EVALUATION OF THE CLINICAL EFFECTIVENESS OF TOOTHPASTE CONTAINING GRAPEFRUIT EXTRACT AND LYSOTECH AND PROTELYSE LYSATES IN THE COMPLEX TREATMENT OF INFLAMMATORY PERIODONTAL DISEASES
Abstract and keywords
Abstract (English):
The preventive direction in dentistry is the leading one today. Individual oral hygiene plays a significant role in preventing the development of inflammatory periodontal diseases. The use of therapeutic and prophylactic toothpastes containing natural components with antibacterial properties is promising. Among plant extracts, grapefruit extract has the most pronounced antimicrobial activity. LysoTech and ProteLyse lysates, which have antimicrobial and immunomodulatory effects, have long been used in dentistry in the form of tablets for resorption in the complex treatment of various diseases. Their introduction into toothpastes is also considered a promising direction for the prevention and treatment of oral pathology. The aim of our study was to clinically evaluate the effectiveness of therapeutic and prophylactic toothpaste, which contains grapefruit extract and LysoTech and ProteLyse lysates, in patients with inflammatory diseases of periodontal tissues. A clinical and laboratory comparative study of two therapeutic and prophylactic toothpastes was conducted. The composition of the samples was identical, except for two components: grapefruit extract and LysoTech and ProteLyse lysates. The study involved 60 volunteers who were divided into two groups depending on the toothpastes used. The purifying and anti-inflammatory effects of the samples were evaluated for one month. An in vitro laboratory study was also conducted to identify the antimicrobial properties of toothpastes. During the work, high clinical results were noted in a group of volunteers using toothpaste with grapefruit seed extract and bacterial lysates, which are expressed in a decrease in PMA and SBI indices, and an improvement in oral hygiene. According to a laboratory study, the toothpaste containing grapefruit extract and LysoTech and ProteLyse lysates has a more pronounced antimicrobial and antifungal effect, which indicates a high preventive and therapeutic potential of the test sample.

Keywords:
periodontal inflammatory diseases, prevention, toothpaste, grapefruit extract, LysoTech and ProteLyse lysates, dentistry
References

1. Bekirova L. G., Dzhafarova A. R., Mamedova S. G., Guseynova R. N., Ibragimova L. K. Antiseptiki v kompleksnom lechenii vospalitel'nyh zabolevaniy parodonta. Evraziyskoe Nauchnoe Ob'edinenie. 2019; 10-3 (56): 197-201. [L. G. Bekirova, A. R. Jafarova, S. H. Mamedova, R. N. Huseynova, L. K. Ibrahimova Antiseptics in complex treatment of inflammatory periodontal diseases. Eurasian Scientific Association. 2019; 10-3 (56): 197-201. (In Russ.)].

2. Ismagilov O. R., Shulaev A. V., Starceva E. Yu., Ahmetova G. M., Berezin K. A. Stomatologicheskaya zabolevaemost' detey shkol'nogo vozrasta. Problemy stomatologii. 2019; 15, 4: 140-148. [O. R. Ismagilov, A. V. Shulaev, E. Yu. Statseva, G. M. Ahmetova, K. A. Berezin. Dental morbidity of school children. Actual problems in dentistry. 2019; 15, 4: 140-148. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42364569

3. Kauzbaeva D. D., Tuleutaeva S. T., Ahmetova S. B. Sovremennye metody profilaktiki i lecheniya vospalitel'nyh zabolevaniy parodonta. Evraziyskoe Nauchnoe Ob'edinenie. 2020; 3-2 (61): 131-137. [D. D. Kauzbaeva, S. T. Tuleutaeva, S. B. Akhmetova. Modern methods of prevention and treatment of inflammatory periodontal diseases. Eurasian Scientific Association. 2020; 3-2 (61): 131-137. (In Russ.)]. https://www.elibrary.ru/item.asp?id=42734174

4. Mizernickiy Yu. L., Mel'nikova I. M., Marushkov V. I. Effektivnost' bakterial'nyh lizatov pri chastyh respiratornyh infekciyah v detskom vozraste. RMZh. 2013; 21, 24: 1184-1187. [Yu. L. Mizernitskiy, I. M. Melnikova, V. I. Marushkov. The effectiveness of bacterial lysates in frequent respiratory infections in childhood. Russian medical journal. 2013; 21, 24: 1184-1187. (In Russ.)].

