Reducing the time of hospitalization of patients with the use of clinical and diagnostic parallels in the diagnosis and treatment of cystic formations of the jaws

Abstract

The aim of the study was to study the peculiarities of diagnosis and treatment of cystic formations of the jaws, taking into account clinical and radiation parallels and a comparative analysis of the effectiveness of the treatment according to the criterion of the duration of the postoperative period. Material and methods. The medical histories of 112 patients of the main and 112 patients of the control groups who were treated at the Clinic of Maxillofacial Surgery of the I.P. Pavlov Moscow State Medical University of the Russian Federation were retrospectively studied. In the main group, cone-beam computed tomography was performed during diagnosis and treatment, extended X-ray parameters and densitometry parameters were studied. In the control group, these indicators were not evaluated. Results and discussion. In the course of the study, a comparative analysis of the shapes, localization, structure, size of cystic formations of the jaws, the methods of surgical intervention used, as well as an analysis of the effectiveness of the treatment of patients in the main and control groups was carried out using the postoperative period as the main indicator characterizing the wound healing process as a criterion of effectiveness. Conclusions. The analysis of the clinical course of the disease, the applied treatment methods and X-ray signs carried out during the study made it possible to identify four clinical and radiation forms in the examined patients: granuloma, cystic granuloma, residual cyst, intracinus cyst. The treatment of patients in the main group with cone beam computed tomography (CBCT) and orthopantomography (OPTG) and a detailed analysis of radiological parameters for patients with cystogranulomas, residual cysts, and intracinus cysts was more effective in terms of the duration of the postoperative period com-pared with the control group. The clinical and radiation form of chronic granulomatous periodontitis did not show a difference in the duration of hospitalization when comparing the main and control groups of the study.