentration of 5-7 times higher than in serum, and it has immunostimulating effect and has sky is about and restorative effect. After taking the drug may have dry mouth, nausea, loss of appetite, headache, urticaria, which leads to a parallel assignment antihistamine and anti-fungal drugs. The drug is ineffective against a number of other microorganisms.

Closest to the claimed method for the General treatment of periodontitis is the purpose of the native crystalline Royal jelly under the tongue or inside on the tip of a knife. This drug is a biological stimulator with trophic property, stimulates microcirculation and tissue regeneration in treatment of generalized periodontitis. [4]

The drawback of this method is that Royal jelly has a short shelf life, it is almost impossible to buy in drugstores and get it come directly from the beekeepers, it is difficult to assess its quality.

The purpose of the invention relating to the method of General treatment of periodontitis - improving the efficiency of conservative local treatment, reduction of terms of treatment of periodontal disease on the background of the impact on overall health.

This objective is achieved in that the known method is e 1 dessert spoon 2 times a day for 1 month. The application of this method of treatment allows not previously achieved the effect of conservative treatment of periodontal disease.

Normase differs from the prototype and similar in that it has no side effects typical of these drugs.

The active substance of the medicinal product, Normase is a synthetic disaccharide lactulose. Normase doing inside, is not absorbed and hydrolysed in the stomach and the small intestine due to the lack of a specific enzyme. The metabolism of Normase occurs in the colon under the action of the bacterial microflora, primarily anaerobic lactobacilli, bifidumbakterin. The major metabolites are low molecular weight organic acids (lactic, acetic and other), which reduce the pH of the contents of the large intestine.

The acidic environment of the colon increases the population of lactobacilli, bifidumbakterin that use lactulose as their nutrients. Due to the increase of the normal microflora of the intestine reduces the number of putrefactive flora and pathogenic bacteria (Salmonella, Staphylococcus, Proteus, and others), which in turn has a positive effect on the immune system.

Example 1. Patient M., 64 years old, came with complaints of bleeding gums when brushing your teeth and eating, pain, aching character in the upper and lower jaw, and tooth mobility. 3 months ago has raised these complaints to a doctor periodontist, was conducted in the course of professional oral hygiene, local anti-inflammatory treatment, which consisted in the imposition of periodontal dressings with buttonboy ointment 5%, the total treatment trykhopol 0,25 pill 3 times a day for 14 days. The patient noted a temporary improvement within 3 weeks after treatment, after which came the deterioration of the local state, there were complaints about the original character.

Objective: the Dental formula:

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The mucous membrane of the gums of the upper and lower jaw swollen, hyperemic congestion, cyanation, when probing bleeding. There are periodontal pockets in the area

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5 - 6 mm

< / BR>
3 - 4 mm

Tooth mobility:

- 1st degree,

the remaining teeth sustainable.

Dental plaque is missing. Sample Schiller-Pisarev ++is Canary type of resorption of the alveolar ridge to 2/3 the length of the root.

Diagnosis: chronic generalized periodontitis severe.

First visit: using polyamide yarns, fixed microlam imposed semi-permanent tire on . Produced drug treatment of the gingival margin with a solution of 3% hydrogen peroxide imposed periodontal dressing with 5% buttonboy ointment. Appointed: 1) Normase - 1 dessert spoon 2 times a day during the month; 2) "Undevit" pills 3 times a day for months; 3) rotoman - 1 teaspoon per Cup of water for rinsing the mouth 3 times a day after meals for a month.

The patient was trained in oral hygiene, recommended toothpaste "Parodontal".

Second visit: Complaints the patient does not show. Redness and swelling of the gingival margin has decreased, still bleeding after probing. Sample Schiller-Pisarev ++.

Conducted medical treatment of the gingival margin of 3% hydrogen peroxide. Imposed periodontal dressing with 5% buttonboy ointment.

Third visit: no Complaints. Is a minor redness in the area of gingival papilla. Swelling and bleeding after probing no. Sample Schiller-Pisarev +. Conducted medical treatment deree visit: no Complaints. The mucous membrane of the gums are pale pink, moist, no pathological changes. Sample Schiller-Pisarev -. 3 months after treatment was repeated a similar course. Subsequently the patient had no complaints (observation period of 6 months). On the panoramic radiograph after 3 months of treatment showed a seal bone figure of the alveolar ridge.

Example 2. Patient C., 49 years old, came with complaints of bleeding gums when brushing your teeth. Complaints appeared 3 years ago. A medical parodontology not addressed.

