The effectiveness of a dental gel with barberry extract in the treatment of plaque-induced gingivitis in orthodontic patients undergoing treatment with fixed appliances

Objectives. The immune response and the nature of the oral microflora in children with congenital cleft lip and palate (CLP) has its own characteristics, which are mainly determined by the anatomical and functional characteristics of the tissues in general and the insufficiency of immune system cells in particular. In recent years, the arsenal of physiotherapeutic treatment methods used in maxillofacial surgery has significantly expanded, which makes it possible to reduce the severity of clinical manifestations and reduce the incidence of disease complications. Purpose. To evaluate the effectiveness of magnetic laser therapy and herbal medicine in the form of lozenges on the microflora of the oral cavity in the postoperative period after uranoplasty in children with congenital cleft palate. Methodology. We examined 150 children aged 2–5 years with congenital cleft palate and 45 healthy children to clarify clinical and laboratory standards. Depending on the treatment, a group of 150 children with congenital cleft palate was divided into 4 subgroups. At the first stage of the study, all children underwent oral fluid collection and a swab from the oral cavity. Results. It was revealed that in children, when using lollipops with herbal medicine, the microflora significantly improved, as well as in comparison with groups in which MLT and MLT + herbal medicine were used in therapy. When the microflora of the oral cavity is normalized, reparative processes improve, and the postoperative wound regenerates in a short time without infection. Conclusions. Pain in the soft palate and pharynx during swallowing and eating persisted until the seventh day in children without the use of additional local therapy. When using the local therapy we proposed, the manifestations of inflammation in the area of the postoperative wound were less pronounced and disappeared on the third to fifth day.

Application of Magnetolaser and Phytotherapy in the Prevention of Postoperative Complications After Uranoplasty

Chuykin,

Kudashkina,

Chuykin

et al. 2024

Evaluation of the Effectiveness of a Complex Prevention System for Complications After Uranoplasty in Children With Congenital Cleft Palate

Chuykin,

Bilak,

Davletshin

et al. 2024

Objectives. The outcome of a successful operation on plastic surgery of a congenital cleft palate depends not only on the technically correct performance of uranoplasty by surgeons, but also on preoperative and postoperative management. Before the operation of uranoplasty, oral cavity sanitation is certainly important and there are effective methods of preoperative preparation of patients, but there are few effective methods of local therapy in the postoperative period, therefore we decided to use a complex of complications prevention, including local herbal medicine and magnetolaser therapy. Purpose. To evaluate the effectiveness of complex prevention of complications after uranoplasty in children with congenital cleft palate, including local herbal medicine and magnetic laser therapy in the early postoperative period. Methodology. The study involved 150 children with congenital cleft palate, who were divided into 4 groups depending on the complex of complications prevention after uranoplasty. In group 1 there were 45 children, whose postoperative observation was standard. In group 2 there were 45 children who were given local phytotherapy with a patented phytocomplex. In group 3 there were 30 children who underwent magnetolaser therapy in the postoperative period. In group 4 there were 30 children, in the complex of complications prevention after uranoplasty for whom local phytotherapy and magnetolaser therapy were included. The following were assessed on the 10th day after the operation: the condition of the postoperative wound, complications after uranoplasty, determination of physicochemical, biochemical and immunological parameters of oral fluid, cytology of smears-imprints, features of capillary blood flow using the laser Doppler flowmetry method, nasopharyngoscopy. Results. In the group of children who were treated with the patented local phytotherapy with a prolonged-action phytocomplex and magnetolaser therapy in the early postoperative period, the condition of the postoperative wound was clinically and cytologically without wound inflammation, the most significant improvement was in the indices of oral fluid and capillary blood flow, according to nasopharyngoscopy data, complete closure occurred 10 days after uranoplasty.

Predictors of Congenital Cleft Lip and Palate in Children in a Region of Environmental Disadvantage

Chuykin,

Davletshin,

Bilak

et al. 2024

Objectives. Congenital defects in children are an indirect indicator of the ecological well-being of a region. Benz(a)pyrene and formaldehyde are substances of class I and II hazard to the human body, have embryotoxic properties and cause congenital defects at elevated peak concentrations in the environment, which can be considered as predictors of congenital clefts of the lip and palate. Purpose. To determine predictors of congenital cleft lip and palate in children in a region of ecological disadvantage. Methodology. 5,570 medical records of children diagnosed with congenital cleft lip and palate were analyzed. Data from the “State Report on the State of Natural Resources and the Environment of the Republic of Bashkortostan in 2023” and the level of toxic substances in the atmospheric air in various regions were analyzed. Results. A comparative assessment of the clinical and anatomical forms of congenital clefts of the lip and palate in children in the Republic of Bashkortostan showed a high percentage of more severe types of congenital defects, namely cleft palate – 41.10% and combined cleft lip, alveolar process and palate – 33.17%. Severe clinical and anatomical forms of congenital clefts – cleft palate and combined cleft lip, palate and alveolar process were in 78.77% (2556 children) of cases in areas with high levels of pollutants in the atmospheric air, and 68.0% (1581 children) in areas with normal levels of pollutants in the air. Conclusions. The peaks of the increase in MAC and the presence in the environment of embryotoxic substances such as benz(a)pyrene and formaldehyde, entering the mother's body before planning pregnancy and during the period of gestation can be considered as predictors of the occurrence of congenital clefts of the lip and palate and more severe clinical and anatomical forms of the defect.