Vol 28, No 2 (2025): Опубликован 30.06.2025
- Year: 2025
- Articles: 18
- URL: https://new.vestnik-surgery.com/index.php/2070-9277/issue/view/234
Full Issue
Articles
Dynamics of changes in microcirculation parameters of periodontal tissues under the influence of pulsed low-intensity magnetic field in patients with chronic marginal periodontitis
Abstract
The microcirculation system (MC) is the main link that provides metabolic homeostasis in organs and tissues. The state of the MC has a determinant importance in providing their trophics. Reduction of blood flow intensity in capillaries, along with local spasm of arteriolar vessels and congestion in venular link are early signs of capillary blood flow disorders. Changes in blood MC play an important role in the pathogenesis of many diseases, including chronic marginal periodontitis. One of the positive mechanisms of action of pulsed low-intensity magnetic field is improvement of microcirculation. The use of magnetotherapy in dental practice in patients with periodontal diseases can bring clinical effect, improvement of functional indices and prolongation of remission periods.
4-8
Experimental evaluation of the effectiveness of the complex use of a solution for moistening the oral mucosa and an immunomodulator in laboratory animals
Abstract
As a result of xerostomia, there is a decrease in the immunity of the oral cavity, a decrease in the amount of normal microflora, activation of opportunistic flora, the appearance of pathogenic microflora and inflammatory changes in periodontal tissues and oral mucosa, which directly affects the anti-infective protection of the patient's body, and as a result, the quality of his life. The causes of xerostomia may include medication, radiation therapy (local and general radiation), systemic diseases, and the patient's age over 60 years. The symptoms of xerostomia significantly affect the quality of life of elderly and senile patients and need help and correction of their condition. The purpose of the study: experimentally on animals (white rats) to substantiate the expediency of using a moisturizing solution for the oral cavity and an immunomodulator for the treatment of xerostomia. Materials and methods of research. The object of the study was 60 white sexually mature male Wistar rats 8-9 months of age, with a body weight of 560 ± 54 g, divided into groups: 15 rats - group 1 (control), which were not manipulated; 45 rats were experimental animals that were modeled with oral xerostomia by remote radiation therapy, followed by division into 3 groups, depending on the therapy being performed. A study was conducted in animals: assessment of the amount of liquid consumed per day, the condition of the hair and mucous membranes; determination of the level of malondialdehyde in saliva, as one of the indicators of oxidative stress. The results of our own research. After 14 days, in the 3rd group, the animals of which were irrigated with Waterdent oral cavity 3 times a day, after therapy, water consumption decreased by 10.6 ml. In the 4th group of experimental animals, which were irrigated with Waterdent and injected with a crushed immunomodulator 3 times a day to eliminate the symptoms of xerostomia, water consumption decreased by 12.4 ml. This indicates that the choice of a complex of drugs for the treatment of xerostomia in experimental animals is correct. There was less free radical lipid oxidation in group 4, which indicated that the degree of oxidative stress was lower than in the other groups studied. The combined use of oral irrigation spray and immunomodulator has shown its effectiveness in the treatment of oral xerostomia.
9-14
Assessment of the impact of auxiliary means on the timing of adaptation to removable complete dentures
Abstract
Tooth loss and the use of removable dentures significantly affect the oral health-related quality of life. There are comparatively few studies investigating oral health-related quality of life that include the patients’ sociodemographic data, denture satisfaction and related questions. The aim of the study was to analyze the effect of adhesive cream and fixing pads on the timing of adaptation to removable complete dentures. 60 patients of both sexes aged 60 to 90 years with a diagnosis of complete secondary maxillary adentia were divided into 3 groups. In group 1, an adhesive cream was prescribed, and in group 2, fixing pads was prescribed, and patients of group 3 formed the control group. All patients were tested using OHIP-14 before the manufacture of a removable complete dentures, on the 14th and 33rd days after starting use of a removable complete dentures. According to the results of the study, it was found that the use of auxiliary means significantly reduces the period of adaptation to removable complete dentures. In this case, it is advisable to prescribe the use of fixing pads for the first 7-14 days, with the transition to the use of an adhesive cream thereafter.
