Study of Changes in the State of Local and General Nonspecific Resistance of the Organism in Patients with Odontogenic Maxillary Sinusitis at Galvanic Pathology in the Oral Cavity

Abstract

Purpose: To determine the state of local and general nonspecific resistance of the organism in the dynamics of surgical treatment of patients with odontogenic maxillary sinusitis in the presence of galvanic pathology in the oral cavity and to clarify the causes of development of postoperative inflammatory complications. Methods: We examined 56 patients with odontogenic maxillary sinusitis in the dynamics of surgical treatment (sparing highmorotomy) in the presence of fixed metal dentures in the oral cavity. The age of the patients ranged from 29 to 58 years. Results: In patients with odontogenic maxillary sinusitis with the presence of oral cavity galvanosis (atypical and typical forms), i.e. in the subjects of the II observation group, gingivitis was detected in almost 100% of cases, which were located in the area of fixed metal dental prostheses. The most pronounced inflammatory phenomena in the oral cavity were in subjects with stamped-soldered metal constructions, as well as in patients with chromium-cobalt (chromium-nickel) metal inclusions or in persons with defects in the metal-protective coating with titanium nitride (areas of damage and abrasion of titanium nitride metal-protective coating). Conclusions: On the basis of the conducted examination of patients with odontogenic maxillary sinusitis in the presence of galvanic pathology in the oral cavity, it was found that in some forms of this pathology, i.e. galvanosis, there is a decrease in local and general nonspecific resistance of the body, which in turn leads to the development of inflammatory complications in the maxillary soft tissues (in 100%) and in the bone wound of the jaw, i.e. osteomyelitis (in 34.6%).