Method of treating complicated intra-canal perforations of solid dental tissues
SUBSTANCE: invention relates to medicine, namely to dentistry. Method includes processing perforated root canal and perforation zone with laser irradiation and covering perforation with sealing material. Introduction of light-guide into perforated root canal is carried out. In processing by laser irradiation translational increase of its power parameters is used. During the first session processing is carried out with power 0.5 W, during the second session - 0.75 W, during the third - 1.5 W. Additionally ozone therapy with saturated physiological solution is performed. Time of saturation with ozone is 5 minutes. Concentration of ozone dissolved in physiological solution is 8.8-9.6 mg/l.
EFFECT: method is painless, does not require carrying out local anesthesia, excludes allergic reactions, ensures optimal bactericidal and bacteriostatic effect, which makes it possible to efficiently stop inflammation and reconstruction of bone tissue, reduces number of complications.
In the conservative treatment of perforations of the teeth is the key to successful therapy is tight obturation of perforating defect. This is achieved by the use of different materials. However, the main problem in the treatment of this pathology is the risk of the development of the inflammatory process in periodontal tissues due to the development of microbial invasion and destruction of the ligaments of the tooth, which can lead to loss . In modern dentistry, attention has focused on ways of closing directly perforating defect, the bacterial treatment of the perforations remains insufficiently addressed . So you need to choose this method of root canal treatment and the site of perforation, which did not injure the tissues of the periodontium and contributed to the fast recovery.
The invention relates to medicine, specifically to dentistry, and is a method of treatment of perforations of teeth.
There is a method of treatment of periodontal disease, complicated by perforation of the bottom cavity of the tooth, when preliminary single processing zone perforation is carried out by the light of the erbium laser with subsequent closure of perforation amalgam .
The disadvantage of this method is that the amalgam can cause staining of the tooth hard tissues and phenomena of galvanism; with whom persons does not allow further antimicrobial treatment group internal perforations, having a large specific weight among all perforations. The method does not consider the use of biologically inert irrigant for root canals with perforation. In the treatment of perforations, complicated resorptive changes in bone, once the procedure of laser treatment is insufficient.
Also known is a method of treatment of perforation of the bottom of the tooth cavity fiber Pleasanton treated with 0.02% chlorhexidine and 1% solution etoniya .
The disadvantage of this method is that the method involves medical treatment pleasant and does not consider the use of physical methods of influence, such as laser and ozone, to help prevent sensitization of the organism and the possibility of allergic reactions.
There is a method of treatment of perforations molars when closing the perforation of the bottom cavity of the tooth is made of a polymeric tape, impregnated with a light-cured adhesive. The technique is used to close complicated and uncomplicated furcation perforations molars .
The disadvantage of this method is that drug treatment of the perforation defect is limited to a single treatment with 3% hydrogen peroxide solution, which is not sufficient to provide a bactericidal effect. The method does not allow for the combined application of the Oia laser and ozone therapy, did not allow an antibacterial treatment group internal perforations.
There is a method of treatment of complicated perforations of hard tooth tissues with destructive changes in formational the molar region I-II class after perforation of the bottom of the tooth cavity, which provides pre-processing of the bottom of the tooth cavity semiconductor laser three times at a constant power level of laser radiation and the subsequent closure of the perforation defect sealing material. This method is used as a prototype .
The disadvantage of this method is the inability of the antibiotic treatment group internal perforations, the method does not allow for additional use of ozone therapy. When using this method is the impact of a semiconductor, not erbium-chromium-laser, the capacity is higher; not used progressive increase capacity, which allows the tissues of the periodontium to adapt gradually to the laser impact.
The aim of the invention is to increase the efficiency of treatment of complicated intra perforations of hard tooth tissues and reduce the number of complications.
This goal is achieved by the fact that the treatment process is used, the introduction of the fiber into perforated arneway channel, preparation of the root canal and the area of perforation by laser radiation with subsequent progressive increase of parameters laser power: first processing session 0.5W; the second 0,75 W, the third 1.5W; in addition, ozone is used saturated saline ozone-oxygen mixture; the feeding of ozone for 5 minutes; the concentration dissolved in physiological solution of ozone is 8.8-9.6 mg/l
Comparison of proposed method with other well-known in this field of medicine means to show compliance with the criteria of the invention.