15-20
Study of the effect of a comprehensive prevention program for patients with removable plate dentures against the background of xerostomia based on sialometry values
Abstract
Purpose of the study: to study the effect of the developed comprehensive prevention program for patients with removable plate dentures against the background of xerostomia based on sialometry values.
Materials and methods of the study: In the dental clinic of the VSMU named after N.N. Burdenko, 80 patients aged 60 to 89 years with missing teeth against the background of xerostomia with the disease coding according to ICD-10 K08.1 Tooth loss due to an accident, tooth extraction or localized periodontitis and K11.7 Xerostomia (concomitant disease) were examined and underwent orthopedic treatment with removable plate dentures. The patients were divided into 4 groups of 20 people, depending on the implementation of therapeutic measures.
Results of our own studies. A study of the rate of mixed salivation (method of M.M. Pozharitskaya) showed that 21 subjects (35%) complained of dryness of the oral mucosa during conversation, prolonged fatigue, and there were also complaints of a burning sensation in the oral cavity. 36 subjects (60%) had a “moderate degree of xerostomia” (this is the so-called stage of clinical manifestations). This degree of xerostomia was manifested by the presence of dryness of the oral cavity when eating, as well as when talking. Three patients (5%) noted "severe degree of xerostomia" (this is a late stage). This degree was accompanied by such symptoms as severe dryness constant during the day. Patients washed down food with water or other liquid.
21-27
Analysis of the need for dental care among the adult population of Smolensk region: based on the materials of the campaign “Good to the village”
Abstract
An epidemiological study of the dental status of the adult population of Smolensk region was conducted within the framework of the project “Good to Village” in order to develop regional dental health programs.
The sample included 66 men and women (mean age 46.6±2.6 years) stratified into three age groups according to WHO criteria: the first group young age - 18-44 years (n=27), the second group middle age - 45-59 years (n=11), the third group old age - 60-74 years (n=28). The study design included a comprehensive assessment of dental status using clinical examination methods and autofluorescence dentoscopy. In the group of young age, the maximum frequency of dental caries and its complications was recorded - 77.8% (21/27), with an average value of the DMF index of 10.4±1.0. In 37% (10/27) of young people small defects of tooth rows were detected. In the middle-aged group, the DMF index reached 18.5±3.0. In the elderly group, 100% (28/28) of the people had partial and 32.1% (9/28) complete tooth loss. The DMF index was 21.6±1.9, exceeding the reference values. The autofluorescence stomatoscopy method revealed pathologic changes in the oral mucosa in 17.9% (5/28) of the elderly, including precancerous conditions. The OHI-S hygienic index ranged from 1.8 (satisfactory) in the second group to 2.7-2.8 (unsatisfactory) in the first and third groups. The obtained data demonstrate a pronounced age dynamics of dental pathology: high activity of carious process in the young age group (φ*=2.714, p<0.05) and progressive tooth loss in the older groups. There is inadequate prosthetic rehabilitation (67.9% of dental prostheses do not meet clinical requirements). The study confirms the necessity to develop regional programs of prevention and optimization of dental care taking into account age specifics and structure of pathology.
28-33
Analysis of the effect of the type of toothbrushes on the level of oral hygiene in patients with indirect lithium disilicate ceramic restorations
Abstract
A low level of oral hygiene can negate all the successes of the restoration of destroyed teeth with artificial crowns, as plaque leads to discoloration, impaired fixation, and ultimately to a reduction in the service life of the restoration. The aim of the study was to compare the effectiveness of plaque removal when using different types of toothbrushes in patients with indirect restorations made of lithium disilicate ceramics. The study involved 60 patients who were divided into 4 groups depending on the type of toothbrush they used: manual, rotary, sonic or ultrasonic. The OHI-S hygiene index was used to assess the level of oral hygiene. The study concluded that sonic power toothbrushes are more effective for plaque removal and can be recommended to improve oral hygiene.
