The way splinting teeth with periodontitis

 

(57) Abstract:

The invention relates to medicine and can be used in dentistry for fixing natural teeth. The method consists in the fact that the surfaces chinaswamy teeth dissect the furrow and treated with antiseptic and pickled surface of the stone furrow applied flowable composite. Stack reinforcing material - orthodontic wire - Flex diameter 0,0175 to 0,0215 inches. Furrow dissect depth from 0.7 to 3 mm Chinaswamy teeth are broken down into groups. The laying of the wire is carried out sequentially. The furrow is filled with composite material, which is applied over the wire. Correction in the region of each tooth group with subsequent polymerization of the composite. Next chinaroot the next group of teeth. At the end of the splinting perform grinding and polishing. Technical result achieved: raising the physiology of way splinting due to the possibility of improving the functional properties of the design method by increasing the approximation degree of tooth mobility after splinting to the physiological, as well as by reducing the degree of dissection of the body of the tooth when shinirovanie.

The invention relates to medicine,FDS splinting of teeth with the use of high-strength armenoi thread (patent, RF, 2157136 And 61 With 8/00 10.10.2000,). In accordance with the method is carried out cuts chinaswamy teeth, cuts are placed threads, weaving them into the interdental spaces, the threads pull together.

The disadvantage of this method consists in the following. In the proposed method, the reinforcing material - Armena the thread is tensioned by tension. In the result, the chewing load is on arminou thread, which significantly reduces the load on the adhesive system and composite. However, at the moment of tension armenoi thread can disrupt fragile physiological state (equilibrium) mobile teeth, which affects the functional properties of the design method leads to unpleasant subjective sensations and can lead to an exacerbation of the inflammatory process. This reduces the physiology of way. In addition, when a large mobility of the teeth in accordance with the method for chinaswamy teeth perform two parallel cuts, which reduces the strength of the teeth and, consequently, reduces and physiology of way. In this case, the method is difficult to implement.

Closest to the present invention is a method of splinting teeth diseases periodontitis with modulating the second surface chinaswamy teeth, processing furrow antiseptic, etching grooves acid, flushing acid, drying, application of adhesive system on potraviny surface polymerization, the application of flowable composite on the surface of the tape, laying in the furrow tape, curing flowable composite application composite on top of the reinforcing material, correction of occlusion with subsequent polymerization of the composite in the region of each tooth, grinding, polishing. For splinting using a band width of 2 mm, the depth of the grooves corresponds to the thickness of the tape plus 0.5 mm on the impregnated tape flowable composite. The width of the furrow perform greater than the width of the tape by 1 mm (Century. N. Chilikin. The latest technology in aesthetic dentistry. - M.: sue NIKIET, 2001, S. 84-86).

The disadvantage of this method splinting of teeth with periodontal disease primarily lies in the fact that the tape has a sufficiently large thickness and width. Volume cuts for laying tape reduce the strength of the teeth. Tape dimensions, besides, does not allow to deepen it in the body of the tooth, which is required when significant mobility of the teeth, as the volume of cutting teeth is further increased. In addition, in this case, the required de is merwomen material, which after polymerization of the composite forms a single whole with it. This reduces the approximation degree of tooth mobility after splinting to the physiological affects the functional properties of the structure according to the method, and hence reduces the physiology of way.

Thus, identified as a result of a patent search methods splinting teeth with periodontitis - similar to the prototype, if the implementation does not ensure the achievement of the technical result consists in increasing the physiology of way splinting due to the possibility of improving the functional properties of the design method by increasing the approximation degree of tooth mobility after splinting to the physiological, as well as by reducing the degree of dissection of the body of the tooth when shinirovanie.

