Method of treating pains appearing after filling root canals

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to dentistry. Method includes impact by remote electrode of apparatus "DiaDENS". Impact is performed with frequency 77 Hz for 2 minutes. Impact is performed on auricular points of acupuncture, which correspond to teeth of upper AT5, or lower AT6 jaws. When impact on auricular points is over, impact on pain zone in area of apex of cured tooth is performed. Impact is realised by point electrode of "DiaDens" apparatus with frequency 200 Hz, for 5 minutes.

EFFECT: method ensures obtaining high therapeutic result due to complex successive impact: reduces treatment terms, contributes to elimination of accompanying neurologic symptoms: sleep disorders, irritability, anxiety.

2 ex, 3 tbl

 

The invention relates to medicine, in particular to neurosonology, namely the treatment of pain arising after the filling of root canals, in the following text denoted as post-filling pain.

A known method of treating pain post-filling, where as a therapeutic method using darsonvalization spark or contact methods for 3-5 minutes at a low intensity for a period of 6-12 days (Kunin A.A., Provotorov V.M., S. Pankov. and other physical therapy of dental diseases. The tutorial. Voronezh, 2005, str).

In addition, use diadynamic therapy. The exposure time is 10 minutes. The current is adjusted individually to the feeling expressed vibration under the electrodes. A course of 6-10 treatments (Kunin A.A., Provotorov V.M., S. Pankov. and other physical therapy of dental diseases. The tutorial. Voronezh, 2005, str).

However, these methods have certain contraindications, so the presence of tumors, the propensity to bleeding, systemic lupus erythematosus, circulatory insufficiency 1-3 degrees, hypertensive heart disease, severe atherosclerosis, hyperthyroidism, pregnancy, lactation.

In addition, the treatment has a duration of at least 10 sessions. Practical experience shows that about 80% of patients the full course is not completed, resulting in the oznacevanju complications and recurrence.

The technical result of the invention is to develop methods that do not have side effects that reduce the treatment of pain arising after filling the root canals to 1-2 sessions, to restore the sensitivity of tissues surrounding the tooth, to normalize symptoms associated neurological symptoms, such as sleep disturbances, irritability, uncertainty about the success of the treatment.

The technical result is achieved by the fact that auricular acupuncture points that correspond to the teeth of the upper AT 5 or lower jaw AT 6 in accordance with the fact of how the jaw is subject to treatment post-filling tooth pain (Auricular dynamic electroneurostimulation and the basis of its practical application, the Corporation DENAS MS, Ekaterinburg, 2007) exposed for 2 minutes external electrode apparatus "DiaDENS" with a frequency of 77 Hz. After a session on the auricular point perform impact on the painful area in the region of the apex cured tooth for 5-minute point electrode apparatus "DiaDENS" for 1-2 sessions in the "Therapy" with a frequency of 200 Hz.

To confirm the effectiveness of the proposed method, we conducted a study in 3 groups of patients. The first consisted of patients who were only auriculotherapy, the second - the sick, the cat is the ring were exposed only on the painful area in the region of the apex cured tooth, the third group included patients who were treated in our technique, the sample of 217 patients with pain arising after filling of root canals. The results are presented in table 1.

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Table 1
Comparative efficiency of treatment methods in terms of elimination of clinical manifestations
IndexGroup and the follow-up period
1 gr. (n=69)2 gr. (n=72)3 gr. (n=76)
1-2 day7-8 day1-2 day5-6 day1-2 day
Complete elimination of pain73,9%94,2%47,2%88,9%93,4%
A significant decrease in pain14,5%4,3%27,8%8,3%6,6%
The slight decrease in pain11,6%1,4%25,0%2,8%0,0%
Reduction of edema27,0%89,4%78,6%100,0%93,4%
Reduction of hyperemia38,2%91.3%of61,5%100,0%98,7%
The lack of effect14,5%2,9%11,1%1,4%0,0%

As follows from the table, only the use of auriculotherapy not quickly resolve the redness and swelling; the use of DENAS-therapy on the painful area in the region of the apex cured tooth does not give quick getting rid of pain. We proposed a combination of these methods gives a high therapeutic effect.

Example 1. Patient, 54 years old (case history No. 8713-08) addressed somatoneurological the center with complaints of severe pain, numbness, inability to touch the language is m to sealed 2 days ago 3.4 tooth, sleep disturbance. The examination percussion 3.4 sharply painful tooth, the tooth is sealed, thermotest negative, on the radiograph of the tooth canal is completely filled, the indicators of electrogoniometry - 180 mA. The gums in the area of filled tooth has a pronounced edema and hyperemia. Patient diagnosed with neuropathy alveolar nerve 3.4 arising after filling channel - post-filling pain.

Appointed: 2 session auriculotherapy on the point of the lower jaw AT 6 for 2 minutes and on the painful area in the region of the apex 3.4 for 3 minutes. Therapeutic effect was observed already during the first session and kept for 18 hours. After the second session the pain was completely gone, gone swelling and redness of the gums, restored the sensitivity of the tissues surrounding the tooth, normalized sleep. The patient's condition has stabilized.

