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PRACTICAL REFERENCES

1. bisfosfonatnyh osteonecroses of jaws from additional methods of research it is expedient to apply to diagnostics MSKT since the given method of research gives the fullest information on the size of the pathological centre, its relation to the anatomically-important formations, presence and degree of formation of sequesters.

2. At treatment bisfosfonatnyh osteonecroses of jaws carrying out of surgical interventions before the termination of formation of sequesters in connection with high risk of development of the new centres of an osteonecrosis in the postoperative period is not recommended.

3. For treatment and preventive maintenance bisfosfonatnymi osteonecroses of jaws it is necessary to use ozonogenerator, productivity 2 l/min ozonoyovozdushnoj admixtures where concentration of ozone makes 0,261mg/м3.

4. For stimulation of formation of sequesters, cupping of an inflammation and a painful syndrome effectively carrying out of treatment with application of local ozonotherapy: courses from 10 daily procedures, in for 2-3 minutes (depending on an osteonecrosis stage), with a break between courses - 5 weeks.

5. Dynamic observation of the patients receiving therapy bisfosfonatami, at the doctor-stomatologist for timely elimination of the chronic centres of a dontogenous infection, elimination of an occlusal trauma and correction of demountable prostheses for development preventive maintenance bisfosfonatnogo an osteonecrosis of jaws Is recommended.

6. In need of carrying out of surgical interventions at the patients receiving therapy bisfosfonatami, it is recommended to spend interventions in coordination with the treating doctor-oncologist, to use anaesthetics with

140 lowered maintenance of adrenaline, excisions to spend noninvasively, to take in the small cavities, to prescribe antibacterial therapy and an ozonotherapy course in the postoperative period, duration of sessions on 2 mines within 10 days. A removal of sutures not earlier than for 14 days.

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Scientific source ZASLAVSKAYA NATALIA ALEKSANDROVNA. OPTIMIZATION of PREVENTIVE MAINTENANCE And TREATMENT BISFOSFONATNYH of OSTEONECROSES of JAWS At PATIENTS WITH MALIGNANT NEOPLASMS. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

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