Open fractures of the lower jaw

Statistics show that injuries that occur in the maxillofacial apparatus account for about 16% of the total number of injuries, while mandibular fractures are the most common among all fractures of the bones of the facial skeleton and, according to various authors, range from 75 up to 96.5%, and from the total number of inpatient dental profile patients 28-36% (Yu.I. Bernadsky, 1999; N.V. Novosyadlaya, 2003; R.S. Matveev, 2002; S.N. Fedotov, 2002 and etc.) [7]. In 67-82% of cases, mandibular fractures are localized within the dentition and, therefore, are open. Concerning some foreign authors call such infections of the bone wound pathogenic microflora (E. Kruger, 1986). In case of fractures of the lower jaw, due to the presence of fixing structures in the oral cavity, the process of self-cleaning in the oral cavity is sharply disrupted. AT In connection with this, the number of pathogenic microorganisms on the surface of the teeth and mucous membrane increases, the likelihood of infection of the wound substrate increases (A.I. Kaspina, 1981; Zh.B. Urazalin, 1985, Adzhiev K.S. 1991) [2].