The method is as follows.
After diagnosing complicated ear perforation clinical and radiographic techniques were removing old fillings, the preparation of necrotic tissue, rasplanirovana causal and other necessary root canal, and then machining. We used the standard technique of mechanical root canal treatment, which was carried out with hand tools K-file, H-file, using a combination of techniques crown-down and step-back; expansion - mechanical rotary instruments Pro Taper (Mallifer, Densply)in combination with ultrasonic treatment (device low-frequency ultrasound "Piezon-Master 600", endotak 120 degrees, the file-sonar 20-25 ISO). As the e chelating agent was used in the preparation of RC-Prep (Premier, USA). For ozonetherapy we used to install ozone therapeutic automatic WATA-60-01 "Madison" (Russia). Using ozone installation saturated saline ozone-oxygen mixture. The feeding of ozone was 5 minutes. Dissolved in physiological solution of ozone ranged from 8.8-9.6 mg/l Volume of ozonized solution used for one treatment ozone therapy, was 2-3 ml Irrigation was carried out using endodontic syringe jet. Laser therapy was performed with the use of modern dental laser systems "Waterlase MD" company Biolase (Germany) with a wavelength of 2780 nm. Used the settings suggested by the author: power - when the first processing session 0.5W; the second 0,75 W, at the third - 1,5 W; pulse duration of 140 µs, frequency - 40 Hz. Processing of data was performed three times with an interval of 2-3 days. Used burst mode laser. Used quartz fiber Z-2 for the treatment of root canals. When processing the root canal length of the fiber was installed less measured the working channel length of 1.2 mm was Introduced the fiber into the channel, activated by the laser, and, holding it at an angle to the opposite wall, out of the channel within 10 seconds. Turning off the laser output from the mouth of the channel. The procedure was carried out 3 times, SC is every time changing the direction of impact. Each session was conducted at the next visit, accompanied by ozone therapy, the interval between visits 2-3 days. As the sealing material used the drug "Trioxide" company "Vladiv" (Russia). In between visits to the root canal was introduced based paste of calcium hydroxide ("Calasept", "Metapasta"). The tooth is covered by a band of glass ionomers cement GC Fuyi IX (PR-VA Japan). The final restoration or prosthesis was performed in follow-up visits.
The proposed method is painless, does not require local anesthesia, has a high antibacterial effect, eliminates allergic reactions on the part of the patient, effectively arrest the inflammation, provides restoration of bone tissue, and reduces the number of both immediate and late complications of treatment ear perforations hard tissues of the tooth.
Using the above method, was conducted in the treatment of complicated intra perforations 24 patients. Among them immediate complications such as pain in namasivaya cause tooth was observed in 5 cases. Pain was relieved during the treatment for 3-4 days. Distant complication in the form of increased hearth resorption was observed in 1 case that was associated with the progression of Zab the diseases of parodontium.
Example. Patient U., 29 years old, came with complaints about the presence of cavities in the tooth 3.6. From the anamnesis revealed that the tooth was cured about pulpitis more than 10 years ago. Objective examination: the mucous membrane of the transition folds and alveolar bone around the tooth 3.6 pale pink color, with no signs of inflammation. The crown part of the tooth is destroyed by¾. On the chewing surfaces - seal with priznaki violations marginal fit. On chewing-distal surface there is a deep carious cavity of medium size. The color change of the tooth crown 3.6. suggests that previously were treated resorcinol-formalin method. Percussion of the tooth 3.6 sensitive. On the radiograph: root canals obturated unsatisfactory, in the middle third of the medial root is determined by the presence of perforation complicated by the hearth resorption of bone tissue with a diameter of 0.4 mm; in the periapical area - extension of the periodontal gap up to 1 mm. diagnosed with chronic fibrotic periodontitis, single complicated intra perforation tooth 3.6.
