Relevance. Dental, periodontal and tonsillar infections remain a serious clinical problem, sometimes causing complications and requiring hospitalization. They cause purulent fusion of the face, neck tissue and distant spaces, including mediastinum.Aim. To present a clinical case showing the successful treatment of odontogenic descending necrotizing mediastinitis.Materials and methods. Patient medical history. The present disease history. Direct clinical evaluation. Clinical laboratory and X-ray data (SCT – spiral computed tomography). The case was diagnosed with chronic periodontitis (stage IV, grade C) and periodontal abscess of tooth 37. Floor-of-the-mouth phlegmon left parapharyngeal space phlegmon. Phlegmon within cervical space. Mediastinitis. Surgery. General anaesthesia. Extraction of tooth 37. Drainage of subgingival and parapharyngeal abscesses and drainage of phlegmons within the submandibular and the right-side cervical space. Mediastinum drainage.Conclusion. The proposed patient evaluation technique established diagnosis and adequate surgical treatment allowed the achievement of successful treatment outcomes, confirmed by clinical and X-ray data and patient self-evaluation of the disease's internal picture (PSAF-auto-maladaptation).
The aim of this study was to evaluate the impact of sanation of oral cavity in young athletes on the course of adaptation of the cardiovascular system to the condition of sports activities. According to the research results, it was revealed that the optimal period for sanation of periapical odontogenic foci in athletes with clinical signs of impairment (dysfunction) of cardiovascular system adaptation to exercise stress was a preparatory training period, while carious lesion sanation required preparatory or postcompetition periods.
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