5. Miklyaev S. V., Leonova O. M., Suschenko A. V. Analiz rasprostranennosti hronicheskih vospalitel'nyh zabolevaniy tkaney parodonta. Sovremennye problemy nauki i obrazovaniya. 2018; 2: 15. [S. V. Miklyaev, O. M. Leonova, A. V. Suschenko. Analysis of the prevalence of chronic inflammatory diseases of periodontal tissues. Modern problems of science and education. 2018; 2: 15. (In Russ.)]. https://www.elibrary.ru/item.asp?id=34954633

6. Mirsaeva F. Z., Hanov T. V. Sostoyanie kletochnogo i gumoral'nogo zven'ev immuniteta pri kandida-associirovannom parodontite so sredney i vysokoy stepen'yu kolichestvennoy obsemenennosti parodontal'nyh karmanov. Problemy stomatologii. 2019; 15, 2: 122-127. [F. Z. Mirsaeva, T. V. Khanov. Condition of cellular and humoral relationships of immunity in candida associated parodontitis with medium and high degree of quantitative replacement of paradontal pockets. Actual problems in dentistry. 2019; 15, 2: 122-127. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39165974

7. Protopopova T. A., Porseva Yu. D., Lunicyna Yu. V., Tokmakova S. I., Romanceva Yu. N. Antimikrobnye svoystva preparata na osnove ekstrakta semyan greypfruta. Problemy stomatologii. 2013; 2: 42-46. [T. A. Protopopova, Yu. D. Porseva, Yu. V. Lunitsyna, S. I. Tokmakova, Yu. N. Romantseva. Antimicrobial properties of a preparation based on grapefruit seed extract. Actual problems in dentistry. 2013; 2: 42-46. (In Russ.)]. https://www.elibrary.ru/item.asp?id=18976574

8. Suvorova M. G., Medvedeva L. S. Mikrobnyy peyzazh osnovnyh stomatologicheskih zabolevaniy. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2018; 6: 16. [M. G. Suvorova, L. S. Medvedeva. Microbial landscape of major dental diseases. International student scientific bulletin. 2018; 6: 16. (In Russ.)].

9. Uspenskaya O. A., Kachesova E. S. Rol' obschih i mestnyh faktorov v vozniknovenii i razvitii hronicheskogo generalizovannogo parodontita tyazheloy stepeni. Sovremennye problemy nauki i obrazovaniya. 2017; 5: 188. [O. A. Uspenskaya, E. S. Kachesova. The role of general and local factors in the occurrence and development of chronic generalized severe periodontitis. Modern problems of science and education. 2017; 5: 188. (In Russ.)].

10. Ushnickiy I. D., Ivanova A. A., Pinelis I. S., Yurkevich A. V., Mihal'chenko D. V. Sovremennye etiologicheskie i patogeneticheskie aspekty vospalitel'no destruktivnyh processov tkaney parodonta. Endodontiya Today. 2019; 17, 4: 46-49. [I. D. Ushnitsky, A. A. Ivanova, I. S. Pinelis, A. V. Yurkevich, D. V. Mikhalchenko. Modern etiological and pathogenetic aspects of inflammatory destructive processes of periodontal tissues. Endodontics Today. 2019; 17, 4: 46-49. (In Russ.)].

11. Carev V. N., Podporin M. S., Benya V. N. Ocenka vliyaniya zubnoy pasty s triklozanom i efirnymi maslami na sostav bioplenki zubodesnevoy borozdy u pacientov s vospalitel'nymi zabolevaniyami parodonta. Dental Forum. 2019; 4 (75): 103-104. [V. N. Tsarev, M. S. Podporin, V. N. Benya. The influence of toothpaste with triclosan and essential oils on the composition of the periodontal sulcus biofilm in patients with inflammatory periodontal diseases. Dental Forum. 2019; 4 (75): 103-104. (In Russ.)]. https://www.elibrary.ru/item.asp?id=41325840

12. Botero J. E., Rösing C.K., Duque A., Jaramillo A., Contreras A. // Periodontol 2000. - 2015; 67 (1): 34-57. doi:https://doi.org/10.1111/prd.12072.

13. Cengiz M. İ., Zengin B., İçen M., Köktürk F. Prevalence of periodontal disease among mine workers of Zonguldak, Kozlu District, Turkey: a cross-sectional study // BMC Public Health. - 2018; 16; 18 (1): 361. doi:https://doi.org/10.1186/s12889-018-5304-1.