Treatment. After removing the seals carried out the preparation of the modified tooth tissues, rasplanirovana all three root canals. The treatment was carried out in compliance with current protocols endodontic vmeshatelst is. When rasplanirovana revealed the presence of a perforation in the middle third of the medial lingual root. The root canals were enlarged to 035 size ISO. Audited and machining punching stroke to 025 size ISO. Then was carried out processing of root canals and punching stroke low-frequency ultrasound apparatus "Piezon-Master 600", endotak 120 degrees, file sounder 25 ISO. Irrigation was carried out ozonated saline in a volume of 2 ml inkjet using endodontic syringe. For the ozone therapy was used to install ozone therapeutic automatic WATA-60-01 "Madison" (Russia). Using ozone installation saturated saline ozone-oxygen mixture. The feeding of ozone was 5 minutes. Dissolved in physiological solution of ozone ranged from 8.8-9.6 mg/l was Then performed laser therapy with the use of dental laser systems "Waterlase MD" company Biolase (Germany) with a wavelength of 2780 nm. Used quartz fiber Z-2 for the treatment of root canals. When processing the root canal length of the fiber was installed less measured the working channel length of 1.2 mm was Introduced the fiber into the channel, activated by the laser, and, holding it at an angle to the opposite wall, out of the channel within 10sec. Turning off the laser output from the mouth of the channel. The procedure was carried out 3 times, each time changing the direction of impact. Asked the radiation power at the first session of treatment was 0.5 W; the second 0,75 W, while the third is 1.5 watts. Used burst mode laser. Each session was conducted at the next visit, accompanied by ozone therapy, the interval between visits 2-3 days. In between visits in the root canals were introduced pasta-based calcium hydroxide "Metapasta" under the bandage. Sick invited to check-UPS in 1 week, 3 months, 6 months, 1 year, 2 years.
When you re-examinations: during the second visit, the patient complained of slight pain in namasivaya on the tooth 3.6, in the third and subsequent visits, there was no complaint. The mucous membrane around the tooth 3.6 pale pink color, with no signs of inflammation. Percussion of the tooth 3.6 weakly positive in the second visit. In the third visit perforation defect is closed by the drug "Trioxide" company "Vladiv" (Russia), and also held a permanent obturation of root canals with a control x-ray. In follow-up visits carried out the preparation of root canals under the tab, prosthetics tab and artificial crown. On the control x-ray after 6 months, 1 year, 2 years periodontal ISM is to apical zone and in the area of perforation defect decreased.
The proposed methodology can be used for the treatment of complicated intra perforations hard tissues of the tooth in the primary and endodontic treatment in dental clinics outpatient care.
SOURCES of INFORMATION
1. Borovsky E.V., zhokova NS Endodontic treatment. Manual for doctors. - M, 1997. - 64 S.
2. Khomenko L.A., Bidenko N.V. Practical endodontics. Tools, materials and methods. - M.: Book plus, 2002. - 216 C.
3. Pomoinitskii V.G. Way to close the perforation of the bottom cavity of the tooth. - A.S. No. 1731221 / A61C 5/00. - Bull. Image. No. 17 from 07.05.1992.
4. Serebrennikov E.V., V.N. Timofeev. A method of treating periodontal disease, complicated by perforation of the bottom cavity of the tooth. - Patent RU No. 2238119 / A61N 5/067/. - Bull. image. from 20.10.2004. no application 2002131723/14.
5. Kukushkin V.L., Kukushkin E.A., Smirnitsky MV treatment furcation perforations molars. - RF patent №2345732 from 10.02.2009, the priority of the invention of 13.06.2007.
6. Gerasimov, L.P., Sorokin A.P. Method of treating teeth with destructive changes in formational the molar region I-II class after perforation of the bottom cavity of the tooth. - RF patent №2393850 10.07.2010, priority of invention from 30.12.2008.
The method of treatment of complicated intra perforations hard tissues of the tooth by three-time processing of perforated root canal and the area of perforation laser) is rising and the subsequent closure of perforation sealing material, characterized in that the treatment process are the introduction of the fiber into the perforated root canal treatment root canal and the area of perforation by laser radiation with subsequent progressive increase of parameters laser power: first processing session 0.5W, when the second - 0,75 W, at the third - 1,5 W; in addition, ozone is used saturated saline ozone-oxygen mixture; the feeding of ozone 5 min; concentration of dissolved in physiological solution of ozone is 8.8-9.6 mg/L.
FIELD: medicine, pharmaceutics.
SUBSTANCE: invention refers to medicine, namely to dentistry, and concerns preparations for preventing and treating the diseases of periodontal membrane and oral mucosa. That is ensured by using a pharmaceutical composition in the form of a gel which contains metronidazole benzoate, chlorhexidine gluconate as an active substance and additionally the ingredients specified in a group of alpha-, beta-, gamma-, recombinant interferon.
