Особливості клінічного перебігу одонтогенних запальних захворювань щелеп і м’яких тканин в осіб, які вживають наркотики

The objective: to analyze the features of the clinical course of odontogenic inflammatory diseases of the jaws and paramaxillary soft tissues in drug addicts. Materials and methods. 294 drug-addicted patients with odontogenic inflammatory diseases of the jaws and soft tissues were examined and treated. All patients underwent a generally accepted clinical and X-ray examinations at the first visit and during the course of treatment. Primary odontogenic inflammatory processes in the jaw were found in the patients, namely: periodontitis, periostitis and osteomyelitis. The reliability of the examination results was calculated according to Student’s criteria. Differences were considered significant at p < 0.05. Results. Atypical clinical and radiological features of the course of periodontitis, periostitis, osteomyelitis, abscesses and phlegmons were found in the study participants, namely: progressive nature, significant prevalence of lesions, peculiar clinical symptoms. Unsatisfactory healing of post-extraction and postoperative wounds, very low effectiveness of the medical measures, relapse course, which should be taken into account during the treatment of this category of patients, were found in drug addicts. Conclusions. The developed schemes for the treatment of odontogenic purulent-inflammatory diseases of the soft tissues of the maxillofacial region and neck in drug-addicted persons contribute to the faster elimination of the purulent-inflammatory process (compared to traditional treatment), improve the healing of postoperative purulent wounds, and reduce the occurrence of local postoperative inflammatory complications in 3–4 times.