34-37
Impact of prosthetics on the prevention of alveolar bone atrophy (clinical case)
Abstract
Bone atrophy of the jaw is a progressive pathological process characterized by loss of jaw bone tissue, reduction in the size of the alveolar crest and the jaw as a whole, and an increase in the volume of the maxillary sinuses. Externally, atrophy is manifested by a decrease in the lower third of the face, accompanied by physiological, morphological, functional and aesthetic disorders. This clinical case shows bone loss due to the long-term absence of teeth in the area of segment 2.4 - 2.5. The patient complained of unsatisfactory aesthetics and abrasion of the frontal group of teeth of the upper and lower jaws. After examination he underwent surgical, therapeutic and orthopedic dental treatment, which made it possible to restore the integrity of the dental rows, even distribution of chewing load, as well as to stop the process of bone atrophy in the area of segment 2.4 - 2.5. Timely restoration of the integrity of the dental system by means of prosthetics can significantly improve the patient's quality of life.
38-42
Биохимия
Determination of streptomycin in milk by amperometric sensors
Abstract
The work created sensors based on a molecularly imprinted polymer (MIP) with the imprints of streptomycin sulfate (Strep). Its detection limit was 5.8 10-6 g/L. The obtained sensors have high selectivity to streptomycin sulfate in multicomponent mixtures. Sensors modified by MIP were tested in the determination of the antibiotic in milk. The results of determining streptomycin sulfate in liquids using an amperometric sensor and the HPLC method were compared.
43-47
Doctor of Chemistry, Professor, Head of the Department of Pharmaceutical and Toxicological Chemistry
Abstract
Objective. Quantitative evaluation of currently available HIV protease inhibitors - saquinavir and ritonavir in substances and dosage forms by high-performance liquid chromatography. Material and methods. Domestic chromatograph "Milichrome A-02", microcolumns with sorbent ProntoSIL-120-5-C18 AQ, ultraviolet detector installed at wavelengths of 220, 240, 270 and 290 nm for saquinavir and 200, 210, 220, 240 nm for ritonavir. Results. The linearity of the calibration curves was confirmed in the concentration range of 0.1 to 0.5 mg/mL for saquinavir and 0.025 to 0.5 mg/mL for ritonavir. The relative error does not exceed 1.2 %. Conclusion. The technique is reliable and reproducible.
48-52
POSSIBILITIES OF MODELING ENDOTHELIAL-MESENCHYMAL TRANSITION IN PRIMARY ENDOTHELIAL CELL CULTURES IN VITRO
Abstract
The aim of the study was to evaluate the prospects/likelihood/feasibility of in vitro endothelial-mesenchymal transition (endothelial-mesenchymal transition, EndMT) studies in primary human umbilical vein endothelial cell cultures (human umbilical vein endothelial cells, HUVEC) using specific concentrations and time of TGFβ1 expression.
Material and methods. The study was conducted on primary human umbilical vein endothelial cell culture HUVEC passage 3. Primary HUVEC cultures were cultured in ECGM culture medium for 3 days until a monolayer was formed, after which the nutrient medium was changed to serum-free DMEM F-12 medium for 3 hours. Then, HUVEC culture cells were incubated with recombinant human TGF-β1 (10 ng/ml) at 37°C for 72 hours. At the end of TGF-β1 exposure, the relative amounts of proteins characteristic of EndMT are obtained in cell lysates using Western blotting techniques: endothelial markers - cell adhesion molecules and platelets to endothelial cells-1 PECAM-1 (CD31) and von Willebrand factor (von Willebrand factor, vWF), as well as mesenic markers - fibronectin (fibronectin, FN), vimentin. (vimentin, VIM).