EFFECT: invention provides reducing the length of treatment in the patients with inflammatory periodontal diseases due to the wide spectrum of action of the composition, prolonged fixation on gums, which accelerates the regeneration of the oral mucosa.
2 cl, 5 ex
SUBSTANCE: invention refers to medicine, namely dentistry, and may be used for local therapy of inflammatory periodontal diseases. That is ensured by the daily applications of powdered cellulose surgical cotton on a dentogingival edge after curettage to normalise the microcirculation and hemodynamic values.
EFFECT: method provides higher clinical effectiveness in periodontal diseases, reduced complications and disability periods due to normalising the free radical levels in the damaged tissue while reducing inflammation and accelerating the process of epithelialisation of periodontal tissues.
FIELD: medicine, pharmaceutics.
SUBSTANCE: group of inventions relates to compositions for oral cavity care and methods of such compositions application. Claimed composition for oral cavity care contains amorphous quartz and source of ions of bivalent tin, with average size of amorphous quartz particles constituting from 1 to 20 microns. Version of composition additionally includes one or more essential oils and chelant. Method of oral cavity care includes stage, at which upper said composition is introduced into subject's oral cavity.
EFFECT: application of amorphous quartz (fuse quartz) as abrasive in mixture of composition for oral cavity care ensures good compatibility with ions of bivalent tin with effective and safe cleaning of dental tissues.
17 cl, 2 ex, 30 dwg
FIELD: medicine, pharmaceutics.
SUBSTANCE: claimed group of inventions relates to composition for oral cavity care and methods of its application. Claimed is composition for oral cavity care, which contains: arginine, in free form or in form of salt in amount from 0.1 to 20 wt % of total composition weight; triclosan in amount from 0.01 to 5 wt % of total composition weight; anionic polymer, which is a copolymer of methyl vinyl ether and maleic anhydrate; anionic surfactant in amount from 0.01 to 10 wt % of total composition weight; soluble fluoride salt in amount from 0.01 to 2 wt % of total body weight, in order to provide 50-25000 ppm of weight of fluoride ions, in which soluble fluoride salt or source of fluoride ions is selected from sodium fluoride, sodium monofluorophosphate and their mixtures; and abrasive material, which contains fraction of minor particles, constituting at least about 5 wt % of total composition weight, and in said fraction minor particles have average diameter d50 smaller than 5 mcm.
EFFECT: application of composition for oral cavity care along with improved delivery of antibacterial agent provides additional advantages in acceleration of remineralisation and restoration of precarious affection foci due to combination of fluoride and arginine, as well as due to application of finely disperse abrasive as composition component.
11 cl, 1 tbl, 7 ex
FIELD: medicine, pharmaceutics.
SUBSTANCE: group of inventions relates to compositions for oral cavity care and to methods of their application. Claimed are compositions for oral cavity care, which contain effective amounts of arginine in free or salt form, anionic surface active substance, halogenated diphenyl ether, anionic polymer, and precipitated calcium carbonate, which has d50 from approximately 0.5 to approximately 3 micrometres.
EFFECT: compositions are efficient, in particular, for reduction of bacteria adherence to tooth surface in subject's oral cavity, in addition, chemical composition provides favourable effect in activation of remineralisation, elimination of pre-caries damage and strengthening healthy state of oral cavity along with intensification of taste properties of formulation of preparation for oral cavity care and increase of general acceptability pf product for consumers.
33 cl, 1 tbl, 8 ex
SUBSTANCE: invention relates to medicine, namely to therapeutic dentistry, and is intended for treatment of pulpitis, apical and marginal dental periodontitis. Drug processing of root canal is carried out. Canal is dried. After that, root canal of tooth is filled with liquid No 1 - solution of subacid magnesium fluoric silicate from composition of "Dentin-hermetising liquid". Active needle electrode of device for carrying out electro- or depot phoresis is introduced into canal and transcanal electrophoretic introduction of ions, contained in liquid, into dentin tubes of tooth root is performed. Amount of electricity, passing through tissues of tooth root tissues, constitutes from 1 to 5 mA X min, with current value from 0.1 to 1 mA. After that root canal is dried with air and electrophoresis of liquid No 2 - alkaline suspension of highly-dispersive calcium hydroxide from composition "Dentin-hermetising liquid" is carried out at the same parameters as the first liquid. Root canal is dried with air and filled by traditional method.
