The aim of this article is to review and combine scientific studies on the condition of periodontal and oral hygiene in patients with jaw fractures during the immobilization period using different methods.
Background: This review article briefly discusses the essence of research devoted to the study of periodontal and oral hygiene in the period of immobilization in patients with jaw fractures. Despite that the practice is implemented at a number of new methods of treatment of jaw fractures, splinting is still one of the main methods in many countries. The essential drawbacks of the existing methods of intermaxillary fixation, particularly dental arch bars and ligatures, are negative influence on periodontium, complicated hygiene, non-balanced muscular loading, pain and psychological discomfort to the patient etc, which requires a search for alternative methods.
Results: An electronic search was conducted across PubMed, Elsevier, Google scholar, Google search, Research Gate, Ebsco Host, dissercat.com, medical-diss. com, cyberleninka.ru and other possible sites for the purpose of literature analysis on the mentioned topic in Russian and English. The studies were reviewed and compared. This article summarizes the recent advances about oral conditions during treatment jaw fractures.
Conclusion: Along with the main treatment, the oral cavity sanation, the condition of oral hygiene and periodontal disease are fundamental factors for the successful treatment of patients with mandibular fractures. In the period of immobilization, along with the main treatment, it is necessary to pay attention to a complex of measures to improve oral hygiene and prevent the progression of inflammatory and destructive changes in periodontal tissues in patients with inflammatory periodontal disease in combination with jaw fractures.
Clinical significance: The high prognostic significance of the periodontal status of these patients explains the need for timely and accurate diagnosis of this condition. Comprehensive care for the oral cavity prevents the progression of destructive processes in periodontal tissues and reduces the risk of complications and creates optimal conditions for a favorable outcome of mandible fractures during the treatment.