Results. The study found that exposure of the liver to TGF-β1 at a dose of 10 ng / ml for 3 days on the primary culture of HUVEC led to a significant decrease in the amount of CD31 by 45.4% and vWF by 34.3% compared to the control, confirmed by the services for confirming the loss of characteristic endothelial cell markers (r < 0.05). Exposure of primary HUVEC culture to TGF-β1 for 72 h significantly increased the relative amount of FN by 43.3% and VIM by 50.7% relative to the control (p<0.05), indicating the formation of endothelial cells with mesenchymal characteristics.
Conclusions. Exposure of primary HUVEC culture to human recombinant TGF-β1 in patients at 10 ng/ml for 3 days allows for reliable induction of EndMT in vitro, which is a statistically significant decrease in the relative amount of endothelial markers EndMT CD31 and vWF and a relative increase in the amount of mesenchymal markers FN and VIM in cultured cell lysates.
53-59
Effect of sex hormones on the activity of polypeptides transporting organic anions OATP1B1/OATP1B3 in vitro
Abstract
OATP1B1 and OATP1B3 are influx transport proteins belonging to the SLC transporter family and providing transport of substrates inside hepatocytes. In the course of this study, the effect of the sex hormones estradiol, progesterone, and testosterone on the activity of OATP1B1/OATP1B3 was evaluated on HepG2 cells. The activity of the transporters was analyzed by the penetration of their substrate, atorvastatin, into the cells. Estradiol at a concentration of 100 µM reduced the content of atorvastatin in HepG2 cell lysate by 38.88% (p=0.023). Progesterone at concentrations of 1 µM, 10 µM, and 100 µM reduced the concentration of atorvastatin in HepG2 cells by 28.79% (p=0.031), 30.25% (p=0.023), and 44.99% (p=0.01), respectively. Testosterone in all tested concentrations did not significantly affect the penetration of atorvastatin into cells, only at a concentration of 100 µM there was a tendency to decrease by 24.85% (p=0.088).
60-65
In silico and in vivo studies of the effect of N-(het)arylamides of 4-aryl-2,4-dioxobutanoic acid with a pyrimidine fragment on muscle tone and motor coordination in animals
Abstract
The acute toxicity and effect on a number of neuromuscular system parameters for five 4-(het)arylamides of aryl-2-hydroxy-4-oxobut-2-enoic acids with pyrimidine fragments (PV-150, PV-210, PV-220 PV-310, PV-410) were studied using in silico and in vivo methods. It has been established that the substances belong to low-toxic compounds. The absence of a significant effect on muscle tone and improved coordination of movements in laboratory animals was revealed for 3 compounds, to a greater extent the prognosis in silico was realized for hetarylamide PV-410.
66-70
Development of a technique for the quantitative determination of telmisartan preparations by UV spectrophotometry
Abstract
The article provides information on the development of a technique for the spectrophotometric determination of telmisartan in dosage forms using external optical reference samples.
71-75
Comparison of cytokine and antioxidant status of the cornea in thermal and alkaline burns
Abstract
In this study, the free radical status and balance of anti-inflammatory/pro-inflammatory cytokines in corneal tissue with third-degree thermal and alkaline burns were analyzed. The work was performed on 42 rabbits. Manipulations were performed under topical anesthesia. Animals were euthanized on days 1, 3, 5, 7, 14, 21, and 28 after pathology modeling. Each time point included 3 rabbits, 6 eyes. Alkaline burns were caused by applying a filter paper disk soaked in 5% sodium hydroxide solution, and thermal burns were caused by touching with a heated stainless steel cylinder. After the burn, physiological saline was instilled into the conjunctival cavity. The level of TBA-active products, carbonyl derivatives of proteins, SOD activity, the level of TNF-1a, IL-10, IL-4, TGF-1β were assessed in the corneal tissue. Both types of burns were accompanied by the development of oxidative stress and activation of proinflammatory cytokines in the cornea, which confirms the need for similar approaches to treatment. At the same time, some differences were noted in the timing, levels of increase, as well as the rate of normalization of indicators when comparing thermal and chemical damage, which requires further study.
