PURPOSE

Reducing the severity of inflammatory symptoms (pain, edema, contracture of masticatory muscles) after surgical dental interventions in the oral cavity is still an urgent problem in modern dentistry. One of the promising methods of postoperative rehabilitation is the use of nutritional support in various forms in clinical practice. Based on this, the purpose of this study was to evaluate clinical and laboratory parameters in patients using nutritional support during surgical dental operations.

MATERIALS AND METHODS

The study included 63 patients who underwent complex extraction of an impacted or semi-impacted mandibular third molar. To assess the impact of nutritional support, clinical indicators were assessed — pain on a visual analog scale, collateral edema on a scale from 0 to 2. Laboratory parameters were also assessed in mixed saliva — the content of C-reactive protein, secretory immunoglobulin A, cortisol by enzyme immunoassay and alpha-amylase activity by the spectrophotometric method and laboratory parameters in peripheral blood — the number of leukocytes, the content of cortisol and urea.

RESULTS

Evaluation of clinical and laboratory data was carried out in the perioperative period from the day of surgery to 14 days after surgery, during which the proposed scheme for the use of nutritional support proved to be an effective method of postoperative rehabilitation, improving the course of the postoperative period, reducing the severity of inflammation and not causing significant metabolic changes.

CONCLUSION

The analysis of the obtained results indicates the effectiveness of the proposed scheme of perioperative management of patients with the inclusion of a sip form of nutritional support during outpatient operations in the oral cavity.