Kopchak A. V., Ivanytska O. S., Steblovsky D. V., Havryliev V. M., Yatsenko P. I., Toropov O. A., Lychman V. O.

POSTOPERATIVE PROPHYLAXIS OF INFLAMMATORY COMPLICATIONS AFTER REPLACEMENT OF BONE DEFECTS OF THE MANDIBLE

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About the author:

Kopchak A. V., Ivanytska O. S., Steblovsky D. V., Havryliev V. M., Yatsenko P. I., Toropov O. A., Lychman V. O.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

The extraction of teeth carries a risk of associated complications, some of which may be predicted, providing an opportunity for them to be prevented or their effects minimized. This article provides a comparative analysis of postoperative algorithms for prevention and reducing the frequency of complications such as pain, edema, trismus, alveolitis. The purpose of this study was to study the influence of various methods of postoperative prevention of inflammatory complications after surgery to the tooth extraction and the augmentation of bone defect of the mandible. A retrospective and prospective analysis of 180 medical cards of an outpatient dental patient and 90 stories of inpatient diseases were carried out. The clinical indicators of the post-extracting wounds and the pulp-tissue components were evaluated, the quality of life of patients was evaluated using the WHO questionnaire-26. In the postoperative period, the frequency and nature of complications, in particular, pain and pain, tissue swelling around the post-extracting hole, swelling of the buccal and submandibular areas, trismus, alveolitis, etc. were investigated. It is established that in 89% of cases in our study in patients receiving combination therapy with antipyretics and non-steroidal anti-inflammatory drugs, all processes of substitution of bone defect and repair of the soft tissues surrounding it occurred on average 1.23±0.12 days faster. It has been proven that glucocorticoids reduce swelling and trismus of chewing muscles in the postoperative period, but they should only be used personified. Data analysis showed that antibiotics reduce the likelihood of infectious complications, if used as prevention drugs and should not be used after surgery in healthy patients who are removed in a planned manner. It has been proven that a solution of decametoxin is effective to reduce the likelihood of inflammatory complications and alveolitis. It is established that the use of the drug only on the day of surgery was not statistically significant, but mouthwash for 5 days in the postoperative period led to a decrease in inflammatory complications by an average of 18%.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 511-518 pages, index UDC 616.716.4-089.8-084-085

DOI:

10.29254/2077-4214-2025-2-177-511-518