OPTIMIZATION OF SURGICAL TREATMENT METHODS FOR MAXILLARY ODONTOGENIC PERIOSTITIS: A COMPARATIVE CLINICAL ANALYSIS

Abstract

Maxillary odontogenic periostitis is one of the frequent purulent inflammatory diseases encountered in dental and oral-maxillofacial surgical practice. The clinical significance of this pathology is related not only to pain, edema and functional discomfort, but also to the risk of spreading infection to adjacent anatomical spaces, the maxillary sinus and soft tissues of the face. The aim of this article was to substantiate and evaluate an optimized surgical approach for the treatment of maxillary odontogenic periostitis based on adequate source control, controlled drainage and preservation of the mucogingival transitional fold. The study included 30 patients with acute purulent odontogenic periostitis of the maxilla who were examined and treated at the Andijan Regional Multidisciplinary Medical Center. Patients were divided into two comparable groups according to the method of surgical treatment. The main group underwent optimized surgical drainage with preservation of the transitional fold and atraumatic management of periosteal tissues, whereas the comparison group was treated using conventional incision and drainage. Clinical assessment included pain intensity, edema regression, quality of drainage, wound healing, need for repeated intervention and duration of recovery. The optimized approach demonstrated more rapid pain reduction, better drainage stability, earlier epithelialization and fewer local complications. The obtained results indicate that individualized surgical tactics aimed at maintaining anatomical integrity of the vestibular fold may improve functional and clinical outcomes in patients with maxillary odontogenic periostitis.