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