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INVENTION
The patent of the Russian Federation RU2272596
METHOD OF TREATMENT OF DISTOPED SEMI-FINISHED AND RETENED TEETH OF WISDOM IN THE LOWER JAW
The name of the inventor: Ermolov Viktor Fedorovich (RU)
The name of the patent holder: Ermolov Viktor Fedorovich (RU)
Address for correspondence: 394000, Voronezh, ul. Student, 10, Voronezh State Medical Academy. N.N. Burdenko, the patent department
Date of commencement of the patent: 2004.03.09
The invention relates to medicine, in particular to dentistry, and may be applicable to the treatment of dystoculated semiretiated and retreaded wisdom teeth on the lower jaw. Local anesthesia is performed. Produce an angular or trapezoidal incision. Flake mucoid-periosteal flap. Remove the hanging bone spongy tissue over the crown of the tooth, between the crown, roots and cortical plate from the outer and lingual surfaces, except the lower surface. Remove the tooth. Fill the bone cavity with one sponge of "Kolapol KP" and one or two sponges of "Alvostase". Apply 1-2 leading catgut suture. Assign on the second day after the operation of laser therapy with the help of the Optodan, once a day, for 3 minutes, in the first 3 days on the first channel of the apparatus, the next 3 days on the second channel of the apparatus. The method allows to speed up the healing.
DESCRIPTION OF THE INVENTION
The invention relates to medicine, namely, to surgical dentistry.
Known method of treatment, which is that after the local anesthesia and a cut (angular or trapezoid) and peeling the mucosa-periosteal flap, remove the hanging bone tissue over the crown of the wisdom tooth, cut the crown completely or divide it into 2-3 parts and remove them . Then proceed to disengage the roots with a milling cutter, burs and a straight elevator separate the roots together with the inter-root septum. The postoperative wound (well) is washed with a solution of antibiotics and sewed tightly with a polyamide thread ("Fundamentals of Surgical Dentistry", Kiev, 1970, 1983-1984, p.142, J. I. Bernadsky).
This method has disadvantages: the operation is traumatic, frequent complications are sometimes fatal.
The technical result of the invention is the reduction of traumatism, the reduction of the operation time, the acceleration of the healing of the postoperative wound and the regeneration of bone tissue.
The technical result is achieved by the fact that after the local anesthesia, a cut (angular or trapezoidal), flaking of the mucosa-periosteal flap and removal of bone tissue over the wisdom tooth, expose the crown of the wisdom tooth and with the help of boron remove the bone tissue (spongy) between the crown, the root of the tooth Wisdom and cortical plate from the outer and lingual surfaces, i.e. Almost completely free from the bone tissue of the lower jaw, except the lower surface. Then, using a straight elevator and a flat forceps, the wisdom tooth is removed from the well. After hemostasis, the well is filled with a sponge of "Kolapol KP" and 1-2 sponges of "Alvostase". On the mucous membrane there are 1-2 leading catgut sutures. Patients are prescribed traditional preventive anti-inflammatory therapy: lincomycin - 1 capsule three times a day after 8 hours, suprastin 1 tablet per night, calcium gluconate 2 tablets 3-4 times a day. On the second day after the operation of removing the wisdom tooth and for 3 days laser therapy is administered using, for example, the Optodan apparatus on the first channel for 3 minutes and for the next 3 days on the second channel, and for 3 minutes.
EXAMPLE:
Patient G., a medical history of No. S-501, since 1982 was born in the stomatopolikliniku VGMA them. N.N. Burdenko on November 27, 2003 with complaints about aching pains in the region of the unshaved wisdom tooth on the lower jaw on the left, radiating to the area 3.7.
Anamnesis of the disease: The patient notes that about a year ago there were swelling and sharp pains in the area of the lower jaw to the left, limited opening of the mouth, painful swallowing. After an independent anti-inflammatory treatment, the pathological process was stopped, but there were aching pains, which were irradiated to the area of the second molar. I went to the stomatologic polyclinic of VGMA named after. NN Burdenko for consultation and treatment.
