Research objective. To stratify the main purulent-inflammatory diseases of maxilla-facial region (PID MFR) by frequencies and limits. To assess mortality in PID MFR. To determine the number of patients with PID MFR and concomitant diabetes mellitus.Resources and Methods. Medical documentation on 9550 patients with PID MFR hospitalized at F.I. Inozemtsev Municipal Clinical Hospital have been analyzed.Research results. The prevalence of purulent-inflammatory diseases remains at a fairly high level. PID MFR occur more often in people of young, able-bodied, age, 18–44 years. The introduction of quarantine measures due to the new coronavirus infection COVID-19 led to an increase in severe forms of PID MFR. There is a decrease in lethality from PID MFR.
The study is devoted to the study of the effect of water ozonated with the help of short-wave ultraviolet radiation, used in the removal of dental plaque and hydromassage of the gums, on the microbiota of periodontal pockets.Examination and treatment of 102 patients aged 35–55 years with a diagnosis of chronic generalized periodontitis of moderate severity was carried out. The results of microbiological studies indicate the high efficiency of the removal of dental plaque using water ozonated with short-wave ultraviolet radiation and hydromassage of the gums in the complex treatment of chronic generalized periodontitis of moderate severity. The study of the microbiota of periodontal pockets after the use of ozonized water showed a significant decrease in the frequency of detection of representatives of anaerobic periodontopathogens, with an increase in the sowing of species of stabilizing microbiota.
Ultrasound is able to have a multifaceted therapeutic effect in periodontitis. In therapeutic doses, it affects a variety of local tissue reactions, stimulates compensatory, restorative, protective and adaptive mechanisms.Ultrasound in dosages used in clinical practice does not have an independent, direct antibacterial effect. In this regard, in the treatment of periodontitis, where the microbial factor plays an important role, it is advisable to use antiseptic solutions as a contact medium for ultrasonic effects. The study of the comparative effectiveness of low-frequency and high-frequency ultrasonic effects in combination with the domestic antiseptic preparation miramistin, which, with high antibacterial effectiveness, is characterized by the absence of adverse side effects, in the treatment of periodontitis, is of significant scientific and practical importance.
Galvanic phenomena in the oral cavity are associated with the presence in the oral cavity of metal structures and inclusions of dissimilar metals (crowns, implants, inlays, pins). These phenomena can occur in the vast majority of dental patients. The review article analyzes the literature on galvanic processes in the oral cavity, methods for their diagnosis, and also touches upon the issues of terminology in describing galvanic processes in the oral cavity. Methods for determining the electrochemical potentials of metal structures and inclusions in the mouth and their diagnostic value are considered in a comparative manner in terms of theoretical and physical aspects of their advantages and disadvantages for practical use in the clinic. The necessity of developing a unified method for determining the electrochemical potentials of metal structures and inclusions located in the oral cavity, its theoretical basis and clinical approbation in order to improve the efficiency of diagnosis of galvanic syndrome in patients with a dental profile is substantiated.
This review/prognostic article briefly shows the pandemic features of COVID-19, morphological changes in blood vessels in COVID-19, mainly related to endotheliitis and thrombosis of small vessel branches. Cases of COVID-19 complications occurring in the practice of maxillofacial surgeons are given. Regarding possible complications during invasive interventions on the head and neck, we believe it is possible to consider COVID-19 in the anamnesis of patients in the departments of maxillofacial surgery as a new risk factor, and in case of severe course and prognosis of possible complications, as a contraindication for manipulations in the head and neck area.
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