Individual approach to the complex treatment of acute odontogenic jaw periostitis
DOI:
https://doi.org/10.11603/2311-9624.2020.1.11215Keywords:
odontogenic periostitis, maxillofacial area, complex treatmentAbstract
Despite the organization of prevention of inflammatory diseases of maxillofacial area, improving treatment protocols, optimize the accessibility to dental health care, the appearance on the market today available antibiotics and NSAIDs, the number of patients is not reduced, and according to the estimates of specialists in different hospitals of 23 to 38 % of all patients who sought medical care in the surgical room.
The aim of the study – improvement of care of adults with acute odontogenic jaw periostitis in an outpatient setting by developing algorithms for diagnosis and treatment based on clinical and laboratory parameters.
Materials and Methods. To achieve this goal, studies were conducted with the participation of 60 patients diagnosed with acute purulent odontogenic jaw periostitis. Assessment of the general condition of patients was carried out on the basis of the results of the conducted researches: general clinical – for comprehensive study of dental status; microbiological – for the study of microbial contamination; immunological – cytokine profile of the course of the disease; radiological – to evaluate the condition of the hard tissues of the maxillofacial area, and to assess the quality of treatment, comparative analysis.
Results and Discussion. The results of studies of patients with acute odontogenic jaw periostitis showed that the overwhelming number of complaints disappeared on the second day after the appointment of the developed treatment regimen, in patients of all age subgroups progressively decreased the number of complaints – up to 10–15 %. Such complaints included pain, asymmetry of the face and limitation of mouth opening. On the third day of treatment, a small number of complaints persisted in patients of the older age group. There were no complaints in all other subgroups.
Conclusions. On the basis of the complex of researches we have solved the actual issue for practical dentistry and maxillofacial surgery: improvement of rendering medical care to patients of adult with acute odontogenic jaw periostitis in outpatient conditions by optimization of diagnostic approaches, development of pathogenetic and laboratory examination.
References
Melnik, A.L. (2015). Intehralna kharakterystyka infektsiino-zapalnykh zakhvoriuvan porozhnyny rota [The integrated characteristic of infectious-inflammatory diseases of the oral cavity]. Klinichna ta eksperymentalna patolohiia – Clinical & Experimental Pathology, 14, 1 [in Ukrainian].
Kolomiiets, S.V. (2013). Rol antyoksydantiv v kompleksnomu likuvanni hostrykh zapalnykh protsesiv shchelepno-lytsevoi dilianky odontohennoi etiolohii [The role of antioxidants in the complex treatment of acute inflammatory processes of the maxillofacial region of odontogenic etiology]. Visnyk problem biolohii i medytsyny – Bulletin of Problems of Biology and Medicine, 4 (2), 274-277 [in Ukrainian].
Tymofieiev, O., Tymofieiev, O., & Savitskiy, O. (2017). Vliyayut li nesteroidnyye protivovospalitelnyye preparaty na effektivnost mestnoy anestezii? [Does the nonsteroid anti-inflammatory drugs influence the effectiveness of local anesthesia?]. Sovremennaya stomatologiya – Modern Dentistry, 2, 44-47 [in Russian].
Kharkov, L., Yakovenko, L., & Chekhova I. (2016). Uskladnennia likuvannia zapalnykh zakhvoriuvan tkanyn shchelepno-lytsevoi dilianky u ditei. Prychyny ta yikh profilaktyka [Complications of treatment of inflammatory diseases of tissues of maxillo-facial region in children. Causes and prevention]. Sovremennaya stomatologiya – Modern Dentistry, 5, 48-52 [in Ukrainian].
Faizov, T.T., & Mubarakova, L.N. (2015). Novyy podkhod v kompleksnom lechenii gnoynykh odontogennykh zabolevaniy i vospalitelnykh oslozhneniy perelomov nizhney chelyusti [New approach in complex treatment of purulent odontogenic diseases and inflammatory complications of mandibular fractures]. Kazanskiy meditsinskiy zhurnal – Kazan Medical Journal, 96 (4), 543-549 [in Russian].
Neely, C.J., Kartchner, L.B., & Mendoza, A.E. (2014). Flagellin treatment prevents increased susceptibility to systemic bacterial infection after injury by inhibiting anti-inflammatory IL–10+ IL–12– neutrophil polarization. PLoS One, 9 (1), e85623. DOI: https://doi.org/10.1371/journal.pone.0085623
Santosh, A.N., Viresh, A.N., & Sharmada, B.K. (2014). Microbiology and antibiotic sensitivity of odontogenic space infection. Int. J. Med. Dent. Sci., 3 (1), 303-313. DOI: https://doi.org/10.19056/ijmdsjssmes/2014/v3i1/80675
Scardina, G.A., Carini, F., Noto, F., & Messina, P. (2013). Microcirculation in the healing of surgical wounds in the oral cavity. International Journal of Oral and Maxillofacial Surgery, 42 (1), 31-35. DOI: https://doi.org/10.1016/j.ijom.2012.06.008
Maĭborodin, I.V., Lĭubarskiĭ, M.S., Loĭko, E.R., & Sheplev, B.V. (2003). Limfotropnaia terapiia pri ostrom gnoinom odontogennom periostite cheliusti [Lymphotropic therapy for acute purulent odontogenic jaw periostitis]. Stomatologiya – Dentistry, 82 (6), 27-31 [in Russian].
Chang, Y.C., Shieh, Y.S., Lee, S.P., Hsia, Y.J., Lin, C.K., & Nieh, S. (2015). Chronic osteomyelitis with proliferative periostitis in the lower jaw. Journal of Dental Sciences, 10 (4), 450-455. DOI: https://doi.org/10.1016/j.jds.2012.09.020
