Clinical course of wound healing in patients with odontogenic phlegmons of the maxillofacial area with concomitant liver pathology

Abstract

Annotation. The purpose of the work is to study the features of the clinical course of healing of postoperative purulent wounds in patients with odontogenic phlegmons of the maxillofacial area on the background of concomitant chronic liver pathology. The relevance of this problem is due to the growing share of patients with odontogenic inflammatory processes of the maxillofacial area, as well as with chronic liver pathology. It is known that liver diseases have a negative effect on periodontal tissue diseases, that again complicates their course. However, information on the peculiarities of the course of purulent wounds in odontogenic phlegmons on the background of concomitant liver pathology is insufficient and requires in-depth study and observation, since the inability of the liver to fully perform its antimicrobial function leads to the development of a dysbiotic syndrome in the oral cavity, which will be manifested by bacteremia, endotoxinemia and thereby worsen the clinical course of the inflammatory process. Based on the results of a scientific and theoretical analysis of literature sources, the state of research related to the study of the healing indicators of oral cavity tissues in periodontal diseases, facial injuries, dental implantation is highlighted. At the same time, it was found that there are not enough studies devoted to the treatment of odontogenic phlegmons of the maxillofacial area, which requires further development and implementation in practice using more effective treatment and prevention measures.