Dentist № 2 (53) – 2024, pp. 31-34                                                                                                                        SCIENTIFIC PUBLICATION

The effectiveness of the use of osteoplastic material in the surgical treatment of patients with radicular cysts of the jaws

Yu.V. Efimova, E.Yu. Efimovab, K.A. Aleshanovb

aMD, PhD,  DMSci, Professor, Volgograd State Medical University, Volgograd, Russia
bMD, PhD, Associate Professor, Volgograd State Medical University, Volgograd, Russia

ABSTRACT
The aim of the study. To study the use of osteoplastic material “KollapAn” in the surgical treatment of patients with perihilar cysts of the jaws.
Objects and methods. We observed 136 patients operated on for perihilar cysts of the jaws. Diagnosis of destructive changes in the periapical region was based on radiological data. All patients were divided into two clinical groups, which were identical in quantitative and qualitative composition. The operation was performed while preserving the anatomical shape of the tooth. Dynamic observation was carried out 3, 6, 9 months after surgery.
Results and discussion. In the immediate postoperative period, 7 (10.29 %) patients of the first clinical group experienced suture dehiscence and suppuration of a blood clot. For small cysts in both clinical groups, the postoperative period proceeded smoothly and healing of the postoperative wound was noted on the 7th – 9th day. 3 months after surgery, no clinical signs of local inflammatory process were observed in patients of both clinical groups. 6 months after the operation, in the first clinical group, a slight decrease in the size of the bone defect was observed radiographically due to an increase in the area of reduced transparency of its parietal shadow. After 9 months, in the first group, an uneven increase in the density of the shadow of the bone defect was observed radiographically, but the bone pattern was not traced throughout.
Conclusion.  In the surgical treatment of patients with medium-sized perihilar cysts of the jaws, the use of a blood clot to fill a bone defect is not very effective and should be limited. The osteotropic drug “KollapAn-L” is an effective means of not only preventing inflammatory complications in the postoperative period, but also helps to activate osteoreparative processes in the bone defect.

Keywords: jaw cysts, cystectomy, osteoplastic materials

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