EFFECT: method makes it possible to reduce number of complications and increase efficiency of treatment of pulpitis, apical and marginal periodontitis due to deep transcanal electrophoretic fluoridation of tooth root dentin.
7 dwg, 2 ex
SUBSTANCE: invention relates to medicine, namely to therapeutic dentistry, and can be used in treatment of deep dental caries. For this purpose preparation of caries cavity with its further antiseptic processing with ozone-oxygen mixture possessing high bactericidal effect is carried out. Ozone concentration in mixture constitutes 30-40 mcg/ml. Processing is carried out for 25-40 seconds. After that, self-hardening radiopaque material, containing calcium hydroxide "Life" is used as medicinal padding and filling is performed.
EFFECT: method makes it possible to perform tooth filling during the first visit due to antiseptic processing not only on the surface of caries cavity, but in dentin tubes.
1 tbl, 2 ex
SUBSTANCE: invention relates to medicine, namely therapeutical stomatology and may be used for treating the patients suffering generalised periodontitis. That is ensured by periodontal care and antiseptic preparation, topical treatment with "Lesnoy Balsam" involving applications to a region of inflammation in an amount of 0.05-0.2 g and introduction into gingival pockets. Length of the procedures is 15 minutes twice a day; the therapeutic course is 5-6 days: the general treatment includes the preparation "Ginkoum" 1 capsule three times a day; the therapeutic course is 5 weeks.
EFFECT: invention enables a high therapeutic effect by blocking pathogen flora, improved regional gingival haemodynamics, wound healing and epithelising actions, reduced perivascular oedema and vascular metabolic improvements with no discomfort to the patient.
SUBSTANCE: invention refers to medicine. What is presented is a compound for preparing an oral rinse for treating radio-induced xerostomia in the following proportions of the ingredients in water 200 ml: ethyl cellulose 0.5 - 0.9 g, calcium hydrophosphate 0.1 - 0.3 g, potassium hydrophosphate as a buffer system 0.4 - 0.6 g, succinic acid 0.10 - 0.14 g.
EFFECT: invention provides the improved clinical effectiveness in radio-induced xerostomia ensured by the recovered physical-chemical properties of saliva and normalised processes of solid tissue mineralisation.
2 tbl, 1 ex
SUBSTANCE: invention refers to medicine, namely surgical dentistry and physiotherapy, and may be used in dental implantology for preventing postoperative infectious-inflammatory complications following bone tissue surgeries. For this purpose, the surgical intervention is followed by blood sampling from an incisional wound to be treated with ozonised gas of the ozone concentration of 20±2 mg/l. Then blood is mixed with a bone autograft and treated with ozonised gas of the ozone concentration of 20±2 mg/l. The prepared autograft is introduced into an implantation and sinus lifting site. From the second postoperative day, the incisional field is exposed to extremely high frequency for 3-6 days for 10-20 minutes. For 5-7 days, the incisional field is treated with ozonised distillate of the ozone concentration of 1-2 mg/l.
EFFECT: method enables effective prevention of postoperative infectious-inflammatory complications by improving osteogenesis and accelerating implant integration ensured by the ozone treatment in specific regimen and environment.
3 cl, 2 ex
SUBSTANCE: invention refers to medicine, namely to aesthetic surgery, and may be used for a lower-lid blepharoplasty technique. A linear transconjunctival incision extends to 3 cm, and fat herniation is removed therefrom. A conjunctival wound is not closed. That is combined with the single-step lower-lid skin exposure to erbium laser in a pulse mode, laser spot 6 mm, power 7 kJ/mm2.
EFFECT: method enables improving the cosmetic effect of the surgery and reducing the postoperative complications ensured by the surgical approach avoiding the formation of postoperative crusting and scarring, and the exposure to laser light ensuring contraction of the deep derma layers.
SUBSTANCE: invention refers to medicine, specifically to surgery, dermatocosmetology. The method involves preparing a scar surface for the laser treatment. The treatment is conducted in a super-pulse mode of 0.05-0.09 seconds. A laser spot is 1 mm as high as the scar. The laser point is arranged in some lines along the scar area. The line distance makes 1.5-2 mm. The point distance in the same line is 1.5-2 mm.