76-83
Фармацевтическая химия, фармакогнозия
Quantitative determination of inulin in a plant composition with hypoglycemic activity
Abstract
The aim of the study was the quantitative determination of inulin in the plant composition with hypoglycemic activity.
Materials and methods. The object of the study was a plant composition developed at the Department of Pharmacognosy with a course in botany and the basics of phytotherapy of the BSMU. Quantitative determination was carried out by the spectrophotometric method.
Results. Based on the results of the studies we selected the optimal conditions for the quantitative determination of inulin in an investigated plant composition.
Conclusions. We proposed an indicator of the quality of the plant composition - the content of inulin not less than 7%.
84-90
PhD in Pharmacy, Associate Professor at the Department of Pharmaceutical Chemistry and Pharmaceutical Technology
Abstract
A number of drugs by their chemical structure belong to the class of nitro derivatives. The nitro group can strongly influence the biological activity of a substance, including causing its certain toxicity. The content of the active substance in such medicinal products is strictly regulated by the Pharmacopoeia, and the State Pharmacopoeia recommends a number of instrumental, spectral and chromatographic methods for the quantitative analysis of these drugs. In this paper, a simplified method for the determination of medicinal substances related to nitro derivatives is proposed. It consists in reducing the nitro group to nitrite and then conducting a color-forming reaction with the Griss-Iloshvaya reagent. The resulting colored solution can be photometric in the visible range, or an even more cost-effective colorometric technique can be used, allowing quantitative determinations over an even wider linear range of concentrations.
91-95
Study of the elemental composition of varicolored knotweed grass (Coronilla Varia L.)
Abstract
The purpose of the study is to study the chemical elemental composition of multicolored knotweed grass harvested in the Kursk region of the Central Chernozem region.
Materials and methods. The object of the study was a multicolored knotweed grass harvested during the phase of mass flowering of plants in the vicinity of the city of Kursk. The content of mineral elements was determined by the method of emission spectral analysis.
Results. The elemental composition of the multicolored knotweed grass has been determined for the first time. The content of 24 macro- and microelements (including 11 essential and 6 conditionally essential) has been established. The content of toxic elements in the plant does not exceed the maximum permissible concentration.
Conclusion. The presence of a rich elemental complex of vyazel underlines its therapeutic significance and can serve as a justification for the use of this species as a source of elements with important physiological activity.
96-101
Apple pomace as a basis for enterosorbents
Abstract
The creation of waste-free production is a strategically important task in relation to the rational use of natural resources and the environmental aspect. In Russia, apple juice production is one of the key areas of the food industry, with a share of about 40% of the total juice production. Apple production waste is a valuable resource, but in Russia it is still used mainly as animal feed. Therefore, the development of technologies for processing apple pomace is a pressing task that will improve the economic performance of processing apple raw materials, as well as increase the efficiency of resource use. The creation of enterosorbents based on apple pomace can become an ecologically and economically advantageous solution for the disposal of apple waste generated during the processing of apples into juice, and the basis for the creation of waste-free production. This article presents a comparative analysis of enterosorbents from non-food sources, pectin-containing and based on apple pomace. It has been shown, that with the proven effectiveness of all enterosorbents in relation to endo- and exotoxins, the sorbent based on apple pomace that we offer has a number of advantages. Compared to non-food products, it has more pleasant organoleptic properties and does not cause side effects (for example, constipation). In comparison with pectin-containing preparations, the sorbent we offer contains a high amount of dietary fiber, antioxidants, minerals, uronic and amino acids, and that expands the range of its useful properties, and also, most importantly for production, has a much lower price, which proves the economic feasibility of another way of using waste from apple pomace.
102-106

