STATUS OF REGIONAL BLOOD SUPPLY IN PERIODONTAL TISSUES IN PATIENTS WITH MAXILLOMANDIBULAR ANOMALIES ON THE BACKGROUND OF ARCHITECTONIC DISORDERS OF THE VESTIBULE OF THE MOUTH IN THE COURSE OF COMPLEX TREATMENT

Abstract

The aim of the study. To study of the state of regional blood supply in the tissues of the vestibule of the mouth maxillomandibular anomalies on the background disorders of the architectonics of the vestibule of the mouth Research methods. 60 patients with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth were examined and treated. The age group of patients is 9-12 years old. The first group consisted of 30 patients who had plastic surgery of connective strands by the classical method, where the wound was healed by secondary tension. In group 1A (15 people) in the postoperative period, chlorhexidine-denta was prescribed, in group 1B (15 people) – chlorhexidine-denta and gengigel. In the second group (30 patients), plastic surgery of connective strands were performed using our proposed method, where the wound heals by primary tension. In group 2A (15 people) in the postoperative period, chlorhexidine-denta was prescribed, in group 2B (15 people) – chlorhexidine-denta and gengigel. In comparison group where were 15 persons without maxillofacial anomalies, deformities, oral habits and periodontal status. All patients underwent rheography of the vestibule of the mouth with the help of the following devices and programs: Rheograph “DX”, “DX-Complex Regina 2002”. Rheoelectroencephalograph was a recording device. The study was conducted before treatment and after surgical correction (1 month, 6 months, 12 months). Scientific novelty. The results of the study of the regional blood circulation of the tissues of the vestibule of the mouth showed a lack of blood circulation and a decrease in tissue trophicity, which is indicated by the qualitative and quantitative characteristics of rheogams (p<0.05). Qualitative indicators of rheograms were correlated with quantitative characteristics. After the treatment, positive dynamics of rheographic indicators were observed in all groups, however, the normalization of indicators was observed with a significant difference in the 2B group of patients (p<0.05). Conclusions. In patients with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth, there are changes in the blood supply in the tissues of the vestibule of the mouth. After the surgical treatment, normalization of blood supply was diagnosed in all groups of patients. However, stabilization of indicators in the early and longterm follow-up was diagnosed in patients of the 2B group.