АЛГОРИТМ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИ ПАЦИЕНТАМ С ЗАБОЛЕВАНИЯМИ СЛИЗИСТОЙ ОБОЛОЧКИ РТА

Abstract

The relevance of this work is due to the high prevalence of diseases of the oral mucosa, which have a chronic protracted nature. Underdiagnosis of patients at a dental appointment often leads to complications of various kinds. The aim of the work is to develop an algorithm for providing dental care to patients with diseases of the oral mucosa. 146 patients who applied for dental care took part in the examination. As a result of clinical examination and additional diagnostic methods, defects of the oral mucosa were detected in 19.8% of patients. The patients underwent a basic examination, the nature and intensity of pain on the Hossley-Bergman scale were determined, the area of erosive and ulcerative defects was calculated. Additional examination methods included electromyography and laser Doppler flowmetry. Electromyographic examination during the "bruxism" test made it possible to diagnose muscle hypertension, which is a predictor of the development of chronic injuries. Doppler flowmetry reflected the state and genesis of microcirculatory disorders of the oral mucosa. Thus, there is a decrease in the microcirculation parameter, the mean square deviation and the basal blood flow rate. Carrying out a full-fledged diagnostic complex allows both to identify the root causes of the development of pathologies, and to prescribe pathogenetic therapy taking into account the identified disorders. Timely diagnosis makes it possible to identify pathology at an early stage, which will prevent the development of a number of complications, such as the transition to a more severe form of the disease and malignancy of the decubital ulcer. Compliance by dentists with the algorithm of providing medical care to patients with diseases of the oral mucosa will allow timely identification and elimination of the etiological factor, timely restoration of the functions of the oral mucosa, normalize the functional state of the body.