Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 64132 10.18481/2077-7566-2023-19-1-80-86 ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ SURGICAL DENTISTRY AND IMPLANTOLOGY ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ XENOGENIC COLLAGEN GEL AND LASER LIGHT IN PROPHYLAXIS AND MANAGEMENT OF PERIIMPLANTITIS: A PILOT STUDY ПРИМЕНЕНИЕ КСЕНОГЕННОГО КОЛЛАГЕНОВОГО ГЕЛЯ И ЛАЗЕРНОГО ИЗЛУЧЕНИЯ ПРИ ПРОФИЛАКТИКЕ И ЛЕЧЕНИИ ПЕРИИМПЛАНТИТА: ПИЛОТНОЕ ИССЛЕДОВАНИЕ Дьячкова Екатерина Юрьевна Diachkova Ekaterina Yur'evna secu2003@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Тарасенко Светлана Викторовна Tarasenko Svetlana Viktorovna prof_tarasenko@rambler.ru

доктор медицинских наук;

doctor of medical sciences;

 Морозова Елена Анатольевна Morozova Elena A. lemua@yandex.ru

доктор медицинских наук;

doctor of medical sciences;

 Репин Игорь Сергеевич Repin Igor Sergeevich repin@vse-svoi.ru Ли Анастасия Викторовна Li Anastasiia Viktorovna anastasialee2903@gmail.com Аль-Шарани Хешам Мохаммед Ахмед Омар AL-Shrani Hesham Mohammed Ahmed Omar hishamm2010@live.com Бокарева Светлана Игоревна Bokereva Svetlana Igorevna bokareva_s_i@staff.sechenov.ru Демьяненко Илья Александрович Demyanenko Ilya Aleksandrovich ilya871@rambler.ru

кандидат биологических наук;

candidate of sciences in biology;

 Геворков Георгий Леванович Gevorkov Georgy L. gegelev@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский Университет) Москва Россия First Moscow State Medical University named after I.M. Sechenov (Sechenov University) Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation НИЦ эпидемиологии и микробиологии имени Н. Ф. Гамалеи Москва Россия Research Center of Epidemiology and Microbiology named after N. F. Gamaleya Москва Russian Federation Клиническая больница №1 (Волынская), Управление делами Президента Российской Федерации Москва Россия Clinical Hospital No. 1 (Volynskaya), Administration of the President of the Russian Federation Moscow Russian Federation 22 05 2023 22 05 2023 19 1 80 86 28 04 2023 https://dental-press.ru/en/nauka/article/64132/view

Предмет исследования — применение ксеногенного коллагенового геля и лазерного излучения при лечении и профилактике периимплантита, анализы результатов их применения и совершенствование протоколов лечения. Цель — оценка эффективности лечения периимплантита с помощью ксеногенного коллагенового геля и лазерных технологий. Методология. Исследование проводили на базе Сеченовского университета с 2020 по 2022 год. В исследование были включены десять пациентов с диагностированным периимплантитом (возрастной интервал 28–45 лет, медиана 35 лет). Всем пациентам проводили профессиональную гигиену с последующим делением на 2 группы методом случайной выборки: пациентам группы 1 вводили ксеногенный коллагеновый гель в область периимплантатного кармана и в мягкие ткани вокруг дентального имплантата в зоне резорбции альвеолярной кости, пациентам группы 2 проводили лазерную бактерицидную обработку периимплантатных карманов. Результаты оценивали по глубине зондирования периимплантатного кармана и по клинической симптоматике заболевания, наличию неблагоприятных исходов после применения названных методик. Результаты. В течение 12 месяцев наблюдения нами было отмечено уменьшение глубины периимплантатного кармана при зондировании в среднем на 3 мм от исходной глубины в обеих группах (p < 0,05), увеличение объема мягких тканей вокруг имплантатов, преимущественно — при применении ксеногенного геля (p < 0,05). Выводы. Ксеногенный коллагеновый гель и лазерная бактерицидная обработка периимплантатных карманов могут быть альтернативой лечению периимплантита после проведения полноценных рандомизированных клинических многоцентровых исследований.

Subject. The periimplantitis management and prophylaxis technique using xenogenic collagen gel and laser technique, analysis of their results. Aim. To evaluate the effect of periimplantitis management and prophylaxis with xenogenic collagen gel and laser technique. Methodology. The study was conducted on the basis of Sechenov University from 2020 to 2022. The study included ten patients with diagnosed peri-implantitis (age range 28–45 years, median is 35 years). All patients underwent professional hygiene followed by division into 2 groups by random sampling: patients of group 1 were injected with xenogenic collagen gel in the area of the peri-implant pocket and in the soft tissues around the dental implant in the area of alveolar bone resorption, patients of group 2 were subjected to laser bactericidal treatment of peri-implant pockets. The results were evaluated by the depth of probing of the peri-implant pocket and the clinical symptoms of the disease, the presence of adverse outcomes after the application of the techniques. Results. During 12 months of observation, a decrease in the depth of the peri-implant pocket during probing was noted by an average of 3 mm from the initial depth in both groups (p < 0.05), an increase in the volume of soft tissues around the implants, mainly when xenogenic gel was used (p < 0.05). Conclusions. Xenogenic collagen gel and laser microbiocidal treatment of peri-implant pockets may be an alternative treatment for peri-implantitis after full-fledged randomized clinical multicenter trials.

 дентальные имплантаты периимплантит ксеногенный коллагеновый гель лечение периимплантита диодный лазер лазерный кюретаж dental implants peri-implantitis xenogenic collagen gel peri-implantitis treatment diode laser laser curettage

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