Vol 27, No 2 (2024): Опубликован 28.06.2024
- Year: 2024
- Articles: 15
- URL: https://new.vestnik-surgery.com/index.php/2070-9277/issue/view/220
Full Issue
Articles
Gingivitis against the background of the use of metal alloys in the oral cavity: the use of gels containing bacteriophages
Abstract
Gingivitis is one of the most common complications in patients undergoing orthodontic treatment. Since various types of alloys are used during orthodontic treatment, it becomes necessary to search for the relationship between the type of metal used, the degree of gum damage and an effective anti-inflammatory agent that does not cause dysbiosis of the oral cavity.
The object of the study is patients undergoing orthodontic treatment aged 25 to 35 years without general somatic pathology. The patients were divided into 2 groups. In group A, orthodontic arches made of nickel-titanium alloy were used. In group B, medical steel arcs. In subgroups A1, B1, the antiseptic chlorhexidine bigluconate 0.05% was used, and in subgroups A2 and B2, a gel with bacteriophages "Phagodent" was used.
Research methods: survey, examination, study of medical documentation, application of indices for determining plaque Silness-Loe, PMA, perhydrol sample and Schiller-Pisarev.
Examinations of patients were carried out on the 3rd, 6th, 9th, 12th days from the start of therapy. As a result of the study, it was found that the accumulation of plaque and the degree of gingival inflammation were higher in patients with arches made of nickel and titanium alloy than from medical steel due to their pronounced roughness and the presence of many retention areas of the oral cavity.
As a result of the study, it was found that in patients who received complex treatment with the use of Phagodent gel, the inflammatory process in the gum was eliminated in subgroup B2 on day 9, and in subgroup A2 on day 12. Whereas in subgroup A1, the index indicators did not reach the norm, and in subgroup B 1, the index indicators returned to normal on day 12.
Comparative characteristics of antibacterial pharmacotherapy in aseptic surgical interventions in the oral cavity
Abstract
Incorrect administration of antibacterial drugs during aseptic surgical interventions in the oral cavity plays one of the leading roles in complications during outpatient admission in surgical dentistry. Uncontrolled use of antibiotics leads not only to inflammatory complications, but also complicates the further management of the surgical patient. When prescribing antibiotics in cases where there is no need for their appointment, the level of pathogenic flora increases, the phagocytic link of nonspecific immunity weakens, and the cytokine profile of the oral fluid decreases. In the future, there is a risk of infectious complications in the management of this patient, for example, in the case where it is necessary to remove retinated, dystopian third molars for orthodontic indications or install dental implants in included defects in different segments.
To reduce the number of complications and a favorable course of the postoperative period, it is necessary to take into account such criteria of surgical intervention as: the volume and time of surgery, the presence of osteotomy, the age of the patient and the presence of concomitant pathology.
The purpose of this study was a comparative analysis of clinical and laboratory parameters of the postoperative period of patients with aseptic surgical interventions using antibacterial pharmacotherapy and without the use of antibiotics.
A comparative analysis of the phagocytic link of immunity and the cytokine profile of oral fluid in patients who underwent removal of the third molar according to orthodontic indications and installation of a single dental implant in a limited defect was performed.
Based on the data obtained, it is proved that the use of antibacterial drugs is not advisable if surgery lasts less than 30 minutes, osteotomy is not used for tooth extraction, the patient is under 35 years old, and there is no concomitant pathology.
On the issue of providing surgical dental care to elderly and senile patients
Abstract
The demographic transition characteristic of many countries of the world, including Russia, has led to a significant increase in the share of the population of people over 60 years old [1].
The coming era of systemic diseases related to oral health is likely to change the future of diagnostics in dental geriatrics, treatment methods and occupational therapy in clinical disciplines. The main source leading to tooth extraction in older age groups is periapical processes [2, 3].
Against the background of reduced tissue regeneration and the existing concomitant somatic pathology is often aggravated by the postoperative period, therefore, the need for surgical correction of treatment increases when providing dental care to elderly patients. [4]
The purpose of the study is to determine the need for surgical dental care for elderly and senile people in the city of Rostov-on-Don.
The results of the study: In the structure of removals, the proportion of elderly and senile patients of the GBU RO "SP" in the city of Rostov-on-Don — in 2022. 39.53% (+3.44%) compared with 2020. - 36.97%. In the group of elderly and senile people (60-90 years old), on average, the elderly age prevails 2.7 times — 60-74 years. The difference in the structure of removals by nosology in the elderly (60-74 years old) and senile (75-90 years old) groups It was 89.17 — 91.05% for diseases of periapical tissues in the elderly group, 88.25—90.74% in the senile group, almost at the same level.
