ON THE CLASSIFICATION OF ODONTOGENIC INFLAMMATORY DISEASES

Azimov M., Rizaev J. A., Azimov A. M.

DENTISTRY

Scentific article

The incidence of odontogenic infection is one of the brightest criteria that characterize the overall state of dental care for the population. Unfortunately, in spite of its increased level, the number of complications of acute inflammatory processes of the maxillofacial region (MFR) is sharply increasing. According to the data of the 3rd clinic of the Tashkent Medical Academy, over the past 10 years, the incidence of inflammatory diseases of the MFR has doubled in both adults and children. Noteworthy is the fact of the growth of severe and aggressive formsof the course of odontogenic inflammatory diseases of the MFR. Odontogenic inflammatory diseases of the maxillofacial region account for about 25-30% of all dental diseases. They occupy up to 50% of the bed fund of specialized maxillofacial surgery clinics. In the clinics of pediatric and adult maxillofacial surgery of the Tashkent State Dental Institute, up to 3,000 patients with odontogenic inflammatory diseases of the maxillofacial region are treated annually. Based on long-term observations, the authors propose a new approach to the classification of odontogenic inflammatory disease of the maxillofacial region. The proposed classification of odontogenic inflammatory diseases developed in the TSDI is adapted to the ICD10 classification, is fully consistent with the clinical picture and pathomorphological changes in the tissues of the maxillofacial region, with all forms of odontogenic inflammatory diseases, which will allow practitioners to clearly formulate the patient’s disease nosology and develop a standard for timely comprehensive treatment and conduct true statistical processing of the material. The pathology of each anatomical structure is considered as a form of the disease – inflammation of the pulp – pulpitis, periodontal disease – periodontitis, bone tissue within the periodontium of the tooth – osteitis, jaw bone – osteomyelitis. Odontogenic inflammatory processes of the soft tissues and cellular spaces adjacent to the bones of the maxillofaci al region (periostitis, abscesses and phlegmon) are not distinguished as separate nosological forms since they are a complication of osteitis or osteomyelitis and manifest themselves as signs of an underlying disease

osteomyelitis, periostitis, abscess and phlegmon, classification of inflammatory diseases.

1. Bayrikov IM, Monakov VA, Savel’yev AL, Monakov DV. Klinicheskiy analiz zabolevayemosti odontogennymi flegmonami chelyustno-litsevoy oblasti po dannym otdeleniya chelyustno-litsevoy khirurgii klinik Samarskogo gosudarstvennogo meditsinskogo universiteta. Meditsinskiy zhurnal prikladnykh i fundamental’nykh issledovaniy. 2014;11:100-4. [in Russiаn].
2. Bezrukov VM, Robustova TG. Rukovodstvo po khirurgicheskoy stomatologii i chelyustno-litsevoy khirurgii. M.: Meditsina; 2000. s. 220-43. [in Russiаn].
3. Chow AW. Infections of the oral cavity, neck and head. In: Principles and Practices of Infectious Diseases, 8, Mandell GL, Dolin R, Blaser MJ (Eds). Elsevier Churchill Livingstone, Philadelphia. 2014. p. 789.
4. Mesgarzadeh AH, Ghavimi MA, Gok G, Zarghami A. Infratemporal space infection following maxillary third molar extraction in an uncontrolled diabetic patient. J Dent Res Dent Clin Dent Prospects. 2012;6:113.
5. Kulakov AA. Khirurgicheskaya stomatologiya i chelyustno-litsevaya khirurgiya. Natsional’noye rukovodstvo. pod redaktsiyey Robustovoy TG, Nerobeyeva AI. M.: GEOTAR-media; 2010. Kn. «Terapevticheskaya stomatologiya»: natsional’noye rukovodstvo (pod redaktsiyey Dmitriyevoy LA, Maksimovskogo YuM. M.: GEOTAR- media; 2009. s. 415-63. [in Russiаn].
6. Pokhodenko-Chudakova IO. Kazakova YuM, Verbitskaya AA. Sistemnyy vospalitel’nyy otvet pri odontogennykh gnoyno-vospalitel’nykh protsessakh chelyustno-litsevoy oblasti. Sovremennaya stomatologiya. 2011;2:75-6. [in Russiаn].
7. Khasanov AI. Novyye aspekty patogeneticheskoy terapii vospalitel’nykh zabolevaniy chelyustno-litsevoy oblasti u detey [avtoreferat]. Tashkent, 2010. s. 34. [in Russiаn].
8. Shomuradov KE. Optimizatsiya lecheniya bol’nykh odontogennymi flegmonami chelyustno-litsevoy oblasti metodom ispol’zovaniya nizkochastotnogo ul’trazvuka. Konferentsiya molodykh uchonnykh TMA-Tashkent. 2011. s. 412-3. [in Russiаn].
9. Ivanova YeV. Vospaleniye pul’py zuba v kn. Terapevticheskaya stomatologiya”: natsional’noye rukovodstvo (pod redaktsiyey Dmitriyevoy LA, Maksimovskogo YuM. M.: GEOTAR-media; 2009. s. 392-414. [in Russiаn].

«Bulletin of problems biology and medicine» Issue 4 Part 1 (153), 2019 year, 278-282 pages, index UDK 616.31.-089-617.52+6.16-006-002-0531

10.29254/2077-4214-2019-4-1-153-278-282