STATE OF MICROCIRCULATION OF PERIODONTAL TISSUES IN CHILDREN WITH MANDIBULAR FRACTURES
Annotatsiya
The principle of treatment of mandibular fractures (MF) in children, as well as in adults, consists in the reduction and reliable fixation of bone fragments in the correct position for the entire healing period. The choice of the method of immobilization in the treatment of MF is the most difficult in childhood. In practice, immobilization with the help of Tigestedt's splints (1915) is more often used, although it has a number of disadvantages, the most significant of which are: a negative effect on periodontal tissues, a significant deterioration in the level of oral hygiene and the quality of life of patients. The prolonged presence of ligatures in the area of the necks of the teeth and trauma to the papillary and marginal parts of the gums, as well as the unsatisfactory state of oral hygiene in the treatment of MF in children using the traditional method of splinting provoke exacerbation of inflammatory processes in the periodontal tissues and lead to a deterioration in the state of microcirculation and trophism of tissues. The exclusion of traumatism of periodontal tissues during immobilization, as well as a satisfactory state of oral hygiene can contribute not only to reducing treatment complications, but also to reduce the rehabilitation period for patients with MF.