OPTIMIZATION OF REHABILITATION OF PATIENTS WITH FUNGAL AFFECTION OF ORAL MUCOSA WHO USE REMOVABLE LAMINAR DENTURE WITH THE TOTAL ABSENCE OF TEETH

Abstract

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Fungal lesions of the oral mucosa are often caused by fungi of the Candida albicans genus. Oral moniliasis in adults is usually accompanied with severe somatic pathology. In case of various endocrinopathies changes of the oral mucosa are observed as trophic disorders. There are disturbances in the mucosa in patients with diabetes mellitus, which reduces the capillary resistance in the tissues of the oral cavity and increases vascular permeability. Increasing the concentration of glucose in the saliva may contribute to the growth of microflora, particularly the Candida albicans genus, high concentration of plaque on prostheses. The old due to lower immunity, pregnant women, persons suffering from endocrine diseases and blood diseases, patients who undergo antibiotic therapy or radiation therapy, may be exposed to oral moniliasis. Candidiasis can be acute or chronic, superficial and profound, localized and generalized. But whatever candidiasis it is particularly affecting the quality of life of patients using removable laminar dentures in the absence of teeth. This will be added with a so-called "greenhouse" and "vacuum" effect. Purpose of the work was to optimize the treatment of patients using removable laminar dentures with the absence of teeth against candidiasis. Materials and methods of the study: we treated two people (women 71 and 74 years old) with complaints about dryness, soreness of oral mucosa, burning sensation, hyperemia of the hard palate mucosa, and sores in the corners of mouth. In both cases, the patient used removable laminar dentures in the absence of teeth lasting from 7 to 11 years changing them two times. We have conducted a laboratory study of scrapings from the mucous membrane, consultation of a therapist, general preliminary treatment with Diflucan (capsules) of 50-100 mg 1 time per day for 10 days, vitamin therapy (vitamins of B complex, vitamin C, PP), antihistamines. Topical treatments includes applications of 1% solution of clotrimazole, lubrication of sores in the corners of mouth with 5% levorin ointment, alkalizing a mouth cavity - rinsing with 2% solution of sodium bicarbonate, application solution of borax in glycerine. In the setting of the overall condition improvement there was an orthopedic treatment: manufacture of removable plate dentures made of "Phtorax" plastic using traditional technology. Results: the observation of patients within 2 months after the prosthesis care with CDA showed positive dynamics of adaptation processes. Conclusions: the medical tactics for candidiasis of the oral mucosa provides a thorough examination of the patient, general and local activities, elimination of existing foci of chronic infections, rational prosthesis, diet, oral hygiene.