Modern Methods of Patients’ Examination with Traumatic Jaw Injuries

Abstract

Purpose: To determine the possibility of using cytological methods for examining prints taken from the mucous membrane of the alveolar process of a jaw in the area of the bone injury, to determine the effectiveness of the treatment of patients with jaw fractures.

Materials and Methods: We examined 43 patients with jaw fractures. All patients were divided into the following observation groups: group 1 – 19 patients with fractures of the maxilla; group 2 – 24 patients with fractures of the mandible. As a control group served 27 practically healthy people.

Results and Discussion: For patients with post-traumatic complications, it was characteristic that on the 3-4th day after the injury (with early purulent complications) there was an increase in the studied parameters by 1.5-2 times, and similarly on the 7-8th day of treatment – with late purulent complications (post-traumatic osteomyelitis). The normalization of these indicators in patients with developed complications occurred only after the complete elimination of inflammatory phenomena both in the bone tissue and soft tissues.

Conclusions: The study of cytological and cytochemical parameters in prints taken from the mucous membrane of the alveolar process in the area of the fracture allows both to determine the effectiveness of the treatment and to predict the course of the disease.