Peculiarities of Antenatal and Postnatal Periods of Child Development With Inflammatory Maxillofacilal Localization Processes
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Cited by 3 publications
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The aim of our work was to highlight the importance of an interdisciplinary approach in the study of pediatric surgical dentistry. The introduction of the Standard of Higher Education in Specialty 221 “Dentistry” Field of Knowledge 22 “Health Care” for the second (master’s) level of higher education has allowed us to revise and improve a number of provisions regarding the study of pediatric surgical dentistry. First of all, the updated educational-professional program 221- “Dentistry” outlines the list of competencies and learning outcomes in the discipline “Pediatric Surgical Dentistry” and clearly defines the prerequisites on which the study of pediatric surgical dentistry is based. In the study of pediatric surgical dentistry, namely issues related to inflammatory processes of the maxillofacial area, attention should be paid to the etiology and pathogenesis of acute and chronic inflammatory odontogenic processes directly in the age aspect. At the same time, it is important to emphasize the need for preventive dental measures, timely therapeutic intervention, especially during the eruption of permanent teeth and urgent radical treatment to prevent complications. In addition, an important component in the study of this topic are issues related to the age of the formation of organs and systems of the child, the tendency to hyperergic reactions and generalization of the inflammatory process, the factor of minimal anti-inflammatory potential. The presented methodological approach in terms of practical application of interdisciplinary links in the study of pediatric surgical dentistry, according to our observations allowed to increase the level of knowledge within the professional competence of students with a score of “5” from 20% in IV year to 68% V year. Thus, the list of components of the educational process analyzed in this paper creates a promising direction for further improvement of teaching methods at the Department of Pediatric Surgical Dentistry.
The aim of our work was to highlight the importance of an interdisciplinary approach in the study of pediatric surgical dentistry. The introduction of the Standard of Higher Education in Specialty 221 “Dentistry” Field of Knowledge 22 “Health Care” for the second (master’s) level of higher education has allowed us to revise and improve a number of provisions regarding the study of pediatric surgical dentistry. First of all, the updated educational-professional program 221- “Dentistry” outlines the list of competencies and learning outcomes in the discipline “Pediatric Surgical Dentistry” and clearly defines the prerequisites on which the study of pediatric surgical dentistry is based. In the study of pediatric surgical dentistry, namely issues related to inflammatory processes of the maxillofacial area, attention should be paid to the etiology and pathogenesis of acute and chronic inflammatory odontogenic processes directly in the age aspect. At the same time, it is important to emphasize the need for preventive dental measures, timely therapeutic intervention, especially during the eruption of permanent teeth and urgent radical treatment to prevent complications. In addition, an important component in the study of this topic are issues related to the age of the formation of organs and systems of the child, the tendency to hyperergic reactions and generalization of the inflammatory process, the factor of minimal anti-inflammatory potential. The presented methodological approach in terms of practical application of interdisciplinary links in the study of pediatric surgical dentistry, according to our observations allowed to increase the level of knowledge within the professional competence of students with a score of “5” from 20% in IV year to 68% V year. Thus, the list of components of the educational process analyzed in this paper creates a promising direction for further improvement of teaching methods at the Department of Pediatric Surgical Dentistry.
