OBJECTIVE

The purpose of the study is to substantiate the need and importance of early diagnosis and treatment of oral lesions in infectious diseases (ID) by dentists.

MATERIAL AND METHODS

A retrospective analysis of the provision of dental care in multi-specialty hospitals to 780 patients with infectious pathology: herpetic infections (HI) — 320 people (41.03%); ARVI — 160 people (20.51%); acute enteric infections (AEI) — 300 people (38.46%). The diagnosis of the disease was established by infectious diseases doctors. The etiology of ID was confirmed using PCR and IFA.

RESULTS

The prevalence of caries is 98.5%, the CPEs index is 10.26±0.04. In 84.1% of patient’s oral hygiene was unsatisfactory. In the acute period of ID in HI, ARVI and AEI oral mucosa (OM) lesions were detected in 75.89% of cases: stomatitis (81.75%), gingivitis (69.76%), glossitis (35.98%), cheilitis (23.31%). Incidence of OM lesions in ID: catarrhal stomatitis — HI — 52.8%, ARVI — 64.1%, AEI — 67.9%; catarrhal gingivitis: in patients with HI, it is 1.7 times less frequent than in patients with AEI (p<0.001), and in ARVI — 1.6 times more often than in patients with HI (p<0.001). Cheilitis: HI — 25.9%, ARVI — 18.3%, AEI — 23.7%; catarrhal glossitis: AEI — 65.1%, ARVI — 23.2%, HI — 17.0%; candidiasis of the oral mucosal and tongue: HI — 11.1%, ARVI — 27.5%, AEI — 26.9%. A direct relationship between the lesions of OM and the severity of the course of HI, ARVI and AEI was established.

CONCLUSION

Thus, dental pathology in infectious patients is pathogenetically determined by combined and interrelated disorders of the functional state of each organ of the oral cavity, the dental system and the body as a whole. Due to the relatively short duration of inpatient treatment for acute ID, priority should be given to the prevention of postinfectious complications of oral mucosal diseases.