DOI:

10.37988/1811-153X_2022_4_56

The effectiveness of a three-stage routing scheme for patients with lichen planus of the oral mucosa

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Authors

  • V.V. Shkarin 1, PhD in Medical Sciences, associate professor and head of the Public health and health care Department
    ORCID ID: 0000-0002-4009-9733
  • Yu.A. Makedonova 1, 2, PhD in Medical Sciences, associate professor of the Dentistry Department; senior researcher of the Habilitation and rehabilitation Laboratory
    ORCID ID: 0000-0002-5546-8570
  • S.V. Dyachenko 1, assistant at the Dentistry Department
    ORCID ID: 0000-0002-5526-8130
  • L.M. Gavrikova 1, PhD in Medical sciences, associate professor of the Dentistry Department
    ORCID ID: 0000-0001-7063-2132
  • D.A. Belonozhkina 1, 5th year student at the Dental Faculty
    ORCID ID: 0000-0001-9611-179X
  • I. Yavuz 3, Ed.D., professor, lecturer of the Faculty of Medicine
    ORCID ID: 0000-0001-6953-747X
  • 1 Volgograd State Medical University, 400131, Volgograd, Russia
  • 2 Volgograd Medical Research Center, 400131, Volgograd, Russia
  • 3 Dicle University, 21280, Diyarbakir, Turkey

Abstract

The problem of effective routing of patients with lichen planus of the oral mucosa remains relevant. The goal is to supplement and systematize the routing scheme of patients with this pathology and evaluate its effectiveness. >. The study involved 32 patients who applied to dental medical organizations (StMO) of level I, 36 patients observed in StMO of level II, 46 patients from StMO of level III who were randomized into 3 groups: Group I — patients who applied to StMO of level I and to whom generally accepted methods of patient management were applied; Group II — monitoring of patients was carried out in StMO level II with the use of conventional treatment, group III — patients from StMO level III, to whom their own original management methodology was applied. >. On the 3rd day of therapy, the severity of pain syndrome (1.43 points) was significantly lower in group III both in relation to the indicators before treatment (2.84 points) and relative to the indicators of the control group (1.85 points, p<0.05). There was also a difference in the severity of the intensity of edema and hyperemia, which in patients of group III became 1.2 times less from the start of treatment and 1.05 times less than in patients of the control group. This trend continued at all periods of observation. When monitoring the course of lichen planus in patients observed at the place of residence, positive dynamics was revealed, however, 38 patients due to the ineffectiveness of treatment, according to the routing scheme, were sent to dental medical organizations of the III level, where clinical stabilization of the process was achieved using digital monitoring and treatment methods. >. A comparative clinical study determined the effectiveness of the routing scheme to improve the quality of dental care for patients with lichen planus of the oral mucosa.

Key words:

oral lichen planus, routing scheme, erosive and ulcerative lesions, telemedicine technologies

For Citation

[1]
Shkarin V.V., Makedonova Yu.A., Dyachenko S.V., Gavrikova L.M., Belonozhkina D.A., Yavuz I. The effectiveness of a three-stage routing scheme for patients with lichen planus of the oral mucosa. Clinical Dentistry (Russia).  2022; 25 (4): 56—63. DOI: 10.37988/1811-153X_2022_4_56

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Received

September 8, 2022

Accepted

October 23, 2022

Published on

December 21, 2022