Effect of Integrated Treatment on Reparative Regeneration of Wounds and Bone Defects in Children With Odontogeneous Phlegmons
The achievements of modern septic surgery are associated with the implementation of the latest technologies and new generations of pharmacological drugs, the action of which is aimed at correcting existing disorders. Recently, special literature has presented encouraging data regarding the effectiveness of placenta cryoextract in treating inflammatory processes of the maxillofacial area. However, little attention has been given to its application in children. Objective of this study is to investigate the effectiveness of comprehensive treatment on the processes of reparative regeneration in wound and bone tissue in children with odontogenic phlegmons. Subjects and methods. In order to assess the course of the wound process, 29 children with phlegmons localized directly in the submandibular area were selected; the length of the incision was 5 cm. In the first group, involving 16 people, a set of measures was carried out in accordance with the medical care protocol, and in the second group, consisting of 13 patients, on the second day after the operation, an aseptic bandage with "Levomekol" ointment was applied to the wound surface with the addition of cryoextract of the placenta in ratios of 5:1. In order to objectify the results, pH-metry of the wound exudate was performed, a planimetric study was performed to establish the speed of retraction of the wound edges, and the cellular composition of the wound exudate was analyzed for 1, 3, and 8 days. On the first day after surgery, changes in these parameters in both groups were of the same type. On the third day, in the second group of children, the pH level improved by 9.5%, and the speed of retraction of the wound edges increased by 9.0% compared to the first group. On the 8th day, the concentration of hydrogen ions in this group increased by 9.4%, and the average area of the wound surface became smaller by 8.2% compared to the previous values. The cellular composition of the cytograms also indicated the advantages of wound healing in this group of patients. In the first group, comprising 16 individuals, a standard set of measures was implemented following the medical care protocol. In the second group, consisting of 13 patients, an aseptic bandage with "Levomekol" ointment, supplemented with cryoextract of placenta at a ratio of 5:1, was applied to the wound surface on the second post-operation day. To objectively assess the outcomes, pH-metry of the wound exudate was conducted, alongside planimetric studies to determine the rate of wound edge retraction. Additionally, the cellular composition of the wound exudate was analyzed at 1, 3, and 8 days post-operation. On the first day after the operation, both groups exhibited similar changes in these parameters. However, by the third day, the second group demonstrated a 9.5% improvement in pH levels and a 9.0% increase in the speed of wound edge retraction compared to the first group. By the eighth day, the second group displayed a 9.4% rise in hydrogen ion concentration, and the average wound surface area decreased by 8.2% compared to previous measurements. Furthermore, cytogram analysis indicated superior wound healing advantages in this group of patients. Conclusion. The comparison of clinical and laboratory indicators at the observation stages allowed us to determine that the combined application of topical "Levomekol" ointment with the additional incorporation of placenta cryoextract in its composition improves the conditions of the wound healing process. This improvement is evidenced by the dynamics of changes in the pH indicator, the results of planimetry, and the cellular composition of the exudate.
Microbiota Analysis of Parotid Gland Secretions in Children With Exacerbation of Chronic Paranchymal Mumps
In the structure of chronic nosological forms of sialoadenitis, chronic parenchymal mumps accounts for 80%, and is characterized by a recurrent course. To date, the issue of its etiologic origin remains controversial, and data on the pathogenetic influence of external and internal factors on the occurrence of another exacerbation are constantly being supplemented. In particular, the role of the duktogenic pathway of microbial penetration into the glandular duct system is often discussed. Objective: to study the microbiota of parotid secretion in children with exacerbation of chronic parenchymal mumps. Materials and methods. To investigate the qualitative characteristics and quantitative parameters of microbial flora in the secretion of the parotid salivary glands during disease exacerbation, we enrolled 41 children aged 3 to 15 years, with 18 cases classified as having an active course and 23 as inactive. The study was conducted following the guidelines outlined by CLSI, EUCAST, and relevant State Regulatory Orders and Supplements. Results. It was found that at the time of the exacerbation in the active course, plasma-coagulating staphylococci and hemolytic streptococci strains in the amount of 106-107 CFU/ml prevailed in the glandular secretion, which were mainly sensitive to beta-lactam antibiotics of all generations, macroliths, natural and semi-synthetic aminoglycosides. An association of microorganisms was isolated from the secretion of 4 glands (11.1%), consisting of coccal cultures, gram-negative bacilli, and yeast cells. In the inactive course, Staphylococcus aureus and hemolytic streptococci slightly prevailed in the glandular secretion, but the proportion of non-pathogenic coccal microorganisms increased, and their number was 105-106 CFU/ml. Their antibiotic patterns did not differ significantly from those in the active course. The isolation of microbial associations concerned 8 glands, which amounted to 17.5%. Conclusion. Taking into account the presence of microorganisms in the secretion from the parotid glands in the acute exacerbation of chronic parenchymal mumps with pathogenicity factors and an increase in their number depending on the activity of the disease, it is necessary to take a differentiated approach to rational antibiotic therapy by instillation of antimicrobial drugs into the ductal system.
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