research-focus Research Focus International Scientific Journal Research Focus 2181-3833 Ilm-fan va innovatsiyalar akademiyasi 10.66073/researchfocus.v5i1.1991 REL-A-013299 14.00.00 MEDICAL AND SOCIAL DETERMINANTS OF ODONTOGENIC PHLEGMON IN ADOLESCENTS OF THE FERGANA REGION: ETIOLOGICAL FACTORS, EPIDEMIOLOGICAL PATTERNS AND PREVENTIVE STRATEGIES МЕДИКО-СОЦИАЛЬНЫЕ ДЕТЕРМИНАНТЫ ОДОНТОГЕННОЙ ФЛЕГМОНЫ У ПОДРОСТКОВ ФЕРГАНСКОЙ ОБЛАСТИ: ЭТИОЛОГИЧЕСКИЕ ФАКТОРЫ, ЭПИДЕМИОЛОГИЧЕСКИЕ ЗАКОНОМЕРНОСТИ И ПРОФИЛАКТИЧЕСКИЕ СТРАТЕГИИ FARG‘ONA VILOYATI O‘SMIRLARIDA ODONTOGEN FLEGMONANING TIBBIY VA IJTIMOIY DETERMINANTLARI: ETIOLOGIK OMILLAR, EPIDEMIOLOGIK QONUNIYATLAR VA PROFILAKTIK STRATEGIYALAR Gulbadanbegim Abdullayeva Sherzodbekovna Central Asian Medical University, International Medical University, Assistant, Department of Dentistry, Burhoniddin Marg‘inoniy Street 64 05 02 2026 2026 5 1 227 235 https://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.

Odontogenic phlegmon represents one of the most severe purulent-inflammatory complications of dental origin, characterized by rapid spread through fascial spaces and high risk of systemic involvement. Adolescents constitute a particularly vulnerable group due to transitional biological processes, behavioral patterns, and limited health awareness. The present article provides a theoretical and analytical synthesis of medical and social determinants contributing to the development of odontogenic phlegmon among adolescents in the Fergana region. Emphasis is placed on etiopathogenesis, age-related susceptibility, regional epidemiological tendencies, and comparative prevalence patterns in Central Asia, Uzbekistan, Europe, and North America. The study is grounded on analysis of peer-reviewed articles, dissertations, and international medical databases. Findings demonstrate that untreated dental caries, delayed access to dental care, inadequate oral hygiene practices, and socioeconomic disparities are principal drivers of odontogenic infections progressing to phlegmon. Preventive strategies require integration of clinical dentistry, public health education, school-based screening programs, and community-level interventions. The article highlights the necessity of multidisciplinary prevention models addressing both biological and social components of disease formation. Strengthening preventive dentistry, improving healthcare accessibility, and promoting adolescent health literacy are essential for reducing disease burden. The presented analysis supports the development of region-specific preventive policies and reinforces the importance of early intervention.

Одонтогенная флегмона является одним из наиболее тяжёлых гнойно-воспалительных осложнений одонтогенного происхождения, характеризующимся быстрым распространением по фасциальным пространствам и высоким риском системного поражения. Подростки представляют особо уязвимую группу вследствие биологических переходных процессов, поведенческих особенностей и ограниченной осведомлённости о здоровье. В статье представлен теоретико-аналитический обзор медицинских и социальных детерминант, способствующих развитию одонтогенной флегмоны у подростков Ферганской области. Рассматриваются вопросы этиопатогенеза, возрастн ой восприимчивости, региональных эпидемиологических тенденций и сравнительные показатели распространённости в Центральной Азии, Узбекистане, Европе и Северной Америке. Исследование основано на анализе научных публикаций, диссертаций и международных медицинских баз данных. Показано, что нелеченный кариес, позднее обращение за стоматологической помощью, недостаточная гигиена полости рта и социально-экономическое неравенство являются ключевыми факторами прогрессирования / одонтогенных инфекций до флегмоны. Эффективная профилактика требует интеграции клинической стоматологии, санитарного просвещения, школьных скрининговых программ и общественных вмешательств. Усиление профилактической стоматологии, повышение доступности помощи и формирование санитарной грамотности подростков являются важными условиями снижения бремени заболевания.

Odontogen flegmona — tish kelib chiqishli yiringli-yallig‘lanish asoratlarining eng og‘ir turlaridan biri bo‘lib, fassial bo‘shliqlar bo‘ylab tez tarqalishi va sistemali asoratlar xavfining yuqoriligi bilan tavsiflanadi. O‘smirlar biologik o‘tish davri, xulq-atvor omillari va sog‘liq bo‘yicha xabardorlikning yetarli emasligi sababli ayniqsa zaif guruh hisoblanadi. Mazkur maqolada Farg‘ona viloyatida o‘smirlar orasida odontogen flegmona rivojlanishiga ta‘sir qiluvchi tibbiy va ijtimoiy determinantlar nazariy-analitik tahlil qilinadi. Etiopatogenez, yoshga xos moyillik, mintaqaviy epidemiologik tendensiyalar hamda Markaziy Osiyo, O‘zbekiston, Yevropa va Shimoliy Amerikadagi tarqalish ko‘rsatkichlari qiyosiy ko‘rib chiqiladi. Tadqiqot PubMed, Scopus, Web of Science, Google Scholar kabi bazalar va mintaqaviy manbalardagi ilmiy adabiyotlar tahliliga asoslangan. Natijalar davolanmagan kariyes, stomatologik yordamga kech murojaat qilish, og‘iz gigiyenasi yetishmasligi hamda ijtimoiy-iqtisodiy tafovutlar odontogen infeksiyalarning flegmonaga o‘tishidagi asosiy omillar ekanini ko‘rsatadi. Profilaktika klinik stomatologiya, jamoat salomatligi ta‘limi, maktab skriningi va hamjamiyat darajasidagi aralashuvlarni uyg‘unlashtirishni talab etadi. Erta aralashuv, profilaktik stomatologiyani kuchaytirish va o‘smirlar sog‘liq savodxonligini oshirish kasallik yukini kamaytirishda muhimdir.

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