The present invention solves the problem of creating a method of splinting teeth with periodontitis, which allows to achieve the technical result consists in increasing the physiology of way splinting due to the possibility of improving the functional properties of the design method by increasing the approximation degree of tooth mobility after splinting to the physiological and gait is that way splinting of teeth with periodontal disease, including the preparation of the tooth surface, anesthesia, preparation furrows on the surface chinaswamy teeth, processing furrow antiseptic, etching grooves acid, flushing acid, drying, application of adhesive system on potraviny surface polymerization, the application of flowable composite, laying in the furrow reinforcing material, the curing flowable composite application composite on top of the reinforcing material, the correction in the region of each tooth with subsequent polymerization of the composite, grinding, polishing, flowable composite is applied on the bottom of the furrow, and as a reinforcing material used orthodontic wire - Flex diameter 0,0175 to 0,0215 inch furrow dissect depth from 0.7 to 3 mm, while laying the wire is carried out sequentially, which chinaswamy teeth are broken down into groups, a wire take long, a few extending beyond the edges chinaswamy group of teeth, pre-wire bent to form shinerama area of the dentition in the cut, after which the wire is laid in the furrow on the flowable composite, then the wire end chinaswamy group and start profilecopy teeth filled with composite, which is applied over the wire, then correction in the region of each tooth group with subsequent polymerization of the composite, then chinaroot the next group of teeth, etc.

The technical result is achieved in the following way. Surface preparation of the teeth, usually consisting in cleaning the surface from nazebnych sediments, provides further proper selection of the color gamut of the composite that provides aesthetic results splinting. Anesthesia allows painless for the patient to perform splinting. Dissection of the furrows on the surface chinaswamy teeth allows you to create channels for laying reinforcing material, which further provides the opportunity to achieve the stated technical result. Processing furrow antiseptic, etching grooves acid, flushing acid, drying provide the exception to the negative effects of splinting, which provides the physiology of way. The application of the adhesive system on potraviny surface and its polymerization, and application of flowable composite under the reinforcing material - wire - Flex provide further traction armasamaga materialia, increases its physiology.

Due to the fact that as a reinforcing material used orthodontic wire - Flex, which has flexibility and elasticity, the proposed method provides the possibility of improving the functional properties of the design method by increasing the approximation degree of tooth mobility after splinting to the physiological, as well as by reducing the degree of preparation of a tooth crown when shinirovanie. This is explained in the following. Due to the fact that in the proposed method uses a wire diameter from 0,0175 to 0,0215 inch (0.43 to 0.53 mm), allows a significant reduction compared with the prototype of the width of the furrow. For comparison: in the prototype, the width of the reinforcing tape 2 mm plus 1 mm add to the width of preparation of the furrow. In the proposed solution the diameter of the wire from 0.43 to 0.53 mm Small diameter wire requires no removal of tooth pulp of the teeth and helps reduce the degree of destruction of tooth preparation grooves, which increases the physiology of way. This can vary within wide limits the depth of cut, almost without changing the shape of teeth.

Due to the fact that in the proposed method, the depth of the PCC is to increase the degree of tooth mobility suitable furrow to do deeper since in this case the thickness of the layer composite, which is applied to the wire from above, closing the furrow increases and the wire is securely retained in the groove. This increases the stability of the teeth and allows you to carry more high chewing loads.

Due to the fact that the wire is pre-bent shape of the dentition in the cut, does not require the isolation of the interdental spaces, and the wire-Flex remembers given her the shape that when chewing promotes the preservation of natural tooth position. In addition, the wire-Flex has elasticity in bending, which gives her deformed during chewing and it maintains the shape given to it dentition, and hence the magnitude of the interdental spaces. Perform splinting consistently, small groups of teeth (usually 4-6 teeth) can be used for splinting small pieces of wire that prevents the bending of the wire to its original state. All this improves the functional properties of the design method and allows to approximate the functional mobility of the teeth to the physiological and, consequently, increases the physiology of way.

