[Treatment features of odontogenic cystic formations of the mandible using cystotomy]. / Osobennosti lecheniya odontogennykh kistoznykh obrazovanii nizhnei chelyusti metodom tsistotomii.

AIM: The aim of the study was to improve the types of surgical intervention when performing biopsy of large-sized cystic formations of the lower jaw by cystotomy. MATERIAL AND METHODS: 44 patients were examined and surgeries were performed: 12 patients with ameloblastoma, 14 - with keratoxystone tumor, 18 - with dentigerous cyst. All patients had a retained tooth in the cyst cavity. RESULTS: For histological verification of cystic formations of large sized it is necessary to perform cystotomy-typed biopsy with bone tissue and shell fragment collection, using epithelialized flap method. CONCLUSION: Cystotomy-typed biopsy using the method of epithelialized flap can significantly reduce the rehabilitation period and allows to decide on the choice of further method of surgical treatment.

[Effect of ultrasonic aerosol treatment of wounds on the anaerobic microflora of purulent maxillofacial foci]. / Vliianie ul'trazvukovoi aérozol'noi obrabotki ran na anaérobnuiu mikrofloru gnoinykh ochagov cheliustno-litsevoi oblasti.

The microflora of purulent maxillofacial wounds formed after dissection of odontogenic phlegmons consists of major types of the residual oral microorganisms. In 100% of cases, a purulent exudate displays obligate nonspore-forming anaerobic bacteria which are present both in the monoculture and in the culture in combination with facultative anaerobes and aerobes. The results of topical treatment first used for purulent wounds in surgical dentistry by using ultrasonic aerosol treatment. This procedure shows a more profound antimicrobial effect mainly against obligate anaerobes than that of the conventional treatment. This promotes the most prompt elimination of inflammation and the reduction of treatment duration.

[Ozone therapy of chronic mandibular osteomyelitis]. / Ozonoterapiia khronicheskikh osteomielitov nizhnei cheliusti.

Clinical picture, bacterial passage, and immune status were studied in patients with chronic traumatic and chronic odontogenic mandibular osteomyelitis. The deepest disorders of biocenosis and the highest incidence of immunodeficiencies were observed in patients with chronic odontogenic osteomyelitis. Local and total ozone therapy is suggested for antibacterial and immunomodulating treatment. Medical ozone exposure promoted more complete and rapid normalization of nonspecific resistance and T-cellular immunity, thus accelerating clinical cure and reducing the incidence of complications.

[Relationship between nonspecific, immunologic reactivity of the body and the type of course of an acute inflammatory process]. / Sviaz' mezhdu nespetsificheskoi, immunologicheskoi reaktivnost'iu organizma i tipom techeniia ostrogo vospalitel'nogo protsessa.

By using the results of clinical, laboratory, and immunological studies, the authors show that the type (normoergic, hypoergic, hyperergic) of an inflammatory response is related to the parameters of nonspecific and immunological responsiveness of patients with pyo-inflammation in the maxillofacial region. The hypoergic inflammatory response is characterized by the least responsiveness mainly to its cellular link. The hyperergic inflammatory reaction is chiefly caused by considerably enhanced phagocytosis.

[A comparative evaluation of the efficacy of the isolated and joint use of dioksizol and low-frequency ultrasound in the combined treatment of phlegmons of the maxillofacial area]. / Sravnitel'naia otsenka éffektivnosti izolirovannogo i sochetannogo primeneniia dioksizolia i nizkochastotnogo ul'trazvuka v kompleksnom lechenii flegmon cheliustno-litsevoi oblasti.

The effects of dioxycol and low-frequency ultrasound alone and in combinations on the microflora of suppurative wounds formed after opening of maxillofacial phlegmons are assessed in 142 patients. Clinical and laboratory findings indicate a higher efficacy of combined use of these treatment modalities, which are recommended for optimal local treatment of purulent maxillofacial wounds.

[Role of phagocytosis activation in the mechanism of therapeutic effect of medical ozone in patients with sluggish purulent inflammations of maxillofacial soft tissues]. / Rol' aktivatsii fagotsitoza v mekhanizme lechebnogo deistviia meditsinskogo ozona u bol'nykh s vialotekushchimi gnoinymi vospalitel'nymi protsessami miagkikh tkanei cheliustno-litsevoi oblasti.

Sixty-three patients with local sluggish suppurative inflammations of maxillofacial soft tissues were examined. Medical ozone was added to the treatment protocols of 30 of these patients. Before treatment peripheral blood leukocyte phagocytic activity was decreased in 54 patients, which corresponded to clinical form of a sluggish inflammation. Traditional therapy did not appreciably change the level of phagocytosis. Addition of medical ozone exposure to therapy promoted normalization of leukocyte phagocytic activity and accelerated liquidation of inflammation.

[Ozone therapy in treatment of local sluggish suppurative inflammation of maxillofacial soft tissues]. / Kompleksnaia ozonoterapiia ogranichennogo vialotekushchego gnoinogo vospaleniia miagkikh tkanei cheliustno-litsevoi oblasti.

Combined local and general ozone therapy was used in 30 patients with local sluggish pyoinflammatory diseases of the maxillofacial soft tissues. The results were compared to those in 33 patients administered no ozone therapy. Ozone therapy decreased the duration of treatment more than 2-fold due to antibacterial effect and stimulation of nonspecific and immunological reactivity. Lack of obvious contraindications and selective activity and universal immunocorrective effect recommend ozone therapy for wide use in this patient population irrespective of the type of inflammatory reaction.