PECULIARITIES OF THE COURSE AFTER THE OPERATIVE COURSE OF PATIENTS AFTER DENTAL IMPLANTATION ON THE BACKGROUND OF THE PATHOLOGY OF THE HEPATOBILIER SYSTEM

Abstract

Purpose of the study. The purpose of the study is to investigate the features of the postoperative period in dental intraosseous implantation in pathology of the hepatobiliary system. Materials and methods. In the course of the work, 23 patients were examined and intraosseous dental implants from Mega Gen were installed. The age of patients ranged from 19 to 42 years. The studied patients were divided into 2 groups: the first – control (11 patients) – without pathology of the hepatobiliary system; the second – experimental (12 patients) included patients with disorders of the hepatobiliary system. Men and women were equal in groups. All patients underwent clinical trials of local status. Local status was assessed in patients by registering clinical signs of inflammation observed in the area of surgery at 3, 7, 10, 14 days: pain, redness, edema. For all patients, the manifestation of clinical signs was evaluated in points as follows: 1 point – no sign, 2 – slightly expressed, 3 – expressed, 4 – significantly expressed. Patients in the first and second groups received the same medication. Standard treatment in patients in the postoperative period included: cefadox 200 2 times a day, nimesil 1 sachet 3 times a day, ascorutin 1 tablet 3 times a day, loratadine 1 tab. 1 time a day. Standard treatment patients in the postoperative period took 5-7 days. Results. Postoperative observations of the dental implant site showed that in the group of patients with pathology of the hepatobiliary system, healing had a significantly negative dynamic. All local signs that were taken into account in the observation showed a significant negative impact of pathology of the hepatobiliary system on the signs of wound healing after dental implantation. Analyzing the obtained indicators of clinical manifestations of pain, hyperemia, edema, their more positive dynamics is noticeable in the group of patients without pathology of the hepatobiliary system, and their synchronicity should be noted. In particular, on day 7 in the first (control) group of patients after dental implantation edema was registered in 44.8 % of cases, and in patients of the second group – in 74.3 % of cases, and on day 14 – in the first group of patients after dental implantation the manifestation of edema decreased to 24.2 % of cases, and in patients of the second group to 42.4 % of cases. This dynamics of edema in the area of surgical intervention during dental implantation indicates a more positive dynamics of recovery of patients who do not have pathology of the hepatobiliary system. Conclusions. Clinical manifestations of postoperative wound healing during dental implantation depend on concomitant pathology. In particular, the pathology of the hepatobiliary system adversely affects the clinical course of postoperative wound healing during dental implantation, prolonging for 3-4 days. The peculiarities of the postoperative healing of soft and hard tissues in the area of dental implantation may further affect the engraftment of the implant. Clinical signs of healing have a greater positive dynamic in patients without pathology of the hepatobiliary system. At pathology of hepatobiliary system in the postoperative period it is expedient to carry out its correction.