Physiotherapy in stomatology

PRIVITE PHYSIOTHERAPY 
1. Diseases of the teeth hard tissues  
a. Caries  
- Caries in the spot stage, especially non-pigmented - remineralization therapy is used (introduction of calcium, phosphorus 
and fluorine preparations in dematerialized enamel by electrophoresis). For children calcium is recommended to enter from 5% solution 
of calcium gluoconate. Electrophoresis is recommended to do every day, during 10-20 days, for having a constant concentration of the 
entered microelement in the tooth tissues. 
During systematically defeat by caries, besides electrophoresis, the UV-irradiations is indicated for improvement of metabolic 
processes.
- Caries superficialis and caries media - an operative intervention is necessary, which demands anesthesia. It is possible to do 
by electric anesthesia. Electric anesthesia is most effective at preparation of the classes I, II, III, IV by Black. Anesthesia in frontal teeth 
is done at the current force of 2-6mkА, in premolars 6-10mkА, in molars - 10-20mkА. The maximum force should not exceed the 
30mkА. Electrophoresis by anesthetics (Cocaine, Tetracaine, Trimecain and Novocain) is possible, if electric anesthesia is insufficient. 
At deep caries electric anesthesia can be inefficient. 
b. Noncarious defeats.  
- Abfraction - electrophoresis by calcium, phosphorus, fluorine can be included in the treatment complex against the 
demineralization. Electrophoresis by vitamin В1 and Trimecain can promote activation of trophy and decrease the hypersensitivity. The 
UV-irradiation can be included for general stimulation of the mineral exchange. 
- Hypoplasia - as the system hypoplasia is a consequence of mineral exchange disturbance, the UV-irradiation is applied. It is 
done by two courses in the period of the least solar activity of the organism (November-April).
- Fluorosis - the UV-irradiation is applied for stimulation of mineral exchange. 
- Erosion of hard tissues - electrophoresis by calcium, fluorine is applied because of hypersensitivity from physical and 
chemical stimuli. 
- Hypersensitivity of the teeth - electrophoresis by vitamin В1 and Novocain or Trimecain is applied for elimination of 
hypersensitivity. If hypersensitivity is connected with the mineral exchange disorders, electrophoresis by calcium, phosphorus and 
fluorine is also possible.
 2. Pulpitis. Physical factors are applied in all stages of pulpitis treatment. 
EPT is used for diagnostics. 
Constant and pulse electric current is used for anesthesia. It is possible to spend electrophoresis by anesthetics (into the root 
channel) or diadynamophoresis into the mucous membrane of the affected tooth, if the first method is insufficient. 
Diathermal coagulation is applied for pulp necrosis. 
If the affected tooth has impassable canals with inflamed or necrotic pulp, it is possible to apply electrophoresis by potassium 
iodide (KI) or iodine solution, or depophoresis by cuprous-calcium hydroxide.