Conclusions: Given the growth in the provision of surgical dental care to the elderly and senile, it is necessary to create gerontostomatology departments, offices at state dental clinics.
Evaluation of the effectiveness of the computer program of the IVR in the practice of a dentist surgeon
Abstract
The time of admission of a surgical patient in dentistry is limited. During this time, the dental surgeon must conduct a patient survey, identify complaints, anamnesis, conduct basic and additional examination methods, diagnose, perform surgical treatment, give recommendations and prescribe the necessary drugs.
Within the framework of the dissertation research "A differential approach to the choice of antibacterial pharmacotherapy in oral surgery" in collaboration with the Department of Clinical Pharmacology of the N.N. VSMU. Burdenko calculated the index of inflammatory response (IVR), based on the interpretation of which a computer program "Personalized choice of a patient's antibacterial therapy regimen at an outpatient appointment in surgical dentistry" was developed for a personal computer, which implemented clinical recommendations of antibacterial pharmacotherapy for oral surgery.
The purpose of this study is to evaluate the effectiveness of the developed IVR program at the dentist's surgery.
Development of Devices and Composition of Composite Dental Materials for Aerographic Application to Hard Tooth Tissues
Abstract
In the treatment of discolorites, as evidenced by a number of authors, composites do not cope with the tasks assigned to them in all clinical situations, especially with a significant change in the color of enamel and dentin (inadequate endodontic treatment in history, acute mechanical trauma, congenital pathologies). In addition, the existing methods of treating discolorites are not universal, there is no clearly developed algorithm for choosing a treatment method.
of undoubted interest is the possibility of aerographic application of a composite of increased package on the surface of teeth with solid tissues changed in colour directly in the patient's oral cavity. This method is called dentography.
Hygienic aspects of leveling the negative impact of removable dentures in patients with lichen planus of the oral mucosa
Abstract
The oral cavity is a complex environment that is constantly exposed to a variety of opportunistic microbes. The health of this ecosystem is maintained by a variety of immune factors that prevent the development of diseases and ensure its normal functioning.
Lichen planus in the oral cavity is a complex disease with a chronic course that requires an integrated approach to treatment. Orthopedic treatment plays a key role in restoring the functionality and aesthetics of the dental system, reducing discomfort and pain, and preventing further development of the disease. The prospects for the development of this area promise significant improvements in the quality of life of patients.
The problem of rational orthopedic treatment depends on numerous factors, among which an important role is played by ineffective dental treatment (including unreasonable choice of structural material), the occurrence and chronicity of various systemic pathologies.
However, removable prosthetics becomes problematic if there are various types of primary and secondary elements of damage to the oral cavity on the mucous membrane of the prosthetic field (including the presence of edema, erosion, hyperplasia and atrophy, sclerosis), as well as unsatisfactory fixation and low functional efficiency of the structure.
Practicing orthopedic dentists often face the big problem of not only choosing the design of the prosthesis (taking into account the localization of lesions of the oral mucosa), but also performing dental procedures directly in the oral cavity due to the high risk of exacerbation of the disease.
A special place before orthopedic treatment is occupied by the preparation of the oral cavity for prosthetics, including preventive hygienic measures, therapeutic, surgical, periodontal, orthodontic treatment in accordance with the individual characteristics of the patient. Treatment of concomitant dental disease becomes the main one among the preparatory stages before orthopedic treatment.
Reasonable prosthetics, previous sanitation, as well as the use of local and general drug treatment can reduce and prevent inflammatory processes in the area of dental pathology and serve as an effective prevention of their exacerbations.
Current aspects of pharmaco- and non-drug therapy in the treatment of oral lichen planus in patients with missing teeth
Abstract
Currently, due to the adverse effects of risk factors against the backdrop of deteriorating public health, statistical data indicate an increase in cases of diseases of the oral mucosa (SOPR). Lichen planus manifests itself at any age, but most cases are in the age group of 30-60 years and in women twice as often as men. In modern literature, various theories of the development of CPL can be traced, such as viral, neurogenic, hereditary, intoxication and immunoallergic. CPL is often combined with diseases of the gastrointestinal tract, liver dysfunction, diabetes mellitus, hypertension, etc. Provoking factors can be stress, chemical drugs, including medications, and trauma to the oral mucosa. The disease has a long course of 5 to 40 years with a relapse rate of 1 to 5 times a year. Treatment of this group of patients is carried out by doctors of various profiles. At the present stage, the clinical issues and therapy of CPL have been covered quite comprehensively and comprehensively, including pharmacological, surgical and physiotherapeutic methods of treatment. In the complex treatment of patients with oral cavity CPL, the importance of the quality of orthopedic (prosthetic) treatment is also noted.
