Tyumen', Tyumen, Russian Federation
Tyumen', Russian Federation
Ekaterinburg, Ekaterinburg, Russian Federation
Tyumen, Tyumen, Russian Federation
UDC 616.31
The high prevalence of inflammatory periodontal diseases (IPD) and the limited effectiveness of currently used treatments justify the relevance of developing new combination therapies that provide a comprehensive impact on both etiological factors and the main pathogenetic mechanisms underlying IPD Objective: To evaluate the effectiveness of a novel pharmacological composition in an experimental periodontitis model in laboratory animals. Materials and Methods: A comparative histological assessment was conducted to evaluate the effectiveness of the novel pharmacological composition (NPC) for local treatment of inflammatory periodontal diseases. The composition included silicon-zinc-organic glycerohydrogel, aminodihydrophthalazinedione sodium, pentoxifylline, and miramistin. The study was performed in Wistar rats with experimental periodontitis. In the main group (n=15), NPC was applied, while in the control group (n=15), standard pharmacotherapy was used. At days 5, 14, and 21 of treatment, animals were sacrificed for evaluation. Histological analysis of periodontal tissues was carried out, with assessment of the severity of inflammatory infiltrates and the condition of the microcirculatory bed. Results and Discussion: On day 5 after treatment, inflammatory infiltrates and uneven thickening of vascular walls were observed in both groups; however, in the main group, blood flow activity was present. By day 14, a reduction in inflammatory infiltrate density was seen in both groups. In the control group, vessels with thickened, sclerotic walls and reduced blood flow were noted, while the main group demonstrated signs of active neoangiogenesis and numerous functioning mature vessels. After 3 weeks, the control group still exhibited inflammatory infiltration and vessels with thickened, sclerotic walls and narrowed lumens, whereas in the main group, minimal infiltrates were observed, and the microcirculatory network appeared normal. Conclusions: The NPC demonstrated anti-inflammatory efficacy in the treatment of periodontitis in laboratory animals, promoting angiogenesis in periodontal tissues and improving blood rheology.
inflammatory periodontal diseases, local treatment, silicon-zinc-organic glycerohydrogel, pharmacological composition, angiogenic effect
1. Balmasova I.P., Carev V.N., Yanushevich O.O., Maev I.V., Mkrtumyan M.A., Arutyunov S.D. Mikroekologiya parodonta. Vzaimosvyaz' lokal'nyh i sistemnyh effektov: monografiya. Moskva: Prakticheskaya medicina; 2021. 264 s. [Balmasova I.P., Tsarev V.N., Yanushevich O.O., Maev I.V., Mkrtumyan M.A., Arutyunov S.D. Microecology of periodontal disease. The relationship between local and systemic effects: a monograph. Moscow: Prakticheskaya meditsina; 2021. 264 p. (In Russ.)].
2. Kopytov A.A, Leont'ev V.K. Zakonomernye, evolyucionno obuslovlennye morfologicheskie izmeneniya, predopredelyayuschie zabolevaniya parodonta. Parodontologiya. 2022;27(1):13-19. [Kopytov A.A., Leontiev V.K. Evolutionarily determined morphological changes that predetermine periodontal disease. Parodontologiya. 2022;27(1):13-19. (In Russ.)]. https://doi.org/10.33925/1683-3759-2022-27-1-13-19].
3. Antonov I.I., Mudrov V.P., Nelyubin V.N., Muraev A.A. Aktual'nye aspekty immunopatogeneza hronicheskogo parodontita (obzor). Klinicheskaya stomatologiya. 2021;(1):46-58. [Antonov I.I., Mudrov V.P., Nelyubin V.N., Muraev A.A. Topical aspects of the chronic periodontitis immunopathogenesis (review). Clinical Dentistry. 2021;(1):46-58 (In Russ.)]. https://doi.org/10.37988/1811-153X_2021_1_46
4. Oleynik E.A., Belenova I.A., Oleynik O.I., Sudareva A.V., Markosyan Z.S. Sovremennye aspekty konservativnogo podhoda k lecheniyu vospalitel'nyh zabolevaniy parodonta u pacientov molodogo, srednego i pozhilogo vozrasta. Aktual'nye problemy mediciny. 2022;45(2):178–197. [Oleinik E.A., Belenova I.A., Oleinik O.I., Sudareva A.V., Markosyan Z.S. Conservative treatment of inflammatory periodontal diseases in young, middle-aged and elderly patients: current aspects. Challenges in Modern Medicine. 2022;45(2):178–197. (In Russ.)]. https://doi.org/10.52575/2687-0940-2022-45-2-178-197]
5. Habadze Z.S., Generalova Yu.A., Shubaeva V.S., Abdulkerimova S.M., Bakaev Yu.A., Mordanov O.S. Zabolevanie parodonta – mestnaya antisepticheskaya terapiya: problema effektivnosti. Obzor literatury. Medicinskiy alfavit. 2021;(2):24-37. [Khabadze Z.S., Generalova Y.A., Shubaeva V.S., Abdulkerimova S.M., Bakaev Y.A., Mordanov O.S. Periodonal desiease – local antiseptic therapy: problem of efficiency. Literature review. Medical alphabet. 2021;(2):24-37. (In Russ.)]. https://doi.org/10.33667/2078-5631-2021-2-24-37
6. Jin J., Sklar G.E., Min Sen Oh V., Chuen Li S. Factors affecting therapeutic compliance: A review from the patient's perspective. Ther Clin Risk Manag. 2008;4(1):269-86. https://doi.org/doihttps://doi.org/10.2147/tcrm.s1458
7. Korte D.L., Kinney J. Personalized medicine: an update of salivary biomarkers for periodontal diseases. Periodontology 2000. 2016;70(1):26-37. https://doi.org/10.1111/prd.12103.
8. Gontarev S.N., Gontareva I.S., Davtyan R.A., Mustafa Yasin, Sumchenko Yu.S. Sovremennye metody lecheniya parodontita (obzor literatury). Vestnik novyh medicinskih tehnologiy. Elektronnoe periodicheskoe izdanie. 2020;(5):8-16. [Gontarev S.N., Gontareva I.S., Davtyan R.A., Moustafa Yaseen, Sumchenko J.S. Modern methods of treatment of periodontitis (literature review). Journal of New Medical Technologies, e-edition. 2020;(5):8-16. (In Russ.)]. https://elibrary.ru/item.asp?id=44200282
9. Matsuda S., Shintani T., Miyagawa T., Yumoto H., Komatsu Y., Dewake N. et al. Effect of Periodontal Treatment on Reducing Chronic Inflammation in Systemically Healthy Patients With Periodontal Disease. American journal of medicine. 2024;137(3):273-279.e2. https://doi.org/10.1016/j.amjmed.2023.11.001 .
10. Balta M.G., Papathanasiou E., Blix I.J., Van Dyke T.E. Host Modulation and Treatment of Periodontal Disease. Journal of dental research. 2021;100(8):798-809. https://doi.org/10.1177/002203452199515.



