The method of treatment of periodontitis

 

(57) Abstract:

The invention relates to medicine, in particular to the dentist, and can be used for the treatment of periodontitis light and medium stefanini of gravity. The method involves the removal of Tartar and plaque and daily irrigation of the gums drinking mineral water "Ustkachkintseva 1/99" with General mineralization of 8.2-8.6 g/DM3at a temperature of 32-40oWith under a pressure of 1.5 atmospheres, 3-10 min on each jaw, treatment 5-14 days. The method allows to create a more comfortable environment for the patient.

The invention relates to medicine, namely to the dentist, and can be used for the treatment of periodontitis light and medium severity.

There is a method of treatment of periodontal diseases by irrigation of the gums sulphurous water with a concentration of 120 mg/l at a temperature of 37oC, pressure up to 1.5 atmosphere, exposure time 10 min on the course: with mild periodontitis - 6-8 procedures, while periodontitis of moderate and severe degrees - 10 daily procedures (methods of treatment at the resort Ust '-Kachka edited by Professor A. C. Tuy, etc., ,Perm, Ust ' -Kachka, 2001).

Disadvantages: water has an unpleasant smell and taste, so natural remedies for the treatment of periodontitis, create the best conditions for the patient.

These objectives are achieved by the fact that after removal of Tartar and plaque in patients spend gums irrigation drinking mineral water (CEM) "Ustkachkintseva 1/99" with General mineralization of 8.2-8.6 g/DM3daily for 3-10 min on each jaw, under pressure of 1-1,5 atmospheres, at a temperature of 32-40oWith that volume of water to 10 l, the course of treatment from 5 to 14 days.

Ustkachkintseva water wells 1/99, depth 47,0 m with a total mineralization of 8.2-8.6 g/DM3refers to moderately mineralized sulphate-chloride-calcium-sodium waters (CL 57-60, SO438-43, Na 65-72, CA 21-21 mcg. EQ%). Largest mineralization and the ratio of basic macro-it is close Ergeninsky type (GOST 13273-88, group XVII).

Mineral water wells 1/99 recommended for drinking treatment in the resort; it is also possible industrial bottling this water as a curative table.

This sulphate-chloride-calcium-sodium mineral water are shown for drinking treatment of diseases of the digestive system; diseases of the endocrine system; disorders of nutrition and metabolism.

Data on water use "Ustkachkintseva 1/99" denate Tartar and plaque to the patient hold the gums irrigation CEM "Ustkachkintseva 1/99" with General mineralization of 8.2-8.6 g/DM under pressure of 1-1,5 atmospheres, the amount of water to 10 l water temperature 32-40oWith daily for 3-10 min on each jaw. Treatment 5-14 days.

Examples of specific performance.

Example 1.

Patient A., 1969 R.

Complaints: bleeding gums, especially when brushing teeth, itching in the gums.

History: considers herself a patient of 3.5 years, when first appeared bleeding gums.

Objectively: the face is symmetrical, the skin clean. Nasolabial triangle pronounced lips clean, damp, regional lymph nodes are not enlarged. In the mouth: bite orthognathic, the frenulum of the lower lip thin, attached normally, the frenulum of the upper lip attached is a little low, when the pulling - fades between 11, 21d. Gingival mucosa in the area of the alveolar ridge of the maxilla and mandible physiological colour, friable, interdental papillae in the field 11, 12, 14, 15, 16, 21, 22, 23, 24, 25, 26, 34, 36, 37, 41, 42d - edematous, hypermonogenic, bleed easily when probing. Tongue moist, slightly coated on the back with a soft whitish bloom. On the lower teeth, Tartar, teeth lined with soft whitish-yellow tinge. Teeth fixed.

The hygiene index (Fedorov-Volodkina) - 2 (satisfactory) in the norm - 1 point.


(OK - 50-80).

Index of gingivitis (RMA - papillary-marginalally)- 41.7 per cent.

Microbiological study of runoff from the gingival pocket from 21.05.02.

Selected: Staph. epidermidis 1103CFU/ml;

Streptococcus oralis/S. mitis 1105CFU/ml.

The concentration of anaerobes 1010CFU/ml.

Diagnosis: Periodontal disease is mild gravity, generalized form.

Treatment: 1. Removing Tartar and plaque.

2. Irrigation of the gums CEM "Ustkachkintseva 1/99" with General mineralization of 8.2-8.6 g/DM3daily for 7 days exposure to 5 minutes on each jaw, a pressure of 1 atmosphere, the amount of water to 10 l water temperature 35oC.

After treatment, the patient noted improvement - cease bleeding and itching.

Objectively: In the mouth mucosa of the mouth pale pink, dense, probing bleed nipples in the field 11, 12, 15, 16, 41, 42 teeth.

The hygiene index (Fedorov - Volodkina) - 1,3 (good).

Bleeding - I tbsp.

Test Kulagina: front Department - 25;

(the resistance of the capillaries) chewing division 40;

(OK - 50-80).

Index of gingivitis (PMA) - 21.4 per cent.3CFU/ml;

the concentration of anaerobes - 106CFU/ml.