Due to the fact that ulinas, several serving for edge chinaswamy group of teeth, as well as due to the combination of the wire end chinaswamy group and the start wire of the adjacent group chinaswamy teeth with the formation of a single bed, it is possible splinting in an arc, i.e. it gives the possibility to connect a single bus dentition on the lower or upper jaws, which also increases the physiology of way. Due to the fact that fill with composite each time only furrow chinaswamy group of teeth, it is possible splinting the next group of teeth and so on, i.e. there is the possibility of formation of a single bus. Application of the composite over the wire provides strength design method, as well as aesthetic appearance. Correction in the region of each tooth chinaswamy group with subsequent polymerization of the composite, then grinding, polishing also give the construction by way of aesthetic appearance.

Thus, the proposed method splinting teeth with periodontitis in the implementation ensures the achievement of the technical result consists in increasing the physiology of way splinting due to the possibility of improving the functional properties of the design is also by reducing the degree of dissection of the body of the tooth when shinirovanie.

The way splinting teeth with periodontitis as follows. Prepare the tooth surface, which cleans the surface of the teeth from nazebnych sediments. Obezbolivaet. Then dissect the furrow on the surface chinaswamy teeth, for example, diamond dental drill. Furrow perform depth from 0.7 to 3 mm Furrow treated with antiseptic, pickle acid, acid wash, dry. After that potraviny the surface of the applied adhesive system and polimerizuet her. As a reinforcing material used orthodontic wire - Flex diameter 0,0175 to 0,0215 inches. The laying of the wire is carried out sequentially, which chinaswamy teeth are broken down into groups, usually with 4-6 teeth. Wire take long, a few extending beyond the edges chinaswamy group of teeth. Pre-bend the wire to form shinerama area of the dentition in the cut. At the bottom of the furrow applied flowable composite. Then, on the flowable composite is placed in a furrow wire. The wire end chinaswamy group and the beginning of the wire adjacent groups chinaswamy teeth combine with the formation of a single bed. Then furrow chinaswamy group of teeth filled with composite, to what izala composite. Next chinaroot the next group of teeth, etc. At the end of the splinting spend grinding and polishing of the teeth.

Example 1. Patient, 44 years. The diagnosis of chronic generalized periodontitis. Patient survey showed that the mobility of the incisors of the lower jaw (n/h) II degree; mobility premolars, molars of the lower jaw first degree; fangs sustainable. Recession of the gums in the area of the incisors h/h to 1/2 the length of the root. In the molar region n/h for up to 1/4 the length of the root. Resorption of bone tissue millionary partitions in the field of cutters h/h to 1/2 the length of the root, in the molar region and parolaro up to 1/3 of the root length.

It was decided shinirovanie teeth of the lower jaw segments: two side and front. Splinting held wire Flex "Respond", diameter 0,0175 inches.

Pre-prepared tooth surface: clean the surface of teeth from nazebnych sediments. Then obezbolivatmi. After that, on the surface of the quoted teeth analyzed furrow diamond dental drill. Splinting conducted in three segments: two side of the second molar to the canine, inclusive, and one front teeth between the canines. On the side of the group of teeth analyzed furrow depth of 1 mm on the occlusal surfaces. Peterborou treated with antiseptic, was protravlivanie acid washed acid and dried. After that was done on potraviny the surface of the adhesive system, which then has polymerizable. Laying wire conducted sequentially: lateral band, band front, side. The wire took a long, slightly protruding over the edge chinaswamy group of teeth. Pre-wire was curved in shape shinerama area of the dentition in the cut. At the bottom of the furrow applied flowable light-cured composite. Then, on the flowable composite was placed in a furrow wire. Furrow chinaswamy group of teeth filled microhybrid composite, which was applied over the wire. Then there was a correction in the region of each tooth group with subsequent polymerization of the composite. Next Sidorovo the next group of teeth, etc. the End of a wire chinaswamy side groups of teeth and the start wire of the front group chinaswamy teeth combined on the respective teeth with the formation of a single bed. Protruding ends of the wire cut so that they will not extend beyond the side walls of the second molars.

At the end of the splinting spent grinding and polishing of the teeth.

