Purpose: To determine the effectiveness of the nonsteroidal anti-inflammatory drug “Tantum Verde” in patients with fractures of the alveolar processes of the maxilla and mandible, to evaluate its effectiveness for the prevention of inflammatory complications. Methods: Clinical and laboratory examination of 129 patients with fractures of the alveolar processes of the jaws. Results: Based on the results of the patients examination with open fractures of the jaws. It was found that the analgesic, anti-inflammatory and deodorant efficacy of the nonsteroidal anti-inflammatory drug “Tantum Verde” is significantly higher than traditional therapy, and also has a smaller number of inflammatory complications. Conclusions: The use of the nonsteroidal anti-inflammatory drug “Tantum Verde” made it possible to significantly reduce the number of inflammatory complications and reduce the treatment duration of patients. It was established that the drug “Tantum Verde” is an effective analgesic and anti-inflammatory drug and can be recommended for the treatment of patients with fractures of the alveolar processes of the jaws.
Pain is the psychophysiological condition of a person arising in as a result of the action of ultra-strong or destructive irritants causing organic or functional disturbances in the organism. The purpose of our research was to evaluate analgesic efficiency of the medicinal product ketanov (ketorolac tromethamine), produced by the firm “Ranbaxy” in patients with diseases of the maxillofacial region. We monitored 127 cases, which we divided into the following groups: Group I of 44 patients after performing dental surgery (extraction of tumors and tumor-like formations of jaws and soft tissues, plastic and reconstructive operations); Group II – 23 patients with mandibular fractures; Group III – 27 patients with inflammatory diseases of the soft tissues; Group IV – 19 patients with rhythmic diseases of the maxillofacial region (odontogenic neuralgia, post-traumatic and post-operative neuralgo-neuritis); Group V – 14 patients who have undergone the surgical phase of dental implantation. Ketanov (ketorolac tromethamine) is a highly effective analgesic and is recommended for use in the post-operative period after removal of tumors and tumor-like formations of the jaws and soft tissues of the face and neck, after plastic and reconstructive operations, in case of jaw fractures, purulent inflammatory processes, odontogenic neuralgia, postoperative and post-traumatic neuralgo-neuritis of peripheral branches of the trigeminal nerve, as well as after the surgical stage of dental implantation.
Purpose: To determine the effectiveness of the “Tantum Verde®” drug for the prevention of inflammatory complications in patients after performing an extraction operation of impacted and ectopic wisdom teeth. Materials and Methods: Seventy patients after an extraction operation of impacted and ectopic wisdom teeth were examined. We have divided the surveyed patients into two observation groups: the main group is 34 patients, who have used “Tantum Verde®” drug (Aziende Chimiche Riunite Angelini Francesco A.C.R.A.F. S.p.A., Ancona, Italy) to prevent inflammatory complications in the oral cavity for 4-5 days and a control group – 36 patients with common preventive Furacilin mouthwash (also for 4-5 days). Results and Discussion: Inflammatory infiltration of the mucous membrane of the retromolar region in the area of the postoperative wound, on the next day after the surgery, was in all patients (100%), both in the main and in the control group. In the main group, 20 patients had moderate inflammatory infiltration of the mucous membrane (58.8%), and insignificant – in 14 patients (41.2%). In the control group: moderate infiltration – in 22 patients (61.1%), and insignificant – in 14 patients (38.9%). 2-3 days after surgery, in the main group, moderate inflammatory infiltration of the retromolar region was in 13 patients (38.2%), and insignificant – in 21 patients (61.8%). In the control group: moderate infiltration – in 24 patients (in 66.7%), and insignificant – in 12 patients (in 33.3%). In 5-6 days after the surgery, in the main group an inflammatory infiltration of the mucous membrane of the retromolar region was insignificant in all patients (in 100%). In the control group: moderate infiltration persisted in 8 patients (in 22.2%), and insignificant – in 30 patients (in 77.8%). Conclusions: Based on our researches we can conclude that the hygienic care of the oral cavity with the “Tantum Verde®” drug in patients after the removal of impacted wisdom teeth is more effective, than traditional means. It has been proven that the non-steroidal drug “Tantum Verde” has an expressed anti-inflammatory effect, and also provides a good cleaning of the postoperative wound in the retromolar region. The use of our method of hygienic treatment of the oral cavity in this contingent of patients can significantly reduce the number of postoperative inflammatory complications. The proposed method of the oral cavity care in patients after surgical treatment for the removal of impacted wisdom teeth is the most effective for preventing the development of inflammatory complications and is recommended for use both in maxillofacial hospitals and in surgical departments of dental clinics.
The study involved 67 patients with acute odontogenic inflammatory diseases of the jaws were examined. All examined patients underwent tooth extraction, which caused the development of an acute inflammatory process. We have determined the effectiveness of treatment of patients with the drug “Givalex,” which was used to prevent inflammatory post-extraction complications in patients with acute odontogenic inflammatory diseases. Based on the examinations of patients, it was proved that the multicomponent preparation “Givalex” used for oral baths after tooth extractions has an expressed antiseptic, anti-inflammatory and analgesic effect, as well as a deodorizing effect.
Purpose: To determine the possibility of using cytological methods for examining prints taken from the mucous membrane of the alveolar process of a jaw in the area of the bone injury, to determine the effectiveness of the treatment of patients with jaw fractures. Materials and Methods: We examined 43 patients with jaw fractures. All patients were divided into the following observation groups: group 1 – 19 patients with fractures of the maxilla; group 2 – 24 patients with fractures of the mandible. As a control group served 27 practically healthy people. Results and Discussion: For patients with post-traumatic complications, it was characteristic that on the 3-4th day after the injury (with early purulent complications) there was an increase in the studied parameters by 1.5-2 times, and similarly on the 7-8th day of treatment – with late purulent complications (post-traumatic osteomyelitis). The normalization of these indicators in patients with developed complications occurred only after the complete elimination of inflammatory phenomena both in the bone tissue and soft tissues. Conclusions: The study of cytological and cytochemical parameters in prints taken from the mucous membrane of the alveolar process in the area of the fracture allows both to determine the effectiveness of the treatment and to predict the course of the disease.
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