Despite this, the provision of orthopedic dental care to patients with tooth loss and concomitant chronic diseases of the oral mucosa (SOPR) still remains insufficiently effective. This leads to deterioration in dental health and a decrease in the quality of life of patients. It is often not possible to achieve a long-term therapeutic effect, especially when using removable denture structures (in the absence of the possibility of fixed prosthetics or implant-supported prosthetics), due to the occurrence of various complications associated with the impact of the orthopedic structure itself and the material of its manufacture. In this regard, the role of diagnosis and prevention of complications is increasing in order to prevent relapse of the mucous membranes disease and accelerate the process of adaptation to the removable prosthesis design. Therefore, it is relevant to develop a comprehensive prevention of complications during the period of remission, taking into account the reasonable choice of structural material, methods of manufacturing the prosthesis, its hygiene, and means of influencing the mucous membranes, increasing its resistance.
Биохимия
Evaluation of Surface Morphology of Molecular Imprinted Polymers by Scanning Force Microscopy
Abstract
Probe microscopy was used to determine the surface structure of molecular imprinted polymer (MPR) films, allowing to evaluate the relief and pore composition of objects with nanometer resolution. A comparison was made between CMR and unimprinted polymer. Differences in the morphology of the obtained films have been established, which indicates a rearrangement of the polymer structure during synthesis, leading to an increase in the number of micropores in which the sorption of target substances mainly occurs. The studies carried out will help to further explain in more detail the sorption processes on polymers with molecular fingerprints.
Identifiers of nitrosative stress in peripheral atherosclerosis
Abstract
Nitrosative stress is a component in the pathogenesis of many diseases, including the cardiovascular system. Toxic products formed as a result of the interaction of excessive amounts of nitric oxide (II) affect the structure of proteins, interacting with the functional groups of the latter, and disrupt the functioning of enzymes. As a result, nitrosative stress products are formed, which can be markers of the severity of the pathology. Peripheral atherosclerosis is a common pathology that leads to disability and mortality. The purpose of the presented study was to study markers of nitrosative stress in the blood serum of patients with peripheral atherosclerosis. Such indicators as the final metabolites of nitric oxide, nitrothyrosine, bityrosine, as well as the level of inducible and endothelial NO synthases were determined. An increase in the level of inducible NO synthase was revealed without changing the level of endothelial NO synthase, and a multidirectional change in the concentration of markers of nitrosative damage: an increase in the final metabolites of nitric oxide and nitrothyrosine, a decrease in the level of bityrosine crosslinking in the serum of patients with peripheral atherosclerosi
Separation of a mixture of essential amino acids by a polymer with a molecular fingerprint
Abstract
A mixture of amino acids valine and isoleucine was separated in a TFE cartridge filled with a polymer with molecular imprints (PMO-isoleucine). The concentration of amino acids in the initial mixture was 0.05 mol/dm3 isoleucine and 0.1 mol/dm3 valine. The determination of amino acids in the eluate was carried out by TLC method. After passing a mixture of valine and isoleucine through the cartridge, 0.015±0.010 mol/dm3 of isoleucine and 0.092±0.010 mol/dm3 of valine were detected in the first portion of the eluate. In the second portion of the eluate collected after subsequent rinsing of the cartridge with distilled water, 0.043±0.010 mol/dm3 of isoleucine was detected. Thus, the degree of isoleucine extraction was 70%.
Role of sodium ions in the appearance of ventricular fibrillation of the heart
Abstract
A method has been proposed for simulating ventricular fibrillation of the heart by reducing the concentration of sodium chloride in the perfusion solution. It was revealed that a decrease in NaCl concentration to 30 mmol/l was accompanied by the occurrence of fibrillation. The development of fibrillation was preceded by an increase in the amplitude of cardiac contractions and the appearance of presystole, which indicates an overload of the myocardium with Ca2+ ions by activating the calcium flow into cardiomyocytes using Na+-Ca2+ exchange. Slow calcium channel inhibitors did not prevent fibrillation. It was shown that a decrease in the level of K+ and an increase in the concentration of Ca2+ in the perfusion solution contributed to the acceleration of the development of arrhythmia and, conversely, an increase in the concentration of K+ or a decrease in the concentration of Ca2+ slowed down its development or completely prevented it.
The use of this technique on other animals: rabbits, guinea pigs, dogs was also accompanied by the occurrence of fibrillation.
Thus, according to the results obtained, we can conclude that the Na+-Ca2+ metabolic mechanism is directly involved in the occurrence of ventricular fibrillation of the heart.