Local status: with external inspection without visible changes. When palpation in the left submandibular region, slightly enlarged and weakly painful lymph nodes are detected.
Opening the mouth is free. 3.7 sealed, percussion painless, in projection 3.8 the mucous membrane is hyperemic, edematous, palpation is painless.
On the x-ray (intraoral), localization of 3.8 in the bone tissue is determined in a horizontal position, the crown of which is directed toward the roots 3.7.
Diagnosis: Dystopic shaded 3.8.
The patient is scheduled for surgery on 28.11.03.
28.11.03. General condition and local without changes.
Operation: Under a thoracic anesthetic of 2% lidocaine solution - 6.0 and infiltration anesthesia - ultracaine - 1,8 an angular incision was made in the projection 3.8, the mucosa-periosteal flap was peeled off, with the help of boron the bone tissue covering 3.8 was removed and the spongy bone The tissue between the crown and roots 3.8 and the cortical plate from the outer and lingual surfaces. Hemostasis of the well, the latter is filled with a sponge of "Kolapol KP" and a sponge "Alvostaz". Two leading catgut sutures are superimposed on the mucosa. Presser bandage until the morning, cold for 2-3 hours. The traditional preventive anti-inflammatory therapy is prescribed: lincomycin - 1 capsule three times a day after 8 hours, suprastin 1 tablet per night, calcium gluconate 2 tablets 3 times a day.
29.11.03. Complaints about the presence of pain and swelling in the lower jaw area on the left, lower cheek on the left, limited opening of the mouth, T - 38.0 ° С.
Об-но: There is a swelling of soft tissues in the area of the angle of the lower jaw, the lower part of the cheek on the left.
The opening of the mouth is limited to the second degree. Swelling and hyperemia of the mucous membrane, as well as soreness in palpation in the postoperative area. Flushing of the postoperative area with antiseptic solutions, laser therapy on the first canal for three minutes, for example, with the Optodan device once a day.
1.12.03. General condition and local without changes. T is 37.5 ° C. Wash the wound with antiseptic solutions, laser therapy 3 minutes.
2.12.03. Complaints about the presence of weak pain and swelling in the lower jaw area on the left. T is 37.0 ° C.
Обно: Edema in the area of the corner, the lower cheek on the left decreased, but is held. The opening of the mouth is somewhat limited - the first degree trismus. Slight edema of the mucosa in the postoperative area.
Wash the wound with antiseptic solutions, laser therapy 3 minutes.
3.12.03. There are no complaints. T is normal. Laser therapy on the second channel for 3 minutes.
4.12.03. General condition and local without changes. T is normal. Laser therapy 3 minutes.
5.12.03. There are no complaints. T is normal.
Too: wound healing with primary tension, laser therapy 3 minutes.
29.12.03 Re-examination, a control X-ray
- uniform filling of the hole with a bone tissue is determined.
29.01.04. A repeated examination, a control X-ray
- the full filling of the hole with a bone tissue is determined.
The proposed method is less traumatic, shortens the operation time, accelerates the healing of the postoperative wound and regenerates bone tissue, helps prevent complications, both local and general.
CLAIM
Method for the treatment of dystopic half-retracted and retreaded wisdom teeth on the lower jaw, consisting of local anesthesia, angular or trapezoidal incision, flaking of the mucosal-periosteal flap and removal of impending bone tissue over the tooth crown and physiotherapy, characterized in that the bone sponge tissue between the crown is removed, Roots and cortical plate from the outer and lingual surfaces, except for the lower surface, then the tooth is removed, followed by the filling of the bone cavity with one sponge of "Kolapol KP" and one or two sponges of "Alvostase" and the application of 1-2 leading catgut sutures, The operation of removing the tooth of wisdom of laser therapy with the help of Optodan, once a day, for 3 minutes, in the first 3 days on the first channel of the apparatus, the next 3 days on the second channel of the apparatus.
print version
Date of publication 06.01.2007gg
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