THE CONCEPT OF COMPLEX TREATMENT OF ODONTOGENEOUS PHLEGMONS OF MAXILLOFACIAL AREA

Abstract

Odontogenic phlegmons of maxillofacial localization are a common problem of modern medicine. According to the literature data, it was established that odontogenic phlegmons of maxillofacial localization make up from 2.7% to 3.4% of all visits to the dentist. Unfortunately, these pathological processes do not have a tendency to decrease their prevalence among the population, which is due to the general low level of dental rehabilitation of patients, as well as reluctance to seek medical help and hope for the effectiveness of selftreatment. The aim of this work. The analysis of methods of treatment of odontogenic phlegmons of maxillofacial localization, substantiation of factors affecting the effectiveness of treatment of purulent-inflammatory diseases have been carried out. Materials and methods: The analysis of literary sources of Ukrainian and foreign authors regarding the course, treatment and complications of maxillofacial localization over the past 10 years has been conducted. Research results and their discussion. Although the treatment of odontogenic infections has been improved over the past decades, further improvements are needed in this area. The main factors that contributed to the development of odontogenic phlegmons of maxillofacial localization are unsatisfactory oral hygiene (76%), smoking (41%) and alcohol consumption (19%). To optimize the treatment of patients with purulent odontogenic processes of maxillofacial localization, it is necessary to perform a thorough history and clinical examination, which are important for determining the severity of any infection. The concept of "physiological reserve" is a significant driver of outcomes in patients fighting infection. Age is a significant factor that is inversely proportional to physiological reserve; that is, a decrease in respiratory, cardiovascular and metabolic reserve. Early and adequate intervention is essential to prevent avoidable deterioration of the condition with invasion of corrected anatomic spaces and symptoms of sepsis. Conclusions. According to the results of the study, it was established that the treatment of patients with odontogenic phlegmon of maxillofacial localization should have a comprehensive approach, failure to comply with which can lead to the development of severe complications of both local and general nature.