EFFECT: method provides faster healing accompanied by the formation of normal scar tissue ensured by minimally injuring the scar wall induced by the laser light, preserving the intact skin for regeneration and restructuring of scar tissue.
1 dwg, 2 ex
SUBSTANCE: invention refers to medicine, particularly oncology, and may be applied in treating myofibrosis of upper extremities. A brachioradial muscle is exposed to scattered red laser light of irradiance 2.10-4-6.10-4 Wt/cm2 for 5-10 minutes.
EFFECT: method enables higher clinical effectiveness in occupational myofibrosis of the upper extremities ensured by activating the metabolic processes in a cell, improving microcirculation, reducing muscular oedemas.
1 tbl, 3 ex
SUBSTANCE: invention refers to medicine, oncology, surgery, physiotherapy and can be used for treating patients with late postoperative lymphostasis following a breast cancer surgery. The patient is daily exposed to infrared laser at a permanent magnetic field of the magnetic induction intensity within the range of 20-50 mT, pulse repetition frequency of the infrared laser light within the range of 80 Hz, and power 0.5-1.0 Wt. The exposure is labile; its length is 1.5-2.0 min. and covers an injured extremity, axillary area, shoulder and back. The patient is further exposed to Scenar in a continuous mode covering the above regions for 5-10 minutes. The therapeutic course is 10-15 procedures.
EFFECT: method enables higher clinical effectiveness in lymphostasis ensured by stimulating vascular and neuromuscular tone, recovering motion activity of the upper extremities and relieving pains.
SUBSTANCE: invention refers to medicine, namely neurology, reflexotherapy. The method comprises the magnetic-laser therapy (MLT), acupuncture and therapeutic exercises (TE) with underlying pharmacotherapy. The MLT involves a paravertebral exposure at wave length 0.88 m, power 10 mW, magnetic field strength 40 mT, 4 minutes on each side alternately. The acupuncture represents another embodiment of the method of inhibition. At first, the acupuncture exposure is contralateral, and starting from the 3rd-5th procedure, the exposure also covers the involved side. All the exercises of each following session are conducted with rate load gain, an increase of the number and extent of the exercises. If observing paresis of the upper extremity, the MLT covers a collar region at the level of interosseus processes of the 5th-6th cervical and thoracic 1st-2nd vertebrae. At first, the acupuncture covers the point (TA) Lan-wei at a healthy ankle of the lower extremity. Starting from the 3rd-5th procedure, the exposure also involves the point Er-jian at a hand of the affected upper extremity. If observing paresis of the lower extremity, the MLT involves the lumbar-sacral region at the level of interosseus processes of the 2nd-3rd lumbar and 1st-2nd sacral vertebrae. Originally, the exposure covers the point Shou-san-li in a forearm of the healthy upper extremity. Starting from the 3rd-5th procedure, another version of the method of excitation is included on the affected side whereat the acupuncture needle is inserted into the point Tsu-syui within a foot of the affected lower extremity. If observing hemiparesis, the MLT includes the collar region at interosseus processes of the 5-6th cervical and 1rd-2nd thoracic vertebrae, then on the lumbosacral region. The exposure includes the point Lan-wei at the healthy ankle of the lower extremity and simultaneously the point Shou-san-li in the forearm of the healthy upper extremity. Starting from the 3rd-5th procedure, the exposure is added with a simultaneous effect on the point Er-jian at the hand of the affected upper extremity and on the point Tsyu-syui at the foot of the affected lower extremity. The physical exercises are combined with the correction of the hand and foot positions. For the purpose of the correction, a trainer extends the fingers and positions them properly in a combination with active-passive flexion and extension of the ankle joint. Treating the locomotor disorders starts 1-7 days after the ischemic stroke has been verified. The therapeutic course consists of 12-15 daily procedures.
EFFECT: method provides higher clinical effectiveness, reduces the length of staying in hospital and the disability rate in the patients.
3 ex, 5 tbl
SUBSTANCE: invention refers to medicine, namely to oncology and may be used for the purpose of prevention of recurrent malignant pelvic tumours or non-organic retroperitoneal tumours following the surgical management. A photosensitiser having high tropism to pelvic and retroperitoneal tumour tissues is administered intravenously. A completely extracted tumour bed is exposed to a photodynamic effect within healthy tissues using a light source of wave length characteristic of the photosensitiser used. It is combined with simulating an exposure field by placing a moistened surgical drape in a surgical wound. The laser exposure is generated by using a macrolens from at least one position. An irradiation energy dose makes 840 J to 1710 J.
