89-91 - Polskie Stowarzyszenie Biomateriałów

CoRRESPondEnCE BETWEEn
TEETh BonE dESTRuCTIon
and ComPlICaTIonS of aCuTE
odonTogEnIC InfECTIon and
ITS foCal dIffuSIon
I.O.POHODENKO-CHUDAKOVA*, T.N.SYTCHIK
belAruSiAn StAte MedicAl uniVerSity,
belAruSiAn collAborAtinG center For eAcMFS, MinSK,
belAruS
*MAilto: iP-c@yAndex.ru
[Engineering of Biomaterials, 89-91, (2009), 4-5]
Traditional Chinese medicine uses some systems of correspondence.
According to the theory of organs, they have
projections on different regions: ears, foots and palms, face,
tongue and iris. Many examinations are made on the problem
of energy connection system between acupoints (AT),
acupoints and organs and human body systems, organs
and human body systems within the limits of mentioned
systems of correspondence and the organism what makes
one of components determining its homeostasis [11]. Special
medical literature and Annals of Chinese medicine say about
one more system of correspondence – connection between
teeth bone state and organs and human body systems [5].
This system is seldom used in the modern medicine as well
as in the alternative medicine in spit of its informativity [8].
Quantity of pyoinflammatory diseases of odontogenic etiology
in maxillofacial area is not reducing our days [9]. Relative
quantity of patients with this disease makes 27,2% - 61%
of total quantity of hospitalized patients [2] and 10–20%
patients hospitalized in special clinic departments [10].
Moreover, a lot of patients have severe complications [3, 4,
7], but very often this disease provokes diffusion of acute
odontogenic infection and involves pathologies of organs
and human body systems [1, 12]. But connection between
severe complications development of odontogenic infection
and tooth bone destruction of correcponding tooth (first and
second molars of lower jaw) is not examined. There is no
information about dependence of tooth bone destruction and
focal diffusion of acute odontogenic infection development
for this kind of patients. So, all this determines actuality of
examination and its expediency.
aim
is to determine dependence between tooth bone destruction
of first and second molars of lower jaw and complications
of acute odontogenic infection and development of its
focal diffusion.
objects and methods
When studying the level of informativity system of correspondence
of teeth bone state of the first and second molars
of lower jaw (3.6, 3.7, 4.6, 4.7) to the alimentary canal state,
including to its initial part – oral cavity, we analyzed 154 cards
for the stomatological patient’s health [6] and questionnaired
the patients went for specialized medical care in stomotological
clinics and polyclinics of Minsk. The questionnaire
contained the questions regarding the systemic patient’s
diseases. Studying dependence of the bone destruction
of first and second molars located on the lower jaw on the
complications of acute odontogenic infection, we examined
80 X-rays (orthopantomograms and roentgenograms of the
lower jaw, side view) for patients with following diseases:
acute odontogenic osteomielitis complicated with abscesses
of mylohyoideus area (21); acute odontogenic osteomielitis
complicated with abscesses of pterygoido-mandibular
area (20); acute odontogenic osteomielitis complicated
with abscesses of submasseteryngeum area (22); acute
odontogenic osteomielitis complicated with phlegmona of
mouth floor (17). When examining connection of teeth bone
tissue destruction with focal diffusion development of acute
odontogenic infection according to the organs and body
systems, we analyzed 12 archived case histories for patients
with acute odontogenic mediastinitis as well as 12 roentgenograms
(9 orthopantomograms and 3 roentgenograms,
side view of the lower jaw). So, we concluded that patients
groups have being selected correctly, they are equal and
similar according to the mentioned signs. Achieved results
were processed with method of variation statistics on the
computer using the program «STATISTIKA».
Results
When studying the level of informativity of the correspondence
system of teeth bone state of the first and second
molars of the lower jaw to the alimentary canal and its initial
part – oral cavity, we revealed the following.
Patients of the group of examination had gastric diseases.
80% of patients had gastritis and 20% - gastric ulcer.50% of
this patients group had 4 involved teeth and were divided
in this way: 1) 50% of patients had 2 filled teeth, 1 missed
tooth and 1 crown of tooth; 2) 16% - 2 missed teeth, 1 crown
of tooth and 1 filled tooth; 3) 17% - 2 missed teeth and 2
crowns of tooth; 4) 17% - 4 filled teeth.40% of examined
patients had 3 involved teeth in next combinations: 1) 26%
- 3 filled teeth; 2) 24% - 1 filled tooth, 1 crown of tooth, 1
tooth involved with caries; 3) 23% - 1 filled tooth and 2 tooth
involved with caries; 4) 27% - 2 filled teeth and 1 crown of
tooth.10% of patients had 2 involved teeth: 1) 34% - 2 filled
teeth; 2) 42% - 1 filled teeth and 1 missed teeth; 3) 24%
- 2 filled tooth.
During examination on the dependence determination
between bone teeth destruction development of first and
second molars of lower jaw and complications of acute
odontogenic infection, we found out that first and second
molars were the cause of complications of acute odontogenic
infection for 72 of patients (in 90% of examinations)
what’s close to the special literature data [12]. 1/3 of crowns
«causal» teeth were destroyed for 9 patients (13%), ˝ of
crowns – destroyed for 35 patients (48%), 2/3 of crowns – 32
patients (23%), 7 patients (5%) had completely destroyed
crowns. Results of examinations for teeth bone destruction
dependence on the focal diffusion development of acute
odontogenic infection classified by organs and human body
systems, confirm that patients had complications in 100%
of cases. Distribution of described above complications
for patients with odontogenic mediostinitis are divided ac-
Complications for patients
with odontogenic mediastenitis classified
by organs and body systems
Number
of patients
Cardiovascular system 6 (50%)
Respiratory system 3 (25%)
Digestive system 2 (16,7%)
Nervous system 1 (8,3%)
TaBlE 1. number of complications of odontogenic
mediostitnitis according to the organs and human
body systems.