RU2257212C1 - Method of correcting emitting reflex during prosthesis operation - Google Patents

Abstract

FIELD: stomatology.

SUBSTANCE: patient rinses his/her oral cavity with 10-12% sodium chloride solution at 25-40°C for 20-25 min, after which, 10-15 min later, denture is placed into oral cavity.

EFFECT: achieved prolonged reduction in emitting reflex activity.

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Description

The invention relates to medicine, namely to prosthetics and implantology, and can be used to correct the gag reflex.

A known method for correcting the gag reflex, adopted for the analogue (1). According to the method, the correction of the gag reflex is carried out in large doses of pyridoxine (vitamin B-6), which is prescribed orally or intravenously, 50-100 mg up to 6 times a day.

A known method of correcting the gag reflex, adopted as a prototype. According to the prototype method, a decrease in the severity of the vomiting reflex is achieved with the help of the drug - pipolfen (2).

However, the use of the prototype method provides only a short-term blockade of the gag reflex.

The aim of the present invention is to increase the correction efficiency of the gag reflex due to a prolonged decrease in its severity.

The technical result is achieved in that a 10-12% solution of sodium chloride is used as the active substance at a temperature of 25-40 ° C for 20-25 minutes, after which a prosthesis is placed in the oral cavity after 10-15 minutes.

The method is as follows.

Prosthetics of a patient with a high vomiting reflex presents significant difficulties, since in some cases it is not possible to put on (try on) a removable prosthesis that captures small and large molars in the presence of a high vomiting reflex.

The patient undergoes partial or complete prosthetics with a complete removable prosthesis, reaching the line “A”, or implantation of molars and premolars. With the introduction of the manufactured prosthesis into the patient's mouth, a gag reflex appears.

A removable prosthesis made, the ingress of which into the oral cavity causes a gag reflex, is placed in a glass vessel with water with a volume of 250-350 ml of water at a temperature of 25-40 ° C. 250-350 ml of water is poured into a similar vessel at a temperature of 25-40 ° C. 25-42 g of sodium chloride is dissolved in it, then the patient rinses the oral cavity with saturated sodium chloride solution for 20-25 minutes. After 10-15 minutes, a removable prosthesis removed from the first vessel is placed in the oral cavity and into the oral cavity; while the gag reflex does not occur.

With a very high predisposition of the patient to the development of the gag reflex and the ability to wear a removable prosthesis, the patient is recommended to repeat the procedure for reducing the gag reflex, according to the proposed method, at home once or twice.

The method is confirmed by the following examples.

Example 1

Patient A-va. 63 years old, was admitted to a planned prosthetics. The dental formula is 00000321 I 12300000. A partial prosthetics of premolars and molars on both sides has been performed. With the introduction of the manufactured prosthesis into the patient's mouth, a gag reflex is detected. The patient was recommended to put the prosthesis in a glass, pour 250 ml of warm boiled water at a temperature of 25 ° C. In another glass of the same type, 250 ml of water is poured at a temperature of 25 ° C. 25 g of sodium chloride are dissolved in it. The patient rinses her mouth with saturated saline for 20 minutes. Then withstands 10 minutes, and then places the removable prosthesis made into the oral cavity. In this case, the gag reflex does not occur. Subsequent wearing of the prosthesis takes place without complications.

Example 2

Patient P-in, 59 years old, was admitted for planned lower jaw prosthetics. The dental formula is 00000021 I 02300000. A removable bridge-like 21 I 023 prosthesis based on cermet was made. Partial prosthetics of the lower jaw was performed. A partial removable denture is made of plastic. With the introduction of the manufactured prosthesis into the patient's mouth, a gag reflex is detected. The patient was advised to put the prosthesis in a glass vessel, pour 350 ml of warm boiled water at a temperature of 40 ° C, pour another 350 ml of water at another temperature in a similar vessel at 40 ° C. 42 g of sodium chloride are dissolved in it. The patient rinses his mouth with saturated saline for 25 minutes. Then it withstands 15 minutes, and then puts on the manufactured removable denture. In this case, the gag reflex did not occur. Subsequent wearing of the removable prosthesis took place without complications.

Example 3

Patient R-sky, 71 years old, was admitted to the planned prosthesis of the upper jaw. The dental formula is 00000000 I 00000000. A complete prosthesis of the upper jaw was performed. The prosthesis is made with porcelain teeth. With the introduction of the manufactured prosthesis into the patient's mouth, a gag reflex occurs. It is recommended that the patient put the prosthesis in a glass vessel, pour 300 ml of warm boiled water at a temperature of 30 ° C, pour another 300 ml of water at another temperature in a similar vessel. 33 g of sodium chloride are dissolved in it. The patient rinses her mouth with saturated saline for 22 minutes. Then withstands 12 minutes and puts on a removable denture. In this case, the vomiting reflex is weakly expressed. The patient was recommended to undergo a procedure to reduce the gag reflex twice, after which putting on the prosthesis took place without complications. Further wearing of the removable denture also took place without complications.

The correction of the gag reflex according to the claimed method in 54 patients. In all cases, the gag reflex was stopped without the use of additional treatment methods. Follow-up observation confirmed the effectiveness of the proposed method for correcting the gag reflex.

Sources of information

1. Frolkis A.V., Bisyarina V.P. Vomiting BME, 3rd ed. M., 1984, v. 2, pp. 28-29.

2. Koftsov N.I. Dentistry, 1972, t.51 No. 5, 92-93.

Claims (1)

A method for correcting a gag reflex during prosthetics by introducing substances affecting the receptor apparatus into the oral cavity, characterized in that a 10-12% solution of sodium chloride is used as the active substance at a temperature of 25-40 ° C for 20-25 minutes, then after 10-15 minutes a prosthesis is placed in the oral cavity.