DOI: https://doi.org/10.22263/2312-4156.2022.5.102
Z.K. Rakhimov1, A.A. Kabanova2, S.A. Kabanova2
Microbiological evaluation of the efficiency of the infrared radiation application in the complex treatment of patients with lower jaw fractures
1Bukhara State Medical Institute, Bukhara, Republic of Uzbekistan
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(5):102-108.
Abstract.
Objectives. To determine the microbiological efficacy of infrared radiation application in the complex treatment of patients with mandibular fractures for the prevention of complications of inflammatory genesis.
Material and methods. To achieve the set goal, 105 patients with diagnosed uncomplicated mandibular fractures, without concomitant diseases, and 15 healthy individuals were examined. The patients were divided into 2 groups: the comparison group, that included 50 patients with mandibular fractures treated by means of standard methods, and the main group, that consisted of 55 patients who received infrared laser radiation in their complex treatment. In all patients with jaw fractures, the isolated microflora was compared with that of healthy individuals. Also, in patients with fractures of the lower jaw, microbiological studies were carried out in dynamics on the 1st, 7th, 14th and 30th days of observation.
Results. In patients with jaw fractures, an increase in the area of the distribution of microorganisms in the oral cavity in comparison with relatively healthy individuals is observed: Escherichia and Candida spp. were found in all the studied localizations of the oral cavity, and Klebsiella spp. in two of the four studied areas (in the region of the gum and the tongue). When infrared radiation has been included in the complex of standard treatment of patients with jaw fractures, by the 30th day of observation, in contrast to the comparison group, there was an absence of S. aureus, as well as a decrease in the number of S. mitis and S. mutans.
Conclusions. The obtained positive results of microbiological studies carried out in the dynamics of treatment allow us to recommend the wide use of infrared radiation in the complex pathogenetic therapy of traumatic injuries of the lower jaw in order to prevent infectious and inflammatory complications.
Keywords: mandibular fracture, infrared laser radiation, microorganisms.
Acknowledgements: The authors express their deep gratitude to the rector of Vitebsk State Order of Peoples’ Friendship Medical University, professor A.T. Shchastniy and the rector of Bukhara State Medical Institute, professor Sh.Zh. Teshaev for the possibility to establish cooperation between the chairs and to prepare this joint publication.
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Information about authors:
Z.K. Rakhimov – Candidate of Medical Sciences, associate professor, head of the Chair of Operative Dentistry, Bukhara State Medical Institute;
A.A. Kabanova – Doctor of Medical Sciences, associate professor, head of the Chair of Maxillofacial Surgery & Operative Dentistry with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University,
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Arina A. Kabanova;
S.A. Kabanova – Candidate of Medical Sciences, associate professor, head of the Chair of Pediatric Dentistry & Orthodontics with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University.
