| Summary: | Background. In all regions of the Russian Federation, in the structure of the incidence
of the maxillofacial region, fractures of the lower jaw constitute a significant
group characterized by progressive growth. In the Department of Maxillofacial Surgery
of the Penza Regional Hospital named after N.N. Burdenko, the number of patients
who applied for help with fractures of the lower jaw in 2018 increased by 22
% compared to 2017. A clear tendency towards an increase in morbidity necessitates
the development of an effective and affordable drug for use as an oral hygiene
product after the application of metal structures for splinting, in order to improve the
quality of medical care for this pathology.
Materials and methods. A study was conducted to assess the effectiveness and
safety of the use of antiseptic solutions in patients with bimaxillary splinting with
metal structures produced because of a fracture of the lower jaw. The following solutions
were used as an antiseptic solution for irrigation of the oral cavity and removal
of food residues (fats, proteins, carbohydrates): 0.1 % potassium permanganate
solution, 0.05 % aqueous solution of Chlorhexidine, 3 % hydrogen peroxide
solution, 0, 02 % Furatsilin. In the course of a comprehensive study aimed at identifying
the individual characteristics of the patient, establishing a diagnosis, substantiating
rational treatment, swabs were taken from the mucous membranes of the
cheeks and throat, and a microbiological analysis was performed.
Results. The obtained results of the use of antiseptic solutions led to the conclusion
that these drugs are effective, but have a number of side effects and have low
resistance to bacteria that cause inflammatory diseases of the oral mucosa (catarrhal
stomatitis, gingivitis, periodontitis).
Conclusions. The results obtained during the study led to the conclusion that, in
the treatment of patients with fractures of the lower jaw, a safe, plant-based safe,
therapeutic and prophylactic agent with a pronounced antimicrobial, antiinflammatory,
disinfectant and analgesic should be used as an antiseptic solution for
treating patients with fractures of the lower jaw action.
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