抄録
There are some cases with oral phlegmon that were difficult to heal. We considered that some factor in reference to resistant cases and examined the influence of general and local status on the therapeutic effect. The subjects were 76 patients who were hospitalized with oral phlegmon from January 1981 to January 1990. We investigated Tp, Alb, Hb, Hct, RBC, age, underlying disease, severity of disease, degree of obesity, dietary intake, causal lesion and teeth, the extent of inflammation, and the duration from the onset to the first visit in relation to the therapeutic term.
As a result of a lower Alb value, the therapeutic term lasted longer, and resistant cases were frequently found in middle and old age. RBC, Hb and Hct were not correlative with the curing term. Body temperature and WBC, according to severity of disease, were not correlative either. There were no patients with underlying disease that prolonged therapeutic term in this study.
For the patients who had phlegmon following teeth extraction or pericoronitis, it took a long term to be cured. The causal teeth of the lower jaw were approximately four times as many as those of the upper jaw. Especially the lower molars were genetic teeth of the cases who were hard to cure. The extent of inflammation was not correlative with the curing term. The longer the duration from the onset to the first visit is, the longer the therapeutic term lasted.
There are many matters for therapy in relation to aged or poor nutritional patients, so we thought anew that nutritional supply was important in therapy for infection in particular. It was considered that the treatments before the first visit would be important factors related to the curing term as well. Therefore we considered that the therapeutic effect was under the influence of Alb, as well as age, in a general status of routine examinations.
