THE USE OF MEDICINES BASED ON HYALURONIC ACID IN THE COMPLEX TREATMENT OF DISORDERS OF THE ARCHTECTONICS OF THE VESTIBULE OF THE MOUTH
Authors: Makhlynets N. P. 
Published: July 2023

Improving the effectiveness of diagnosis, comlex treatment of patients with maxillomandibular anomalies on the background of architectonics disorders of the vestibule of the mouth. The frenulum of the lips, buccal frenulums, ankyloglossia are the etiological factors in the development of maxillofacial anomalies. They are the reason for the change in the position of a separate group of teeth after the end of active treatment. Often architectonics disorders of the vestibule of the mouth course of gum. 30 people with maxillomandibular anomalies 12-15 years old on the background of architectonics disorders of the vestibule of the mouth were examined and treated, where plastic interventions on the vestibule of the mouth were important. All patients had plastic surgery of the vestibule of the mouth by the classical method. There was secondary tension of wound. Patients of the I group were prescribed chlorhexidine-denta in the postoperative period. Patients of the II group were prescribed chlorhexedine-denta and gengigel.

The peculiarity of the clinical course of maxillomandibular anomalies on the background of disorders of the architectonics of the vestibule of the mouth was a pronounced change in the architecture of the vestibule of the mouth (less than 5 mm, 96.7% (29/30) of all patients have buccal frenulum). Indicators of cytomorphometric and rheographic researches indicated a deficiency of blood supply in these areas. The results of clinical and laboratory examination showed a significant difference between surgical interventions, where the wound healed by primary and secondary tension. Long-term results after the proposed method of correction of disorders of the architectonics of the vestibule of the mouth and the use wound-healing drug based on hyaluronic acid in the postoperative period indicate the formation of a normorphic scar, no recurrence and recession of the gums in the projection of buccal frenulum, normalization of clinical and laboratory indicators. The obtained data differ significantly from those in other groups of patients (p <0.05).

Surgical correction of architectonics disorders of the vestibule of the mouth is an important step in the complex treatment of patients with maxillomandibular anomalies on the background of architectonics disorders of the vestibule of the mouth. The peculiarity of the clinical course of maxillomandibular anomalies on the background of architectonics disorders of the vestibule of the mouth was a pronounced change in frenulum fixation less than 5 mm, 85.0% (51/60) of patients have connective tissue strands in the area of canines and premolars, in 78.3% of patients - catarrhal hygnivitis). The results of the clinical research were confirmed by cytomorphometric and rheographic researches and indicated a lack of blood supply in these areas. Long-term results after the proposed method of correction of architectonics disorders of the vestibule of the mouth and the use of chlorhexidine dent and gingigel in the postoperative period indicate the formation of normorthophic scar, no recurrence and recession of the gums in the projection of canines and premolars, normalization of clinical and laboratory results. The obtained data differ significantly from those in other groups of patients (p <0.05).