Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 85384 10.18481/2077-7566-2024-20-2-20-33 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ THERAPEUTIC AND PREVENTIVE ASPECTS OF THE CHEWING GUM USE IN DENTAL PATIENTS (LITERATURE SYSTEMATIC REVIEW) ЛЕЧЕБНО-ПРОФИЛАКТИЧЕСКИЕ АСПЕКТЫ ПРИМЕНЕНИЯ ЖЕВАТЕЛЬНОЙ РЕЗИНКИ У ПАЦИЕНТОВ СТОМАТОЛОГИЧЕСКОГО ПРОФИЛЯ (СИСТЕМАТИЧЕСКИЙ ОБЗОР ЛИТЕРАТУРЫ) https://orcid.org/0000-0002-4289-6285 Гилева Ольга Сергеевна Gileva Ol'ga Sergeevna ogileva@rambler.ru

доктор медицинских наук;

doctor of medical sciences;

 https://orcid.org/0000-0003-1793-7222 Садовский Владимир Викторович Sadovskiy Vladimir Viktorovich

кандидат медицинских наук;

candidate of medical sciences;

 https://orcid.org/0000-0003-2095-9473 Кисельникова Лариса Петровна Kisel'nikova Larisa P. lpkiselnikova@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Либик Татьяна Владимировна Libik Tatiana V. libiktat@yandex.ru

кандидат медицинских наук;

candidate of medical sciences;

 Огарева Анна Алексеевна Ogareva Anna A. ann.ogareva@gmail.com

кандидат медицинских наук;

candidate of medical sciences;

 Пермский государственный медицинский университет им. акад. Е. А. Вагнера Пермь Россия Perm State Medical University named after Academician E. A. Vagner Perm' Russian Federation Национальный институт исследования и адаптации маркетинговых стратегий Москва Россия National Institute for Research and Adaptation of Marketing Strategies Moscow Russian Federation Российский университет медицины Москва Россия Russian University of Medicine Moskow Russian Federation Пермский государственный медицинский университет им. академика Е. А. Вагнера Россия Academician Ye.A. Vagner Perm State Medical University Russian Federation Российский университет медицины Москва Россия Russian University of Medicine Moscow Russian Federation 02 08 2024 02 08 2024 20 2 20 33 13 07 2024 https://dental-press.ru/en/nauka/article/85384/view

Цель систематического обзора — поиск и анализ публикаций по перспективным направлениям применения жевательной резинки (ЖР) в стоматологии (включая гигиенический уход за полостью рта, диагностический потенциал и комплексное лечение заболеваний и состояний стоматологического профиля), а также в гастроэнтерологии и когнитивной психологии. Материалы и методы исследования. В обзоре представлены результаты анализа материалов оригинальных полнотекстовых статей, систематических обзоров и мета-анализа (c анализом процитированных ссылок) на русском и английском языках, отражающих лечебно-профилактические направления применения ЖР у пациентов c различными стоматологическими и системными заболеваниями; тезисы докладов аналитике не подлежали. Источники информации — электронные базы данных еLibrary, Cyberlenika, MEDLINE, PubMed, Scopus, Web of Science, Сochrane Library. Результаты исследования и их обсуждение. В соответствии с заданными требованиями на первом этапе было отобрано и проанализировано 481 публикаций; глубина поиска — до 35 лет. После скрининга материала, с учетом конкретизации ключевых слов, было отобрано 132 публикации, включая мета-анализы. Выводы. Отражены разные лечебно-профилактические направления применения ЖР у пациентов c различными стоматологическими и системными заболеваниями. Обобщенная позиция авторов публикаций — главным условием отнесения жевательной резинки к средствам гигиены полости рта является отсутствие в ней сахара и наличие ингредиентов, определяющих лечебно-профилактические эффекты, а именно очищающее, противокариозное, противовоспалительное, дезодорирующее действие, стимуляция слюноотделения; специфические эффекты (за счет введения в жевательные резинки лечебно-профилактических добавок); стимуляция кровообращения в тканях мукопародонтального комплекса; положительное влияние на когнитивную деятельность, на настроение индивидуума, на концентрацию внимания; снижение симптомов пищеводного рефлюкса.

The aim of the systematic review was to search and analyze publications on prospective areas of chewing gum use (including hygienic oral care, diagnostic potential and complex treatment of diseases and conditions of the dental profile) in dentistry as well as in gastroenterology and cognitive psychology. Materials and methods of research. The review presents the results of the materials analysis from the original full-text articles, systematic reviews and meta-analysis (with analysis of cited references) in Russian and English, reflecting various therapeutic and preventive areas of chewing gum use in patients with various dental and systemic diseases; abstracts of reports were not be analysed. Information sources. Electronic databases eLibrary, Cyberlenika, MEDLINE, PubMed, Scopus, Web of Science, Cochrane Library. The results of the research and discussion. According to the specified requirements, at the first stage 481 publications were selected and analyzed; the search depth is up to 35 years. After the screening the material, taking into account the keywords specification, 132 publications were selected, including meta-analyses. Conclusions. Various therapeutic and prophylactic directions of the chewing gum use in patients with various dental and systemic diseases were presented; The authors generalized position of publications is that the main condition for classifying chewing gum as an oral hygiene product is the absence of sugar in it and the presence of ingredients that determine therapeutic and prophylactic effects specifically: cleansing, anti-carious, anti-inflammatory, deodorizing effect, stimulation of salivation; specific effects (due to the introduction of therapeutic and prophylactic additives into chewing gums); stimulation of blood circulation in the tissues of the mucoparodontal complex; positive effect on cognitive activity, on the mood of the individual, on concentration of attention; reduction of esophageal reflux symptoms.

 жевательная резинка жевание средства гигиены полости рта ротовая жидкость микрофлора полости рта кариес зубов заболевания пародонта и слизистой оболочки рта ксеростомия полипрагмазия галитоз системная патология когнитивные функции пищеварение chewing gum chewing oral hygiene products oral fluid oral microflora dental caries periodontal diseases and oral mucosa xerostomia polypharmacy halitosis systemic pathology cognitive functions digestion

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