Clinical and microbiological evaluation of the effectiveness of modern phyto- and antibacterial drugs in the early postoperative period after dental implantation

Prescription of antibacterial drugs for patients after operation of dental implantation remains the main method of prevention of postoperative complications. Despite the correct the postoperative period, these drugs have several side effects, and in some cases the use of antibiotics is contraindicated due to the presence of allergic reactions. The study involved 20 patients of different ages (from 25 to 70 years) without the comorbidity or at the stage its compensation accompanied allergic history and of odontogenic infection foci. Dental implantation was carried out due to the complete or partial absence of teeth. In the postoperative period antibiotic therapy and modern herbal drugs were prescribed to patients. The modern herbal drugs were the "Tonzinal" and the plates «ЦМ-1», consisting of medicinal plant extracts obtained using innovative technologies that allow to select targeted water-soluble therapeutic substances at the molecular level. The study consists of evaluation the dynamics of subjective feelings of patients, clinical healing, as well as the degree of contamination of the wound pathogenic microflora. In the early postoperative period after dental implantation, the healing occurred by primary intention, without dehiscence and inflammation in patients of both groups (in the first – antibiotics therapy, in the second - application of modern herbal drugs). The analysis of microbiological studies in patients of both groups proved the reduction in the degree of contamination of the wound surface by opportunistic pathogens. The results defined high efficiency of modern herbal drugs.

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Laser therapy in patients operated for orthognathic pathology

Fizioterapevt (Physiotherapist) ◽

10.33920/med-14-2104-04 ◽

2021 ◽

pp. 32-37

Author(s):

Natalya Gennadievna Kulikova ◽

Z.G. Zhilokov ◽

A.S. Tkachenko

Keyword(s):

Laser Radiation ◽

Laser Therapy ◽

Postoperative Period ◽

High Efficiency ◽

Pulse Mode ◽

Early Postoperative Period ◽

Pulse Radiation ◽

Dental Patients ◽

Low Intensity ◽

Intensity Parameters

The study is carried out with an emphasis on modern aspects of the diagnosis and treatment of patients with orthognathic disorders in the dynamics of laser therapy of different wavelengths, frequency and intensity parameters, dosed in pulse mode. It has been noted that the consistent use of laser low-intensity pulse radiation (ƛ=635nm) and laser low-intensity pulse radiation (l’904nm) increases the effectiveness of rehabilitation of dental patients in the early postoperative period, which is confirmed by the regression of initial shifts of microhemoregulatory indicators. The article demonstrates the feasibility and high efficiency of the application of complex physiotherapy, including laser radiation after orthognathic operations.

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Features of postoperative healing after osteoplasty of alveolar applications in patients with a galvanic pathology

SUCHASNA STOMATOLOHIYA ◽

10.33295/1992-576x-2020-3-54 ◽

2020 ◽

Vol 102 (3) ◽

pp. 54

Author(s):

O. Tymofieiev ◽

◽

V. Kohut ◽

Keyword(s):

Postoperative Complications ◽

Oral Cavity ◽

Polylactic Acid ◽

Postoperative Period ◽

Severe Pain ◽

Early Postoperative Period ◽

Metal Alloys ◽

Dental Implantation ◽

Surgical Preparation

Purpose. The features of healing of postoperative wounds after osteoplasty of alveolar processes of jaws with the use of titanium and bioresorbable membranes in patients with galvanic pathology were studied. Methods. There were examined 120 patients, aged 19 to 35 years, with or without metal dentures. In the course of surgical preparation of alveolar processes of jaws for further dental implantation (osteoplasty of alveolar processes), bioresorbable membranes based on polylactic acid and membranes made of titanium were used. Depending on the presence or absence of galvanic pathology, all patients were divided into 4 groups. Results. It was found that in patients without galvanic pathology, postoperative healing occurs without inflammatory complications. In patients with galvanic (compensated and/or decompensated form) in the early postoperative period, 51.6 % of the examined patients appeared complications in the form of severe pain and other inflammatory complications. In patients with galvanosis (atypical and typical forms) both early (82.8 %) and late (10.4 %) postoperative complications occurred in the postoperative period. All postoperative complications were equally common in the subjects who were using titanium membranes and in patients with bioresorbable membranes. Conclusions. It was established that in the presence of non-removable metal dentures in the oral cavity made of base of ignoble metal alloys, leading to the development of galvanism or galvanosis, there are early and late inflammatory complications in the preparation of alveolar processes for dental implantation, which significantly prolongs the time of healing of postoperative wounds.

