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Comparative analysis of the effectiveness of the oral mucosa traumatic lesion treatment in patients with a comorbidity

https://doi.org/10.33925/1683-3759-2021-26-3-229-233

Abstract

Relevance. Patients with diabetes are prone to complications which negatively affect their quality of life. In such patients, several comorbidities may develop. One of the complications of diabetes mellitus is an impaired wound healing. Oral wound healing associated with the constant chronic trauma by sharp edges of teeth and prostheses is not an exception. Such wounds are characterized by a long, persistent, sluggish process of restoring the integrity of the oral mucosa epithelium.
Materials and methods. In this paper, a comparative analysis of the effectiveness of wound treatment was carried out in 52 patients with diabetes mellitus. All patients were randomized into two equal groups. In the first group of patients, wounds were treated with traditional methods of pharmacotherapy, while in the second group, the oral mucosa was exposed to ozone and ozonated oil was applied. The patients were monitored and followed up for 14 days and as the reparative function was restored. The area and depth of the wound, the nature and amount of exudate, destruction, the edges of the wound and the surrounding connective tissue were taken into account.
Results. The positive wound healing process was noted in both groups during the follow-up period. However, the inclusion of the ozone therapy in the treatment protocol favored faster restoration of the epithelium integrity.
Conclusion. The present data will help dentists monitor and treat the wound process, which in turn will prevent malignancy as well as improve the prognosis for patients with diabetes.

About the Authors

Yu. A. Makedonova
Volgograd State Medical University; Volgograd Medical Scientific Center
Russian Federation

Yuliya А. Makedonova, MD, PhD, DSc, Associate professor, head of the Department of dentistry of the Institute of continuing medical and pharmaceutical education; Senior Research Officer

Volgograd 



S. V. Poroyskiy
Volgograd Medical Scientific Center
Russian Federation

Sergey V. Poroyskiy, MD, PhD, DSc, head of the Pathology modeling laboratory

Volgograd 



L. M. Gavrikova
Volgograd State Medical University
Russian Federation

Lyudmila M. Gavrikova, MD, PhD, associate Professor at the Department of dentistry of the Institute of continuing medical and pharmaceutical education

Volgograd 



О. Yu. Afanaseva
Volgograd State Medical University
Russian Federation

Оlga Yu. Afanaseva, MD, PhD, Associate Professor at the Department of dentistry of the Institute of continuing medical and pharmaceutical education

Volgograd 



S. V. Dyachenko
Volgograd State Medical University
Russian Federation

Svetlana V. Dyachenko, assistant professor at the Department of dentistry of the Institute of continuing medical and pharmaceutical education

Volgograd 



E. S. Aleksandrina
Volgograd State Medical University
Russian Federation

Ekaterina S. Aleksandrina, Assistant Professor at the Department of dentistry of the Institute of continuing medical and pharmaceutical education

Volgograd 



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For citations:


Makedonova YA, Poroyskiy SV, Gavrikova LM, Afanaseva ОY, Dyachenko SV, Aleksandrina ES. Comparative analysis of the effectiveness of the oral mucosa traumatic lesion treatment in patients with a comorbidity. Parodontologiya. 2021;26(3):229-233. (In Russ.) https://doi.org/10.33925/1683-3759-2021-26-3-229-233

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ISSN 1683-3759 (Print)
ISSN 1726-7269 (Online)