Международная научная-практическая конференция
75
пространств требует участия ЛОР-врача, в то время как роль стоматолога остается
существенной в трансоральном удалении причины ОИ.
Список литературы:
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A Study of 76 Cases. Iran J Otorhinolaryngol 2015;27(81):293-9.
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перед удалением зуба. Медицина и инновации, 1(4), 204–208. извлечено от
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EFFECTIVENESS AND IMPROVEMENT OF COMPLEX TREATMENT OF
PURULENT-INFLAMMATORY DISEASES OF THE MAXILLOFACIAL AREAS.
Rakhmatullaeva O.U, Tuyboeva G.D.
Tashkent state dental institute
The relevance of research.
Purulent-infammatory diseases of maxillofacial (PID of MFA)
areas to date remain one of the most common and complex problems of modern surgical
dentistry and maxillofacial surgery, the main cause of development intracranial complications
and septic conditions, temporary loss employment among the population. Despite the fact that
the primary prevention of PID of the MFA, which consists in timely sanitation of foci of chronic
odontogenic infection is most effective, early diagnosis and treatment can reduce the risk the
occurrence of the most serious complications of PID of MFA.
The main in the etiology of inflammatory diseases of the maxillofacial area is played by
infectious agents, in most cases vegetative on the mucous membranes of the oral cavity, in
periodontal pockets and carious cavities. Therefore, most research has focused on isolation and
study of the properties of just such a flora. These studies are now indisputable evidence
etiological significance in PID of the MFA of such microorganisms as Staphylococcus spp.,
Streptococcus spp. However, there is significant evidence base indicating that conditionally
pathogenic flora plays role in the etiology of PID of the MFA. It is known that the structure of
causative agents of PID in MFA can significantly vary in different regions of the world. In
addition, pathogens in different regions PID of the MFA may show varying levels of resistance
to recommended for the treatment of this pathology with antibacterial drugs. Confirmation this is
due to the unequal clinical effectiveness of the same regimens antibacterial therapy of PID of
MFA in different regions. Thus, at development of regimens for antibacterial therapy of PID
Актуальные вопросы хирургической стоматологии и дентальной имплантологии
76
MFA should take into account not only the spectrum of possible pathogens, but also regionar
features of their resistance profile.
The purpose of the study:
to increase the effectiveness of complex treatment patients
with purulent-inflammatory diseases of the maxillofacial region by substantiating the choice of
antibacterial drugs, taking into account features of pathogens.
Research objectives:
To substantiate the choice of antimicrobial agents for antibiotic
therapy in the complex treatment of patients with purulent-inflammatory diseases of the
maxillofacial. The specificity of pathogenic microflora involved in the development of purulent-
inflammatory diseases. Sensitivity determined isolated microflora to a wide range of
antibacterial agents. Established antibacterial agents effective in the treatment of patients with
purulent-inflammatory diseases of the maxillofacial area, for use in dental clinics and hospitals
maxillofacial surgery. Maximum efficiency in relation to isolated strains of pathogenic
microorganisms “amoxiclav”, III generation cephalosporin antibiotics, carbapenems and
fluoroquinolones.
A respective analysis of the current practice of applying antibacterial drugs, as well as the
study of the spectrum of the main causative agents of purulent-inflammatory diseases of the
maxillofacial region and determination of the sensitivity of isolated microorganisms to a wide
range of antibacterial drugs have shown that the accepted regimens antibiotic therapy needs to be
adjusted. Studied features of regional sensitivity of pathogens of purulent processes maxillofacial
region dictate the need for a differentiated approach to systemic antibiotics therapy to improve
the effectiveness treatment of these patients, prevention of purulent septic complications,
reducing the period of disability of patients. Suggested standards antibiotic therapy can be used
by surgical doctors profile when planning therapeutic tactics in patients with purulent-
inflammatory processes of the face and neck.
The new data obtained on the establishment of the spectrum of pathogenic microorganisms
and their susceptibility to antibacterial drugs in patients with PID of the MFA allow for targeted
antibiotic therapy, avoid the development of general somatic complications, reduce the duration
of treatment, improve immediate and long-term results of treatment. Current stereotypes
antibacterial therapy of patients with limited and diffuse PID of the MFA are not rational. Modes
of antibiotic therapy in patients with PID of the MFA should be active not only against
Staphylococcus spp., Streptococcus spp. And anaerobic microorganisms, but also representatives
of the Enterobacteriaceae family, Enterococcus spp. It should be taken into account that 52,6 %
of the isolated strains Enterobacteriaceae produce extended spectrum beta-lactamases action to
aminopenicillins and 32,4 % of strains to cephalosporins I generation.
Finally,
being isolated the most active drugs in relation to staphylococci, streptococci, and
enterobacteria from patients with PID of MFA in the hospital are inhibitor-protected penicillins
and III generation cephalosporins (amoxiclav, cefotaxime), carbapenems, vancomycin is the first
conclusion. And the second conclution is that, in outpatient practice, staphylococci, streptococci
and enterobacteria showed maximum sensitivity to inhibitor-protected penicillins (amoxiclav),
cephalosporins III generations.
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Международная научная-практическая конференция
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//Ўзбек тиббиёт журнали тахририй маслахат кенгаши редакционный совет Узбекский
медицинский журнал Editorial Board
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https://www.academia.edu/84825281/Indicators_of_hemostatic_homeostasis_in_the_postoperati
ve_period_after_tooth_extraction_in_patients_with_viral_hepatitis?source=news_feed_share
IMMEDIATE PLACEMENT OF IMPLANT IN FRESH EXTRACTION SOCKET WITH
EARLY LOADING
Rakhmatullayeva O.U., Sulaymonova M.R., Sherkhanova N.D.
Tashkent state dental institute
Keywords:
Early loading, fresh extraction socket, and gingival architecture immediate
placement
Abstract
Implant placement in maxillary anterior region has most aesthetic challenges in implant
dentistry because tooth loss lead to bone resorption and collapse of gingival architecture, which
lead to aesthetic compromise and inadequate bone for implant placement. Immediate implant
placement into fresh extraction socket reduces the treatment time, cost, preserved the gingival
aesthetic and increases the comfort of the patient. This article describes the procedure for
immediate implant placement in fresh extraction socket and early loading of implant with
zirconia crown. Clinical and radiographic examination revealed width and length of the tooth for
selecting implant size and design. Cement retained zirconia crown was used for early loading.
Implant was successfully loaded and was functional during 36 months follow up period.
Immediate placement and early loading of dental implant provides advantages like fewer
surgical procedures, shorter treatment time, and improved aesthetic and psychological
confidence. Loss of tooth in the aesthetic zone is a traumatic experience with or without
compromise in phonetics. Hence, in the aesthetic zone implant supported single tooth
replacement is one of the most challenging situations confronting the clinician. According to the
traditional protocols 3-4 months of healing period is required for the consolidation of extraction
socket. Taking into account the prosthetic treatment, patients frequently are required to wait up
to 1 year for replacement of a lost tooth.