Objective: the Dental formula

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Periodontal pockets in the area

< / BR>
6.5 mm

< / BR>
5 mm

in the area of the remaining teeth 4 mm with scanty serous discharge.

Tooth mobility:

- 2nd degree,

the remaining teeth sustainable (as they are in splinting design of bridges). There are abundant on - and subgingival dental plaque in the field of all teeth of the upper and lower jaw.

Sample Schiller-Pisarev +++, hygiene index on the green-Vermillion - 2.5 points, periodontal index Russell 5,9. On the panoramic x-ray: bone pockets in the upper posterior teeth to 2/3 the length of the root, in oinos: chronic generalized periodontitis severe.

First visit: application Under anesthesia Sol Lidocaini 10% removed above - and subgingival dental plaque in the field of all teeth of the upper and lower jaw. Drug treatment of 0.02% solution of furacin. Periodontal dressing overlaid with 5% indometacinum ointment. Appointed: 1) Normase - 1 dessert spoon 2 times a day during the month; 2) "Vitrum" - 1 tablet 1 time per day during the month; (3) decoction of chamomile - 1 teaspoon per Cup of boiling water for rinsing the mouth 3 times a day for months.

The patient was trained in oral hygiene, recommended toothpaste "Lacalut".

Second visit: Complaints the patient has a slight bleeding gums when brushing your teeth. Edema and hyperemia of the mucous membrane of the gums decreased significantly, still bleeding after probing. Sample Schiller-Pisarev ++. Medical treatment oral 0,02% solution of furacin, medical bandage overlaid with 5% indomethacin ointment.

Third visit: no Complaints. Saved congestive hyperemia in the area of gingival papilla. Swelling and bleeding after probing no. Sample Schiller-Pisarev +. Conducted medical treatment of the gingival margin of 0.02% renie. No complaints. The mucous membrane of the gums are pale pink, moist, no pathological changes. Sample Schiller-Pisarev - negative.

Subsequently the patient had no complaints (observation period 3 months). On the panoramic radiograph after 3 months marked by the seal of the cortical plate of the alveolar bone and bone pattern.

Treatment of the proposed method were 52 patients with periodontitis (49 women and 3 men) aged from 20 to 67 years including about chronic generalized periodontitis mild in 6 patients; moderate 19; severe 27. The use of the proposed method allowed us to achieve clinical improvement already 3-4 visits. Monitoring of patients after treatment were carried out in the period from 1 up to 4 months. All big they were re-treatment after 3 months. Short-and long-term results showed a pronounced therapeutic efficiency of the method in the treatment of periodontitis. Only in 1 case, it was the exacerbation of periodontal disease (abstsedirovanie) 1.5 months after treatment, which was due to a complete lack of oral hygiene in the patient.

Radiographically after 3 months OBS the process.

Thus, treatment of periodontal disease using the proposed method is much more efficient, thus reducing the duration of treatment of this disease in 2 times in comparison with known methods. The lack of progression and recidivant periodontitis with appropriate medical supervision and repeat courses of complex therapy of diseases can reduce the number of cases involving temporary loss of ability to work.

Sources of information

1. Periodontal disease. The Atlas //Danilevsky N. F., Magid E. A., N. Mukhin. A., Milicevic C. Y. M.: Medicine, - 1993. - 320 S.

2. Ivanov, C. S. periodontal Disease. - M.: Medicine, 1996, 205 S.

3. Drugs used in dentistry. The Handbook. /Tregubov Century. N. , Mishnev L. M., Marusov, I. C., A. Soloviev, M. - C.-P.: the IPC "Folio", 1995, S. 256 - 257.

4. Kurakina N. Century , Kutepov T. F. periodontal Disease. Teaching method. manual, Ryazan, 1996, 76 S.

5. Normase company "INALCO" in the practice of the Clinician in the present and the future /Vinogradov, M. A. , Mirgorodskaya L. N., Vinogradov, I. F., Sekanina K. N. /LDO MSRP, ATS): rainbow, 2 S.

The method of treatment of periodontitis, which is to assign pre the FDI periodontitis, also includes professional oral hygiene, splinting of mobile teeth, electoral presledovanie, drug treatment 0,02% furacin, 3% hydrogen peroxide and periodontal dressings with 5% buttonboy ointment, 10% metiluratsilovoy ointment, 5% indolinovoy ointment.

 

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2 ex

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1 tbl, 16 ex

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2 tbl

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