Example 2.

Patient III., 1977 R.

Complaints: bleeding gums while taking solid food, and when brushing your teeth.

History: Considers herself a patient 20 years of age, when first appeared bleeding gums while eating.

Objectively: Mucous membrane of the oral cavity clean, pale pink color. The gingiva and interdental papillae in the field 11, 12, 13, 15, 16, 21, 22, 23, 24, 25, 31, 32, 33, 41, 42, 43, 45, 46d - edematous, hypermonogenic, bleed easily when probing. Periodontal pockets 2-2,5 mm

The hygiene index (Fedorov-Volodkina) - 2 (meets.)

Bleeding gums - II Art.

Test Kulagina: front unit - 15;

(the resistance of the capillaries) chewing division 40;

(OK - 50-80).

Index of gingivitis (PMA) - 40%.

Microbiological study of runoff from the gingival pocket from 07.06.02.

Selected:

Staph. gallinarum 3103CFU/ml;

Streptococcus oralis/S. mitis 1104CFU/ml;

the concentration of anaerobes - 107CFU/ml.

Diagnosis: Periodontal disease is mild gravity, generalized form.

Treatment: 1. Scaling to the 3 daily for 10 days, exposure to 3 minutes on each jaw, a pressure of 1 atmosphere, the amount of water to 10 l water temperature 35oC.

After treatment, the patient noted improvement - cease bleeding and itching.

Periodontal pockets - 1-1,5 mm

The hygiene index (Fedorov-Volodkina) -1,1 (good).

Bleeding gums - no.

Test Kulagina: front Department - 40;

(the resistance of the capillaries) chewing Department - 60;

(OK - 50-80).

Index of gingivitis (PMA) - 0% (0%).

Microbiological study of runoff from the gingival pocket from 27.06.02.

Selected:

Staph. lentus 3103CFU/ml;

Streptococcus oralis/S. mitis 3103CFU/ml;

the concentration of anaerobes - 106CFU/ml.

Example 3.

Patient Y., 1977 R.

Complaints: bleeding gums when brushing your teeth.

History: considers himself ill for 2-2,5 years, not treated.

Objectively: Mucous membrane of the oral cavity clean, pale pink color. Interdental papillae in the field 11, 12, 13, 14, 15, 16, 21, 22, 35, 36d - edematous, hypermonogenic, bleeding upon probing. Periodontal pockets in the area 11, 12, 13, 14, 15, 16d - 2 mm

Index gig is Test Kulagina: front Department - 15;

(the resistance of the capillaries) chewing division 40;

(OK - 50-80).

Index of gingivitis (PMA) is 17.2%.

Microbiological study of runoff from the gingival pocket from 15.05.02.

Selected:

Staph. epidermidis 1103CFU/ml;

Streptococcus acidominimus 1105CFU/ml;

the concentration of anaerobes - 105CFU/ml.

Diagnosis: Periodontal disease is mild gravity, generalized form.

Treatment: 1. Removing Tartar and plaque.

2. Irrigation of the gums CEM "Ustkachkintseva 1/99" with General mineralization of 8.2-8.6 g/DM3daily for 14 days exposure to 10 minutes on each jaw, a pressure of 1.5 atmospheres, the amount of water to 10 l water temperature 35oC.

After treatment, the patient noted improvement - the cessation of bleeding.

Periodontal pockets in areas 14, 15, 16d - 1,5 mm

The hygiene index (Fedorov-Volodkina) - 1.5 points (good).

Bleeding gums - no.

Test Kulagina: front Department - 45);

(the resistance of the capillaries) chewing Department - 60;

(OK - 50-80).

Index of gingivitis (PMA) - norm.

Microbiological study of runoff from the gingival pocket from 29.0 S="ptx2">

The use of CEM "Ustkachkintseva 1/99 patients with periodontitis allows you to quickly reach a stable positive result. Water well tolerated by patients, as it has a sharp odor and unpleasant taste.

The proposed method allows to expand the range of natural remedies for the treatment of periodontitis.

The method of treatment of periodontitis, including the removal of Tartar and plaque and gums irrigation natural mineral water daily pressure of 1.5 atmospheres, characterized in that the quality of natural mineral water use potable mineral water “Ustkachkintseva 1/99” with General mineralization of 8.2-8.6 g/DM3when 32-40C for 3-10 min on each jaw, treatment 5-14 days.

 

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FIELD: medicinal microbiology, medicine, pharmacy.

SUBSTANCE: invention relates to agents used for enhancing sensitivity of microorganisms to antibacterial preparations. Invention involves applying hydrocarbonate chloride-sodium drinking mineral water "Obukhovskaya" with the total mineralization 1.8-2.2 g/l as an agent for enhancing sensitivity of microorganisms to antibacterial preparations that is used early for treatment of atopic dermatitis and as an agent for treatment of iodine-deficient states. It has been found by method using disks that mineral water "Obukhovskaya" provides enhancing sensitivity of microorganisms to such antibacterial preparations as antibiotics and specific preparations against yeast-like fungi.

EFFECT: improved and valuable agent.

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