Example 2. Patient C-IR, 37 years old (case history No. 3298-07) addressed somatoneurological the center with complaints of severe pain, numbness, inability to touch tongue to sealed 3 days ago 1.5 tooth, swelling and a burning sensation in the gums. The patient irritable, does not believe in the success of the treatment, is configured to remove the treated tooth. The examination percussion 1.5 sharply painful tooth, the tooth is sealed, thermotest negative, on the radiograph of the tooth canal is completely filled, pokazateli electrogoniometry - 200 mA. Patient diagnosed with neuropathy alveolar nerve 1.5 arising after filling channel - post-filling pain, suspected allergic reaction to the filling material.

Appointed: 2 session auriculotherapy point of the upper jaw AT 5 for 2 minutes and on the painful area in the region of the apex 1.5 for 5 minutes. Therapeutic effect was observed already during the first session and preserved for 12 hours. After the second session, the pain completely disappeared, swelling and a burning sensation passed, the patient calmed down. The patient's condition stabilized.

We compared the results of treatment of post-filling pains auriculotherapy with traditional physical therapy methods. The results are presented in table 2.

Table 2
Comparison of the results of auriculotherapy with the traditional methods of physical therapy post-filling of pain
TreatmentThe number of patientsTherapeutic effectThe lack of effect
the cessation of pain significant improvementa slight improvement
Amplipulse259655
Darsonvalization2410941
The proposed method76715--

Thus, our proposed methodology includes new technological components during execution, in particular the sequential impact of external electrode apparatus "DiaDENS" with a frequency of 77 Hz at the auricular acupuncture points that correspond to the teeth of the upper AT 5 or lower AT 6 jaw and impact then on the painful area in the region of the apex cured tooth for 5-minute point electrode apparatus "DiaDENS" in the "Therapy" with a frequency of 200 Hz. The technique is non-invasive, convenient for doctor and patient.

This sequence of effects allows you to reach unknown in the prior art when the impacts on acupuncture points in PA is antov with post-filling pain effects decongestants and desensitizing effect.

The proposed method for the treatment of pain arising after the filling of root canals, shorten the duration of treatment up to 2 sessions, allowing you to complete a full course of treatment 100% of patients, promotes removal of concomitant neurological symptoms - sleep disturbance, irritability, anxiety, uncertainty about the success of the treatment (see table 3), has no side effects, does not require expensive equipment, has practically no contraindications, except as a patient artificial pacemaker or alcohol. Using this method contributes to the effectiveness and quality of treatment of pain arising after the filling of root canals.

Table 3
The dynamics associated neurological symptoms in patients treated by the proposed method
Index1 dayday 2
Irritability751
Crying67 0
Insomnia760
Anxiety703
The uncertainty in the success of the treatment630

A method of treating pain arising after filling the root canals of the tooth, using electroneurostimulation, characterized in that the impact perform external electrode apparatus "DiaDENS" with a frequency of 77 Hz for 2 min on auricular acupuncture points that correspond to the teeth of the upper AT 5 or lower AT 6 jaw, depending on the location of the treated tooth; after exposure to auricular points affect the painful area in the region of the apex cured tooth for 5 min point electrode apparatus "DiaDENS" in the "Therapy" with a frequency of 200 Hz.



 

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6 ex, 2 tbl, 3 dwg

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SUBSTANCE: method involves acupuncture treatment of points and regions located on a surface of an auricle corresponding to a thyroid gland, a cervical spine, a hypophysis, a hypothalamus and a brain stem, as well as treatment of a neck and a paravertebral region. In addition, covered are points and regions on the surfaces of the auricle corresponding to two superior cervical, middle cervical and inferior cervical ganglions, lymphatic throat masses, a throat, a tongue, salivary glands, lateral and posterior horns of spinal cord, a reticular formation and a cerebellum. The treatment is combined with low-intensity infrared laser light, and/or with traditional massage, and/or acupuncture, and/or with therapeutic blocks of the reflex regions functionally related to cervical, and/or thoracic, and/or lumbar sympathetic ganglions and parasympathetic cerebral ganglions, and/or of their projections and nerve plexuses related to these vegetative structures, including paravertebral portions in a projection of spinal segments C 1-3, C 5-6, C 7 - Th 1, Th 1 - Th 3, Th 5 - Th 7, Th 11 - L 3, and/or of the regions found along edges of a sternocleidomastoid muscle opposite to a mandibular angle and in their middle, and/or of the region located behind a mastoid of a temporal bone, and/or of a mammary zone, and/or of a submaxillary zone, and/or an area under a malar bone, and/or parasternal and paraclavicular areas. Treatment point is specified by thermography on the basis of hyperthermia or hypothermia, and/or by physical examination on the basis of muscular induration and/or tenderness. Besides, in hypothyroidism, or in excessive functional thyroid tension, or in impaired cold tolerance, or in decrease of body temperature, the treatment involves therapeutic courses including thermal physiotherapeutic procedures.

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