In this article, patients’ problems in the rehabilitation period after reconstructive operations on the soft tissues of the oral cavity are analyzed. The performed manipulations are associated with neg-ative emotions of a person, complicating the establishment of trusting relationship with a doctor, which ultimately can affect a course of the wound process in the postoperative period. The doc-tor’s ability to convince a patient and set him to a positive solution to problems plays an im-portant role in the emotional discharge at the stages of surgical treatment and after it. The speci-ficity of the patients of a dental surgeon is based on the conflicting desire to have a beautiful smile and an agreement to surgical treatment. The decisive element is the relationship established between a doctor and a patient on a clinical visit. These relationships ultimately determine the result of the treatment. Any damage to the oral mucosa will cause pain syndrome of different severity, making the patient suffer. Keeping the patient’s psychological health in balance is a rather complex and important step that improves the quality of life. In the process of rehabilitation, one should not exclude the involvement of clinical psychologists to reduce emotional stress. It is important to create special rooms in dental clinics for psychological consulting, taking patients out of stress, emotional discharge and correction of the emotional state. Further search for new stress-protective agents and methods available for use by a dentist himself is a promising direction in the rehabilitation of patients after reconstructive operations on the soft tissues of the oral cavity.
Relevance. The main aim of this article is determining the possibilities of clinical application of the infrared thermometry method in order to identify, predict and correct early complications such as ischemic and necrotic process after vestibuloplasty surgery using free gingival graft.Purpose. To determine the possibility of using the infrared thermometry method to study the regeneration processes of the mucous graft after vestibuloplasty surgery using free gingival graft.Materials and methods. 34 patients with a thin biotype and a small vestibule of the oral cavity. The vestibuloplasty was indicated. Depending on the choice of the method of surgical treatment, vestibuloplasty with/ or without free gingival graft, all patients were divided into 2 groups. And the 3rd (control) group consisted of patients with similar clinical picture for control data. Particular attention was paid to the healing process in the early postoperative period on days 1, 3, 7, 14. Patients were examined using a CEM-ThermoDiagnostics infrared thermometer.Results. The study confirmed the high clinical efficacy the both surgical methods of vestibuloplasty with/ or without free gingival graft. We did not registrate negative temperature values indicating the development of ischemic process which can lead to necrosis. We have diagnosed correlation between temperature values and clinical pictures.Conclusion. Using of IR-thermometry is an effective method for examination of the healing process after vestibuloplasty using with/ or without free gingival graft. It can show processes of revascularization of free gingival graft and examine some inflammation. This is the additional method of research, but in combination with clinical picture, it can be proposed as an accurate criterion for predicting early ischemic complications.
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