METHOD OF THERAPY OF PURULENT- INFLAMMATORY PROCESSES IN CLINICAL DENTISTRY

Protocol treatment of purulent- inflammatory processes includes local antibacterial ther- apy, antibiotic therapy, and surgical treatment. Important and relevant is the study and further development of issues related to the prevention and treatment of primary and developed inflammatory processes of soft tissues. And in those cases when it is impossible to resort to anti- biotic therapy, in particular during pregnancy or intoler- ance to antibiotics, and the local use of antiseptics expos- es adverse effect, the search for treatment methods that reduce the number of drugs, and in some cases complete- ly refuse from their application. The solution of chlorhex- idine (concentration of 0.1-0.2%) considered the most effective mean of antiseptic treatment. However, the use of chlorhexidine has a lot of contraindications and com- plications. According to our research bactericidal capaci- ty of ozonated distilled water is comparable with 0.2% chlorhexidine solution. The ozone therapy has several advantages: no systemic effects on the body, no flora resistance to ozone appears lack of ozone allergenicity. The local detoxification sorbents for the topical treatment of inflammatory diseases have become used in recent years increasingly. Especially promising material for adsorbents is titanium dioxide, which is characterized by a large surface area and high exchange capacity. So, we have offered use the titanium dioxide so- lution in ozonated distilled water for antiseptic treatment of purulent-inflammatory processes (PIP). The purpose of the study was to increase the therapeutic effect and reduce the treatment timing of patients with acute odontogenic purulent-inflammatory diseases (acute odontogenic periostitis, osteomyelitis, including complicated phlegmons) using antiseptic dress- ing of inflammatory soft tissues with a solution of titani- um dioxide in ozonized distilled water. Methods. Seventy-three patients (men - 45, women - 28) aged а from 19 to 49 yrs. with odontogenic superficial phlegmon (OP) of one area (submandibular, sublingual, pterygomandibular) were examined. Thirty- nine persons were in the main group (MG), and were treated with dispersed solution of ozonized tetanized distilled water (OTDW), 34 person were in the control group (CG) and treated with antibacterial ointments for local treatment. Medical schemes have included, in addi- tion to antiseptic treatment the local and general antibi- otic therapy and surgery treatment. Results and discussion. The positive dynamics of purulent-inflammatory processes indicators was ob- served after treatment in all patients. But for sure the best results were obtained using developed by us techniques. In all patients with odontogenic phlegmons from MG after the use of OTDW elimination of pain syndrome and elimination of pain syndrome was noted faster than in patients of CG. At local examination there was a decrease in inflammatory events. Rarely, there was a complete cleansing of the wound and the onset of granulation. Decreased duration of inpatient treatment. Conclusions. The use of a dispersed solution of titanium dioxide of submicron size in ozonized distilled water in the complex treatment of patients with odonto- genic phlegmons promotes rapid improvement of the general condition of patients and elimination of local signs of the inflammatory process, which reduces the timing of treatment for these categories of patients.