Example 2. Patient K., 49 years. Dismorr patient showed the mobility of the Central incisors in/h III degree; lateral incisors - II degree. The remaining teeth sustainable. Recession of the gums in the area of the Central incisors to 1/2 the length of the root; in the area of side cutters to 1/3 the length of the tooth root. Resorption of bone tissue millionary partitions in the area of the Central incisors in/h up to 2/3 of the length of roots in the area of side cutters to 1/2 the length of the roots.

It was decided shinirovanie teeth of the upper jaw in the front section. Splinting held wire Flex "Respond", diameter 0,0195 inches. Splinting was similar to the previous example. Furrow analyzed depth of 2 mm from the palatal surface from canine to canine. Protruding ends of the wire cut so that they will not extend beyond the side walls of the teeth.

The way splinting of teeth with periodontal disease, including the preparation of the tooth surface, anesthesia, preparation furrows on the surface chinaswamy teeth, processing furrow antiseptic, etching grooves acid, flushing acid, drying, application of adhesive system on potraviny surface polymerization, the application of flowable composite, laying in the furrow reinforcing material, the polymerization of incoteco the soup polymerization of the composite, grinding, polishing, characterized in that the flowable composite is applied on the bottom of the furrow, and as a reinforcing material used orthodontic wire - Flex, diameter from 0,0175 to 0,0215 inch furrow dissect depth from 0.7 to 3 mm, while laying the wire is carried out sequentially, which chinaswamy teeth are broken down into groups, a wire take long, a few extending beyond the edges chinaswamy group of teeth, pre-wire bent to form shinerama area of the dentition in the cut, after which the wire is laid in the furrow on the flowable composite, then the wire end chinaswamy group and the beginning of the wire adjacent groups chinaswamy teeth combine with the formation of a single bed, after which the furrow chinaswamy group of teeth filled with composite, which is applied over the wire, then correction in the region of each tooth group with subsequent polymerization of the composite, then chinaroot the next group of teeth and so on

 

Same patents:

The invention relates to medicine, namely to prosthetic dentistry and can be used to restore anatomical form and function of individual teeth, as well as for replacement of defects of dentition removable and fixed structures of the prosthesis with support elements on the implant
The invention relates to medicine, namely to prosthetic dentistry and can be used for splinting teeth with periodontal disease

The invention relates to medicine, namely to dentistry

Interdental splint // 2189796
The invention relates to medicine, namely to prosthetic dentistry and can be used for the fixation of movable teeth with periodontal diseases

The invention relates to medicine, particularly to prosthetic dentistry, and is intended for immobilization of teeth in the complex treatment of periodontal diseases
The invention relates to medicine, namely to the dentist, and can be used for splinting teeth with periodontitis
The invention relates to medicine, namely to prosthetic dentistry and can be used in the manufacture of prostheses on implants

The invention relates to medicine, namely to prosthetic dentistry and can be used to perform non-removable tire in diseases of the periodontium, made of composite materials

The invention relates to medicine, namely to dentistry

The invention relates to dentistry, in particular to methods of control technologies for manufacturing metal-ceramic dental prostheses (SMCP)

The invention relates to prosthetic dentistry and can be used for fastening removable dentures, mainly clasp
The invention relates to medicine, namely prosthetic dentistry

The invention relates to medicine, namely to the dentist for applying protective and decorative coatings on metal dentures, and can be used for coating small articles made of metals and dielectrics

The invention relates to dentistry and can be used in prosthetics lost the crown part of the tooth roots, speakers and not protruding above the gum

The invention relates to medicine, in particular to prosthetic dentistry
The invention relates to prosthetic dentistry and concerns soldering pieces of metal dentures

Molded pin tab // 2201170
The invention relates to the field of dentistry and can be used for the reconstruction of posterior teeth with scattered standing roots

The invention relates to medicine, namely to the dentist, and can be used to restore the continuity of the dentition

The invention relates to medicine, namely to the dentist, and can be used to restore the continuity of the dentition

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.

EFFECT: prolonged service life; high functional value.

Up!