Solovieva A. A.

Bashkir State Medical University, Ufa, Russia

UNCONVENTIONAL THERAPIES FOR PATIENTS WITH COMPLICATIONS OF ERUPTION OF WISDOM TEETH

According to A. R. Andreyeva (2005) and R. M. Kramer (2001), perikoronit is from 65,7% to 74.4% of all complications of difficult eruption of a wisdom tooth and is characterized primarily by pain caused by an inflammatory process in the periodontal tissues. [1,2] After surgery: the traditional method, despite its antibacterial, anti-inflammatory and desensitizing therapy, patients experience pain, on examination revealed swelling of the tissues in the region of the wound, sometimes there is an inflammatory reaction, regional lymph nodes and functional: disorders. Disabled as patients continues up to 5-7 days. [3]

Noteworthy method of applying surgical instrument manufacturing NTI - RotaryDental Instruments for operations on soft tissues of the mouth - cloth trimmer (Trimer Tissue). The tissue trimmer is used in a conventional turbine handpiece and does not require additional expensive equipment as in the case of an electric or laser scalpel. The working part of the trimmer is made of special ceramics, which enhances coagulation by obliteration of the capillary side of the cutting head, minimally invasive incision simplifies reconstruction of the gums, eliminates the necrosis significantly increases the efficiency of the regeneration treatment of chronic pericoronitis method using a fabric trimmer pain in the area of the wound was observed two days in the second group patients complained of pain for 4 days. Swelling of the surrounding tissues and pain on swallowing was maintained for 5 days in the 2nd group, in contrast to the 1-Oh group, where the swelling and pain on swallowing were stopped already on the 2nd day. Limitation of mouth opening in the first group of patients was observed within 2 days. Inflammation in patients of the 1st group was stopped two times faster, also patients reported positive psychological effects from this type of treatment.[4]

In patients after operculectomy laser radiation without antimicrobial and anti-inflammatory therapy on the third day in 100% of cases were absent pain and swelling of collateral in the recovery area. After traditional treatment despite the use of antibiotics and non-steroidal anti-inflammatory drugs, 65% of patients complained of pain, while 40% remained collateral edema, 22.7% of the patients with complicated postoperative course was removed the third lower molars. After excising the overhanging edges of mucous membrane radiation erbium laser with a wavelength of 2940 nm wounds under fibrinous, bloom observed 7.0±0.5 days, and after exposure to radiation carbon dioxide laser with a wavelength of 10600 nm and 11.0±1.0 days.[5]

The application of diode laser at a wavelength of 970 nm ensures low invasiveness of surgical interventions in patients with various pathologies of the soft tissues of the oral cavity. In addition, the laser light accelerates the process of healing of postoperative wounds, reduces the risk of suppurative inflammatory complications. Its introduction into wide practice will improve the effectiveness of the treatment and will contribute to the prevention of relapses. Complete cleansing wounds from fibrinous plaque and coagulation of the film and complete epithelization of wounds was observed at 7.0±0.5 day. [6]

The use of such non-traditional surgical methods, as fabric trimmer and laser radiation for the treatment of complications of difficult eruption of wisdom teeth provides the fastest healing of surgical wounds without the use of antibacterial and anti-inflammatory therapy.

Список литературы.

1. Аверьянов С.В., Авраамова О.Г., Акатьева Г.Г., и др.Детская терапевтическая стоматология. Национальное руководство. Москва, 2017.

2. Плахтий Л.Я., Цховребов А.Ч., Цаллагов А.К., Черткоева М.Г., Тадеева А.К. Особенности клинико-микробиологической диагностики воспалительных осложнений, связанных с третьими нижними молярами.// Владикавказский медико-биологический вестник,2012. Т. IX. № 15-16.- С. 72-76.

3. Белов А.А. Сравнительная оценка хирургических методов лечения перикоронаритов.// В сборнике: Молодежь, наука, медицина материалы 61-й Всероссийской межвузовской студенческой научной конференции с международным участием ГБОУ ВПО Тверской ГМУ Минздрава России; Совет молодых ученых и студентов,2015. С.50-53.

4. Шевела Т.Л., Чижик Т.А. Хирургические методы лечения хронического перикоронита на амбулаторном приеме.// Вестник Совета молодых учёных и специалистов Челябинской области,2016. - Т. 1. № 1 (12).- С.52-54.

5. 4.Штрунова Л.Н. Сравнительная клинико-биохимическая оценка эффективности применения лазерных технологий и традиционного хирургического метода лечения у пациентов с перикоронитом.//автореферат диссертации на соискание ученой степени кандидата медицинских наук / Московский государственный медико-стоматологический университет. Москва, 2011.

6. Тарасенко С.В., Морозова Е.А. Применение диодного лазера в хирургической стоматологии.// Лечение и профилактика,2016. № 2 (18).- С. 98-103.