Complex medical rehabilitation of adolescents with dentoalveolar pathology in orthodontic treatment

Abstract

The purpose of the study is to increase the effectiveness of medical rehabilitation of adolescents with dentoalveolar pathology in orthodontic treatment based on the inclusion of florentine waters, therapeutic physical exercise according to the craniovertebral method, and osteopathic craniosacral therapy in rehabilitation regimens. Material and methods. There have been observed 106 adolescents with dentoalveolar pathology on orthodontic treatment. They were distributed into 3 groups by simple randomization: in the main group 2, the patients received gum irrigation with fir extract florentine water, physical therapy exercises (PTE) according to the craniovertebral method and osteopathic craniosacral therapy in combination with the standard therapy; in the main group 1, the patients were prescribed gum irrigation with fir extract florentine water and PTE according to the craniovertebral method in combination with standard therapy; in the group of comparison, the patients had only irrigation of the gums with fir extract florentine water in combination with standard therapy. Results. In the main group 2, 83,1 % of cases noted levelling of clinical manifestations 6 months later, and 97.9 % — 18–20 months later, while the patients who received irrigation with fir extract florentine water (FW) in combination with standard therapy and PTE according to the craniovertebral method had an improvement in 63,5 % and 85.0 % of cases; when using only irrigations with fir extract FW against the background of standard therapy there was an improvement in 49.4 % and 78.1 % of cases; the reduction of the total number of functional disorders and stabilization of the statokinetic system within 6 months were improved by 1,81 (p < 0.01), and after 18–20 months — 2,61 (p < 0,01) times, while using irrigations with fir extract FW against the background of standard therapy and PTE according to the craniovertebral method, the improvement was by 1,38 (p < 0,01) and 1,69 (p < 0,01) times; when using only irrigations with fir extract FW against the background of standard therapy — by 1,27 (p < 0,05) and 1,73 (p < 0,01) times, respectively, which, with a high degree of reliability, has correlated with the improved dental, physical, and mental health. Conclusion. The developed technology of medical rehabilitation of adolescents using florentine waters, therapeutic physical exercises according to the craniovertebral technique and osteopathic craniosacral therapy is viable and pathogenetically justified.