Desogens are endocrine disruptors: distribution, control methods
Abstract
The article examines the effect on human health of some ecotoxicants, pollutants and contaminants, which are united by the property of endocrine disruptors to provoke obesity. These substances are obesogens, due to the anthropogenic impact on the environment, have become widespread. The urgent task of ensuring the control of desogens in the environment is discussed. Chromatographic methods are the most appropriate for this purpose.
Фармацевтическая химия, фармакогнозия
Study of the dynamics of the elemental composition of astragalus grass depending on the ontogenesis phase
Abstract
The purpose of the study was to study the elemental composition of the herb Astragalus dasyаnthus and the dependence of this indicator on the phase of ontogenesis.
Material and methods. The object of the study was the herb Astragalus dasyаnthus, harvested during the phases of budding, mass flowering of the plant and fruiting. To establish the elemental composition, the method of optical emission spectrometry was used.
Results. The analysis showed that the herb Astragalus dasyаnthus contains a whole complex of mineral elements (37 macro- and microelements). At the same time, vital elements that play an important role in the process of biosynthesis of metabolic products are contained in sufficient quantities, and the content of toxic elements in the plant does not exceed the maximum permissible concentration. The results of the studies indicate the therapeutic significance of the plant and the possibility of further use of the herb Astragalus dasyаnthus to create complex herbal preparations.
Conclusion. The highest content of microelements in the plant under study is observed in the phase of mass flowering and fruiting, therefore, it is more advisable to harvest the herb Astragalus dasyаnthus in order to isolate the complex of microelements in the phase of mass flowering.
The role of the P-glycoprotein transporter protein in the penetration of rotenone into the brain through the blood-brain barrier
Abstract
The purpose of the study was to investigate the role of the transporter protein P-glycoprotein in the penetration of rotenone into the brain through the blood-brain barrier, as well as the prospect of its induction to reduce the severity of symptoms of parkinsonism caused by the neurotoxin. Materials and methods. Three groups of Wistar rats were used in the experiments. In the first group, the penetration of rotenone into the brain was assessed after its intravenous administration at a dose of 0.2 mg/kg. The amount of rotenone in the brain was detected by HPLC-UV. In the second group, the level of Pgp in the midbrain, striatum and cerebral cortex of rats was studied using ELISA. In the third group, the severity of parkinsonian syndrome was studied during a course of rotenone administration. Each group included 2 series of animals: control and experimental. Control group of animals was injected with the water for injection intragastrically. In order to induce P-glycoprotein, experimental animals were intragastrically administered rifampicin at a dose of 20 mg/kg. Results. A single intravenous administration of rotenone at a dose of 0.2 mg/kg to rats was accompanied by penetration of the test substance into the brain through the blood-brain barrier, and the induction of Pgp by rifampicin reduced it. Administration of rifampicin led to the increase in the amount of Pgp in the striatum, midbrain and cerebral cortex of rats. The severity of parkinsonism symptoms was significantly lower in experimental group treated with rifampicin compared to the control group. Conclusion. In the course of this study, it was established that the Pgp transporter protein takes part in limiting the penetration of rotenone into the brain of Wistar rats through the blood-brain barrier, and its induction can have a protective effect, reducing the severity of the manifestations of cerebral toxic effects of the studied substance.
Research on optimization of the extraction mode of ascorbic acid from rose hips
Abstract
Vitamin C is one of the most important vitamins, which, along with other beneficial properties, has antioxidant activity and takes part in the prevention and treatment of viral and colds, including Covid-19, which is recognized as the most significant pandemic in recent years. Its supply from food in the modern world is limited, and the pharmaceutical industry offers a large selection of drugs containing ascorbic acid. Natural preparations, as a rule, are produced on the basis of rose hips, and obtaining extracts from it with the highest yield of vitamin C is an important task both for manufacturers and for the population making infusions and decoctions at home. However, the extraction mode can significantly affect the yield of vitamin C. To determine the optimal extraction mode, a comparative analysis of literature data was carried out and it was shown that a significant influence is exerted by: temperature, grinding, separation of shells from nuts, preheating of the thermos, time and loading. Of these, only two (grinding and temperature 90°C) clearly led to an increase in the yield of ascorbic acid. The influence of other parameters was controversial, as it was studied under different conditions, and required additional research. Our experiments have shown that the optimal mode for effective extraction of vitamin C with the possibility of using it at home is thermos infusion of crushed rose hips in a ratio of 1:40 (raw materials: water) at 90°C. The preparation time for the extract depends on how completely the thermos is filled: when filling a third - 3-4 hours, when filling completely - 1 hour.