ARCHITECTONICS OF BONE TISSUE OF THE ALVEOLAR PROCESS OF THE MANDIBULAR IN A PATIENT WITH DEFORMATIVE ARTHROSIS OF THE TEMPOROMANDIBULAR JOINT, CHRONIC PERIODONTITIS ON THE BACKGROUND OF POLYARTHROSIS (CLINICAL CASE)

One of the most widespread methods of prevention of postoperative inflammatory complications is the use of antimicrobial agents.We conclude that the use of antibiotics, starting on the eve of surgery, significantly reduce the formation of alveolitis by an average of 7.9%, and the formation and spread of infection in wound content -by 5.3%.It was established that antimicrobials used on and 5 days after surgery and within 5 days, reduced the likelihood of infectious complications and alveolitis by an average of 58-63%.It is noted by the fact that in 11% of cases the patient who is prescribed antibiotic therapy notes minor adverse reactions.Antiseptic solutions for mouthwash have an advantage because they act locally at the site of surgery and provide mechanical cleaning.Despite the fact that they all have antimicrobial effect, and the gold standard is considered chlorhexidine, according to the study, the effectiveness of decametoxin is proved because of its ability to reduce plaque, a wide range of antimicrobial action, the absence of allergic reactions.Our study used solutions with room temperature and warm (30-35C).In 87% of cases, the best postoperative clinical data we were obtained when using a warm solution: it is considered bacteriostatic and promotes healing, causing vascular expansion at the extraction site.We compared preoperative rinses with a solution of decametoxin, as well as preoperative and postoperative rinsing with this drug.It is established that the use of the drug only on the day of surgery was not statistically significant, but mouthwash for 5 days in the postoperative period led to a decrease in inflammatory complications by an average of 18%.