EFFECT: method enables improving the effectiveness of photodynamic therapy ensured by using the photosensitisers with high tropism to pelvic and retroperitoneal tumour tissues and a possibility to increase a dose of laser light through generating the exposure field and determining its clear limits.
3 cl, 2 ex
SUBSTANCE: invention refers to medicine and may be used to treat a benign growth of cavernous hemangioma of the upper airways. The new growth is extracted in a coagulation mode by Nd:YAG laser exposure at wave length 1.064 nm. A quartz light guide of the diameter of 400 mcm is used. The output laser power is 15 Wt. The exposure time is 6 to 10 minutes. The distance of the light guide end to the tumour is 3 to 10 mm. The power density is 850 to 50 Wt/cm2. The pulse length is 0.5 to 1 s.
EFFECT: method enables achieving deep coagulation of cavernous vascular tissue without causing thermal damage to the mucous membrane covering the hemangioma followed by sclerosing of the cavernous component of the hemangioma tissue and replacing it by scar tissue due to thermal ablation of the abnormal blood vessels.
SUBSTANCE: invention refers to medicine, specifically to surgery, physiotherapy. The method involves application of a dressing, the magnetic therapy, and the laser therapy. The application of the dressing is preceded by the 6-minute wound exposure to laser light generated by UFL-01 apparatus at wave length 0.63 mcm; the therapeutic course is 7 sessions. The application of the wound dressing is followed by the 20-minute exposure. The exposure involves the magnetic field of induction 100% generated by Alimp-1 apparatus. The exposure frequency is 20 Hz. The therapeutic course consists of 10 sessions.
EFFECT: method provides reduced length of treatment.
SUBSTANCE: invention refers to medicine, and may be used for treating the children with severe thermal injuries. There are involved the detoxification and anticoagulant therapy to create the programmable anticoagulation conditions. It is followed by a procedure of intravenous laser blood irradiation at wave length 0.63 mcm and light guide output power 2.5 mW. The first procedure of intravenous laser blood irradiation is performed for 10 minutes, with the first 5 min - at 100 Hz, and the next 5 minutes - at a frequency of 1500 Hz. Further, the procedure of intravenous laser blood irradiation is performed for 14 min, each of 7 min at frequencies of 100 Hz and 1500 Hz. The sessions of intravenous laser blood irradiation are performed every 12 hours for 5-7 days.
EFFECT: method enables reducing the level of endogenous intoxication, improving the oxygen-transport blood function, accelerating the repair processes in burn wounds and reducing the area of plastics interventions by optimising the therapy.
SUBSTANCE: invention refers to medicine, namely to gynaecology, and may be used for treating dystrophic diseases of the vulva by photodynamic therapy. That is ensured by intravenous administration of Photoditazine 0.8-1.0 mg/kg, and 90-120 minutes later, it is followed by the unanesthetised light exposure on the area of the vulva in a continuous mode by a LED apparatus at wave length 660 nm. A dose of the supplied light energy is 180-250 J/cm2 for a total length of light exposure of 30-50 minutes. If the clinical symptoms of the disease appear to be persistent, the photodynamic therapy is repeated to achieve a positive therapeutic effect. With a large area of abnormality, the vulva area is divided into quadrants that are consistently exposed to light.
EFFECT: method provides a highly effective minimally invasive, organ preservation method of treating dystrophic diseases of the vulva, which provides a complete recovery of the disease; it is not accompanied by side effects, enables reducing the length of treatment, ensuring the treatment in an outpatient setting.
3 cl, 3 ex
FIELD: medicine, pharmaceutics.
SUBSTANCE: invention relates to medicine and pharmacy and can be applied in production and application of solutions for intravenous introduction in treatment of conditions, associated with endogenous intoxication. Disintoxication solution contains components in the following ratio (wt %): sodium hypochlorite 0.04-0.08, sodium chloride 0.50-1.00, aminoethane sulfonic acid 0.02-1.20.
EFFECT: novel infusion solution is claimed.
4 ex, 1 tbl