Clinical evaluation of the treatment complex of acute odontogenic periostitis in children on the base of diffused non-toxic goiter

Abstract

Inflammatory diseases in the maxillo-facial region in children occupy a leading place in the work of a polyclinic doctor. At the same time, their diagnosis is imperfect and they often occur on a premorbid background. The clinical features of acute odontogenic periostitis against the background of thyroid pathology in children were studied to improve the effectiveness of treatment. We examined 38 children, formed two groups of observations. Children of both groups were given generally accepted treatment. Children of the main group were additionally prescribed means "Imupret" and "Calcemin advance" to normalize the main protective indicators of oral fluid. Statistically assessed the degree of probability of the obtained results. The results of clinical observation of children showed the absence of pain on the 7th day of observation in both the children of the main group and the comparison group, indicating the pronounced anti-inflammatory and analgesic effects of drugs in complexes treatment. On the 7th day of treatment, clear hyperemia was not diagnosed in children of the follow-up groups, but patients with moderate oral mucosa hyperemia in the main group were in 2.22 times less than in the comparison ones (5.0% vs 11.11%, respectively). Minor swelling and exudation on the 7th day of observation were found only in children of the comparison group. Oral hygiene at the time of completion of treatment in all children was within satisfactory values. Analysis of the periodontal index of PMA showed the presence of catarrhal gingivitis in a third of children of both observation groups. Thus, the obtained results of clinical indicators of the state of the oral cavity of children indicate the effectiveness of our proposed method of treatment of acute purulent periostitis in children, which is confirmed by the stabilization of microvascular circulation, namely a decrease in the phenomena of edema and exudation. Due to local immunocorrective action, wound healing conditions are also improved and postoperative complications are prevented. Keywords: acute odontogenic periostitis, children, thyroid disease, Imupret, Calcemin advance.