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Optimization of medical support of patients with partial absence of teeth in the pre- and postoperative period

Periodontology ◽

10.25636/pmp.1.2019.1.13 ◽

2019 ◽

Vol 24 (1) ◽

pp. 73-79

Author(s):

M. V. Kannoeva ◽

E. V. Zoryan ◽

A. I. Ushakov

Keyword(s):

Postoperative Period ◽

Early Postoperative Period ◽

Research Topic ◽

Bone Augmentation ◽

Surgical Wound ◽

Medical Support ◽

Medical Preparation ◽

Dental Implantation ◽

Surgical Preparation

The relevance of the research topic. Despite of the improvement of methods of dental implantation the frequency of infectious and inﬂammatory complications caused mainly by infection of the surgical wound with the microﬂora of the oral cavity remains relatively high.Purpose. Improving of the effciency of surgical treatment of patients with partial secondary adentia during dental implantation and reducing the risk of development and the volume of complications by changing the protocol of medical support in the pre-and postoperative period.Methods. A comparative analysis of the results of the use of various schemes of medical support including the inclusion of antihomotoxic drugs in 346 patients during intraosseous dental implantation with preliminary surgical preparation of bone tissue in the period 2010-2017 was done. In accordance with the nature of the therapy, all patients were divided into 2 groups. Patients of the 1st group (140 people – 40,5%) underwent standard medical preparation in combination with antihomotoxic medicines. Patients of the 2nd group (139 people – 40,2%) received pre - and postoperative medication without the inclusion of antihomotoxic drugs according to the above scheme. There was also a separate group of patients who were contraindicated antibacterial therapy (67 people – 19,3%), who were prescribed antiseptic and antihomotoxic medicines.Results. In the early postoperative period, inﬂammatory complications were signifcantly more common in the group of patients received standard therapy in contrast to the groups in which antihomotoxic drugs were included (p < 0.05). In the long-term postoperative period the complications of bone augmentation operations were revealed in 29 cases out of 346, the rate of complications was 8.4% (frequency 10.0%; confdence interval: 5.6-16.4%).Summary. On the basis of our research we made a conclusion about the usefulness of homeopathic medicines in the standard scheme of the pre - and postoperative medical support of patients during dental implantation and related operations.

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Comparative analysis of visual analogue scale and the new scale of efficacy and safety of postoperative analgesia for orediction of pain during the early postoperative period

Regional Anesthesia and Acute Pain Management ◽

10.18821/1993-6508-2016-10-1-40-46 ◽

2016 ◽

Vol 10 (1) ◽

pp. 40-46

Author(s):

Igor Borisovich Zabolotskikh ◽

V. M Durleshter ◽

T. S Musaeva ◽

N. V Trembach ◽

V. A Makarenko ◽

...

Keyword(s):

Postoperative Complications ◽

Visual Analogue Scale ◽

Postoperative Analgesia ◽

Postoperative Period ◽

Analogue Scale ◽

High Efficiency ◽

Early Postoperative Period ◽

Major Surgery ◽

Good Prediction ◽

Abdominal Organs

Modern postoperative analgesia - is an individual selection of optimal doses of analgesics in order to obtain high efficiency of analgesia with minimal side effects. The quality and safety of postoperative pain is largely dependent on the severity of pain immediately after the operation. The aim of the study was to compare the efficacy of visual analogue scale (VAS) and the new scale of efficiency and safety (ESS) of postoperative analgesia in predicting of the severity of pain and postoperative complications. The study was conducted in 209 patients (mean age (66-77) years), in which a major surgery on the abdominal organs were routinely performed. Patients were randomized into two groups, depending on the method of evaluating of the quality of analgesia: in group 1 is controlled via ESS (n = 102), the 2nd group - by VAS (n = 105). Postoperative complications were recorded: nausea and vomiting, respiratory failure (need for noninvasive or invasive ventilation), delirium, cardiac arrhythmias, ileus. ESS and VAS demonstrated good prediction of the effectiveness of pain relief (AUROC 0,973, [0,913-0,996] and 0.976 [0,913-0,997], respectively). ESS showed a good prediction of the complicated postoperative period (AUROC = 0,924, [0,856-0,967]), as opposed to the VAS (AUROC = 0,649, [0,548-0,741]). Baseline ESS and VAS score equally effective in predicting the intensity of pain in the early postoperative period. ESS advantage, compared to VAS, is the ability to predict complicated postoperative period and postoperative complications. ESS score for more than 17 is a risk factor for postoperative complications associated with inadequate analgesia.

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