The method of stabilization of mobile teeth

 

The invention relates to medicine, in particular to prosthetic dentistry and can be used to eliminate the mobility of the teeth with periodontal disease. The technical result consists in providing stabilization of mobile teeth, maintaining them micromovement in the physiological range, with simultaneous normalization of their functions. The method is as follows. Is fixing the mobility of teeth with periodontal disease by fixing the movable teeth healthy teeth, limiting the defective wire. To install the wire in the moving and healthy teeth perform paired through holes that connect on the vestibular surface of the transverse groove. Healthy teeth transverse groove and perform on the oral surface of the tooth to form a wire loop. Through holes is disposed on a midpoint between the cavity of the tooth and the occlusal surface. Wire for fixing use of Nickel-titanium. Wire set in the teeth, starting with a healthy tooth, holding it with oral side through the first through hole on the vestibular side of the tooth is placed in the groove and enter the second end-to-end open is it W ill result in the first through hole of the rolling tooth, wire similarly carried through all the teeth of the defect and the second healthy tooth, restrictive defect with the other hand. The ends of the wire in the area of healthy teeth placed in a transverse groove on the oral side of healthy teeth in the opposite direction to move the wire forming the loop. After installation, pull wire and tied a knot on the oral side. After installing the wire into the slots of the hole is closed with a filling material, leaving the interdental space free. 1 Il.

The invention relates to medicine, namely to prosthetic dentistry and can be used to eliminate the mobility of the teeth with periodontal disease.

There is a method of stabilization of teeth on author. mon. No. 1296142, M. CL. And 61 WITH 13/00, BI No. 10, 15.03.1987, In this method, use plastic tire comprising several parts, which consist of fragments for fixing on the vestibular and oral surfaces and chewing on front or group of teeth. The end of each fragment is equipped with a locking device for connection between themselves or with other parts of the bus. When installing the bus pin is stuck fragments to the corresponding powernetworker condition, to which are fixed parts of the bus.

The disadvantages of the method:

- Lack of aesthetics.

The rigid fixation of mobile teeth, lack of natural micromovement of each tooth.

- Difficult access to periodontal pockets for therapeutic treatment.

Insufficient structural strength

- Plastic porous, which affects the oral health.

The closest is the way splinting teeth, selected as a prototype, which consists in the fact that it was making circular cuts splinting teeth on edge, releasea to the root portion and the edge, as close as possible to the cutting edge or occlusal surface. Further cuts in the put thread in pairs in each row, twisting them, interdental spaces, pull yarn, spinning their ends, and close the cuts with threads and interdental spaces filling material. Auth. mon. No. 2157136, M. CL. 7 And 61 With 8/00, "Method for splinting teeth", publ. BI No. 28 10.10.2000, p. 167.

The disadvantages of the prototype:

- Circular cuts are made without regard to "security zones" that can result:

a) opening of the tooth cavity;

b) the emergence of traumatic pulpitis after splinting.

- Difficulty sozdaniya teeth

- Aramid yarn has a very high strength, therefore, provides rigid stabilization chinaswamy teeth and has no elasticity, excluding natural micromotion each shinerama tooth and all chinaswamy group of teeth.

The objective of the invention is to provide stabilization of mobile teeth, maintaining them micromovement in the physiological range, with simultaneous normalization of their functions, by linking mobile and fixed teeth nickeled-titanium wire.

This object is achieved in that the fixation of moving teeth with periodontal disease by fixing the movable teeth healthy teeth, limiting the defective wire. To install the wire in the moving and healthy teeth perform paired through holes that connect on the vestibular surface of the transverse groove. Healthy teeth transverse groove and perform on the oral surface of the tooth to form a wire loop. Through holes is disposed on a midpoint between the cavity of the tooth and the occlusal surface. Wire for fixing use of Nickel-titanium. Wire set in the teeth, starting with a healthy tooth, provocat second through hole, returning her on the oral side, through the interdental space of the wire is carried out before rolling the tooth and put it into the first through hole of the rolling tooth, the wire is similarly carried out through the teeth of the defect and the second healthy tooth, restrictive defect with the other hand. The ends of the wire, in the area of healthy teeth, placed in a transverse groove on the oral side of healthy teeth in the opposite direction to move the wire, forming a loop. After installation, pull wire, wire tie the knot on the oral side. After installing the wire into the slots of the hole is closed with a filling material, leaving the interdental space free.

The novelty of the method consists in the following:

Logging is done by the Nickel-titanium wire.

In motile and healthy teeth perform paired through holes that are placed in the middle of the distance between the cavity and the cutting edge or occlusal surface.

A pair of openings link on the vestibular surface of the transverse groove on the movable and healthy teeth, limiting defect. Healthy teeth additionally perform transverse groove and on the oral surface of the tooth.

- After installing the wire slots and openings closed with a filling material, leaving free the interdental space.

The Nickel-titanium wire has a thickness of 0.3 mm in diameter. The wire has super-elastic properties and are capable of many times to come back to its original state. Wire after closing of the filling material is not visible in the mouth and high efficiency and very aesthetic.

The proposed method is carried out with gentle dissection of the teeth by creating a shallow grooves, as a rule, within the enamel. Through holes are dianette strong binding wire on each tooth and eliminate the mobility of it along the tooth. The formation of loops on healthy teeth, limiting defect, provides sufficient support for the whole of the created block. The nodes of the wire based on the oral surface, not visible and not spoil the aesthetics.

