[Simultaneous treatment of small children with the combined otolaryngological and dental pathology].

Eighteen children 2-4 years old with combined dental-and-otorhinolaryngologic pathologies were examined and treated. The children had the following otorhinolaryngologic pathologies: third-degree adenoid hypertrophy in 14 (77.8%) patients, second/third-degree adenoid hypertrophy and second/third-degree tonsil hypertrophy in 4 (22.2%) patients, and snoring in 7 (38.9%) patients, two (11.1%) of whom suffered from obstructive sleep apnea syndrome. The dental pathologies were: ankyloglossia in 8 (44.4%) patients, milk teeth caries in 7 (38.9%) of patients, milk teeth pulpitis in 6 (33.3%) of patients, and chronic milk teeth periodontitis in 3 (16.7%) patients. All children underwent general clinical treatment, otorhinolaryngologic examination, and in-patient dental examination during preparation to surgical endoscopic treatment of the otorhinolaryngologic pathology. In children with aggravated chronic periodontitis, the inflammatory process was alleviated prior to surgery, the tooth was opened and its channels were washed with antiseptic solution. Surgery was performed in a single step. Dental manipulations were performed upon intubation anesthesia. Therapeutic dentistry was performed using the W&H Dentalwerk Buermoos portable dental system. Otorhinolaryngologic treatment involved endoscopic adenotomy and tonsillotomy (in 4 children). Post-surgical examination 1 and 7 days upon intervention and a catamnesis study 6 months after surgery revealed high efficiency of the treatment.