14. Chye R. M. L., Perrotti V., Piattelli A., Iaculli F., Quaranta A. Effectiveness of Different Commercial Chlorhexidine-Based Mouthwashes After Periodontal and Implant Surgery: A Systematic Review // Implant Dent. - 2019; 28 (1): 74-85. doi:https://doi.org/10.1097/ID.0000000000000854.

15. Da Costa L. F. N. P., Amaral C. D. S. F., Barbirato D. D. S., Leão A. T. T., Fogacci M. F. Chlorhexidine mouthwash as an adjunct to mechanical therapy in chronic periodontitis: A meta-analysis // J. Am Dent Assoc. - 2017; 148 (5): 308-318. doi:https://doi.org/10.1016/j.adaj.2017.01.021.

16. Figuero E., Herrera D., Tobías A., Serrano J., Roldán S., Escribano M., Martín C. Efficacy of adjunctive anti-plaque chemical agents in managing gingivitis: A systematic review and network meta-analyses // J. Clin Periodontol. - 2019; 46 (7): 723-739. doi:https://doi.org/10.1111/jcpe.13127.

17. Kinane D. F., Stathopoulou P. G., Papapanou P. N. Periodontal diseases // Nat Rev Dis Primers. - 2017; 22; 3: 17038. doi:https://doi.org/10.1038/nrdp.2017.38.

18. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy // Periodontol 2000. - 2018; 76 (1): 85-96. doi:https://doi.org/10.1111/prd.12147.

19. Mummolo S., Severino M., Campanella V., Barlattani A.Jr., Quinzi V., Marchetti E. Chlorhexidine gel used as antiseptic in periodontal pockets. DENTAL SUPPLEMENT // J. Biol Regul Homeost Agents. - 2019; 33; 3; 1: 83-88.

20. Mouhyi J., Del Corso M., Hippolyte M. P., Sammartino G., Dohan Ehrenfest D. M. Mouthwash solutions containing microencapsulated natural extracts: Clinical results on dental plaque and gingivitis // Rev Stomatol Chir Maxillofac. - 2010; 111 (3): 144-147. doi:https://doi.org/10.1016/j.stomax.2009.09.016.

21. Patini R., Staderini E., Lajolo C., Lopetuso L., Mohammed H., Rimondini L., Rocchetti V., Franceschi F., Cordaro M., Gallenzi P. Relationship between oral microbiota and periodontal disease: a systematic review // Eur Rev Med Pharmacol Sci. - 2018; 22 (18): 5775-5788. doi:https://doi.org/10.26355/eurrev_201809_15903.

22. Solderer A., Kaufmann M., Hofer D., Wiedemeier D., Attin T., Schmidlin P.R. Efficacy of chlorhexidine rinses after periodontal or implant surgery: a systematic review // Clin Oral Investig. - 2019; 23 (1): 21-32. doi:https://doi.org/10.1007/s00784-018-2761-y.

23. Song Y. J., Yu H. H., Kim Y. J., Lee N. K., Paik H. D. Anti-Biofilm Activity of Grapefruit Seed Extract against Staphylococcus aureus and Escherichia coli // J Microbiol Biotechnol. - 2019; 28; 29 (8): 1177-1183. doi:https://doi.org/10.1041/jmb.1905.05022.

24. Stewart B., Shibli J. A., Araujo M., Figueiredo L. C., Panagakos F., Matarazzo F., Mairink R., Onuma T., Faveri M., Retamal-Valdes B., Feres M. Effects of a toothpaste containing 0.3% triclosan on periodontal parameters of subjects enrolled in a regular maintenance program: A secondary analysis of a 2-year randomized clinical trial // J Periodontol. - 2020; 91 (5): 596-605. doi:https://doi.org/10.1002/JPER.18-0501.

25. Tsutsumi-Arai C., Takakusaki K., Arai Y., Terada-Ito C., Takebe Y., Imamura T., Ide S., Tatehara S., Tokuyama-Toda R., Wakabayashi N., Satomura K. Grapefruit seed extract effectively inhibits the Candida albicans biofilms development on polymethyl methacrylate denture-base resin // PLoS One. - 2019; 28; 14 (5): 217-226. doi:https://doi.org/10.1371/journal.pone.0217496.

26. Vieira Colombo A. P., Magalhães C. B., Hartenbach F. A., Martins do Souto R., Maciel da Silva-Boghossian C. Periodontal-disease-associated biofilm: A reservoir for pathogens of medical importance // Microb Pathog. - 2016; 94: 27-34. doi:https://doi.org/10.1016/j.micpath.2015.09.009.


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