The proposed method of conducting wire through the teeth provides a reliable connection in a single unit and uniform distribution of the teeth along the whole wire. Wire pull, allowing you to achieve secure chinaswamy teeth required for each individual tooth force and giving each tooth physiological position in the dentition. After splinting and make moving teeth physiological position of the slots and openings are sealed to make the teeth of the original form and is pinning wire on the tooth. The interdental space is not sealed. This allows you to save the micromotion in the physiological limits of each individual tooth in the generated block, as severalstates properties of nickeled-titanium wire allow her to keep her strength with numerous micro-movements. Achieved stabilization of teeth in naturally functioning unit, do not impede medical and surgical therapy gingival karmienie thread through his teeth.

In Fig.1 shows the movable teeth 1, 2 and teeth with healthy periodontium 3, 4. In the moving and stationary teeth cut through holes 5, United transverse groove 6, which laid nickeled-titanium wire 7. The dashed line shows nickeled-titanium wire in a transverse groove, a closed composite filling material. With the oral side of the interdental spaces of the wire 7 a filling material is not closed, allowing chinaswamy teeth to preserve the natural micromotion.

In Fig.2 shows the teeth, chinaswamy nickeled-titanium wire. The wire is laid in the grooves and through holes, nodes 9 fastened on the oral surface of the stationary teeth.

The method is as follows.

After examination and determination of tooth mobility in moving the teeth and the teeth bordering the movable teeth are preparing boron 1 mm diameter through holes with a diameter of 1-1 .5 mm Holes prepariruetsya taking into account the location of the tooth cavity. The place of preparation to identify intraoral contact R-gram. The crown is determined by the place of maximum thickness of the side wall of the tooth, between the cavity and the outer margin of the enamel. In the middle rasih holes about 2 mm from the side wall of the tooth. On the vestibular surfaces of the movable and fixed teeth with boron through holes are connected with a cross groove width of 1-1,5 mm, healthy teeth, limiting defect, through holes are connected with a transverse groove and additionally on the lingual surface. Next, the wire Nickel-titanium set in the teeth, starting with a healthy tooth, spending with oral side through the first through hole on the vestibular side of the tooth. Then the wire is placed in the groove and enter the second through hole, returning her oral side through the interdental space, the wire is carried out before rolling the tooth and put it into the first through hole of the rolling tooth. Wire similarly carried through all the teeth of the defect and other healthy tooth, restrictive defect on the other hand, the ends of the wire are placed in a transverse groove on the oral side of healthy teeth in the opposite direction to move the wire, forming a loop, pull wire, the ends of the tie the knot with the wire on the oral side, the movable teeth put in a physiological position in the dentition. Then the transverse grooves sealed composite filling (Valux Plus) material to make the teeth estatesale for the implementation of natural micromovement chinaswamy teeth due severalstates properties of nickeled-titanium wire.

Example 1.

Asked the clinic, the patient 43 years with complaints mobility 42 41 31 32 teeth, bleeding gums.

Objective: mobility 42 41 31 32 teeth I-II degree, determined by the depth of periodontal pockets 4-5 mm In the area of mobile teeth bleeding gums, supra - and subgingival calculus.

R-gram: in region 42 41 31 32 teeth visible destruction of interdental septa on1/2root length, pockets of osteoporosis in the bone tissue.

Diagnosis: chronic localized periodontitis of moderate severity in the field 42 41 31 32 teeth.

Treatment:

Professional hygiene of an oral cavity.

- Held stabilization 42 41 31 32 teeth. 43 42 41 31 32 33 teeth perform paired through holes, on the vestibular surface 43 42 41 31 32 33 teeth holes are connected with a transverse groove 33 and 43 teeth holes are connected by a groove and on the oral surface after moving 42 41 31 32 teeth miss nickeled-titanium wire and tie it to the wire, covering the fixed 33 43 teeth. Wire pull and fasten on the oral surface of the stationary teeth. The movable teeth put in a physiological position in the dentition. Transverse grooves sealed composite filling material using drugs etiotropic and pathogenetic steps.

At follow-up visits after 3, 6 and 12 months of complaints, the patient does not show, chinaswamy teeth sustainable.

R-gram: in region 42 41 31 32 teeth destruction of interdental septa does not progress, the foci of osteoporosis in the bone tissue is missing.

At follow-up visits were conducted professional hygiene of the oral cavity. Controlled occlusal function, was carried out the instructions and control of the patient's motivation for oral hygiene.

Thus, the method provides:

- create a block of fixed teeth and their stabilization;

- stabilization of the pathological process;

- therapy of gingival pocket;

- minimal trauma to the tissues of the teeth;

- improves functional and biomechanical characteristics of the formed block from moving and healthy teeth.

This method is clinically applied in 10 patients.

In all cases, marked improvement, the absence of pathological tooth mobility with poor periodontal stabilization of the pathological process.

The proposed method of stabilizing the teeth with pathological mobility simple and easy to use.

Claims

The method of stabilization podanie in the teeth, and closing of the filling material, wherein in the moving and healthy teeth additionally perform the paired through holes that connect on the vestibular surface of the transverse groove, healthy teeth transverse groove and perform on the oral surfaces of the teeth, in the middle of the distance between the cavity and the cutting edge or occlusal surface, the wire Nickel-titanium set in the teeth, starting with a healthy tooth, spending with oral side through the first through hole on the vestibular side of the tooth is placed in the groove and enter the second through hole, returning her on the oral side, through the interdental space of the wire is carried out before rolling the tooth and put it into the first through hole of the rolling tooth, the wire is similarly carried out through the teeth of the defect and the second healthy tooth, restrictive defect on the other hand, the ends of the wire are placed in a transverse groove on the oral side of healthy teeth in the opposite direction to move the wire, forming a loop, pull wire, the ends of the tie the knot with the wire on the oral side, after installation of the wire slots and openings closed with a filling material, leaving IU

 

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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.

EFFECT: prolonged service life; high functional value.

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