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дулина у больных с переломом нижней челюсти //
Stomatologiy. – 2000. – №4. – С. 34-37.
5. Никитин А.А., Лапшин В.П., Косяков М.Н. и др.
Современные методы диагностики и лечения одон
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тогенных медиастинитов // Рос. оториноларингол.
– 2004. – №5. – С. 15-18.
6. Панкратов А.С., Коршунов В.М. Эксперименталь
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ное исследование закономерностей развития вос
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палительного процесса в костной ткани нижней
челюсти, обусловленного воздействием анаэроб
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ной микрофлоры // Стоматология. – 1999. – №6.
–С. 4-9.
7. Робустова Т.Г. Новые тенденции в течении одон
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тогенных остеомиелитов челюстей // Рос. стома
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тол. журн. – 2006. – №5. – С. 32-34.
8. Федотов С.Н., Лызганов В.А. Иммунокорригиру
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ющее лечение при переломах нижней челюсти у
жителей европейского Севера // Стоматология. –
2000. – №3. – С. 26-29.
9. Adamson O.O., Gbotolorun O.M., Odeniyi O. et al.
Assessment of predictors of treatment outcome among
patients with bacterial odontogenic infection // Saudi
Dent. J. – 2018. – Vol. 30, №4. – P. 337-341.
10. Bali R.K., Sharma P., Gaba Sh. et al. A review of com
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plications of odontogenic infections // Nat. J. Maxillo
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fac. Surg. – 2015. – Vol. 6, №2. – P. 136-143.
11. Cariati P., Monsalve-Iglesias F., Cabello-Serrano A. et
al. Cervical necrotizing fasciitis and acute mediastini
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tis of odontogenic origin: A case series // J. Clin. Exp.
Dent. – 2017. – Vol. 9, №1. – P. e150-e152.
12. Filiaci F., Riccardi E., Mitro V. et al. Disseminated ne
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crotic mediastinitis spread from odontogenic abscess:
our experience // Ann. Stomatol. (Roma). – 2015. – Vol.
6, №2. – P. 64-68.
13. Guzmán-Letelier M., Crisosto-Jara C., Diaz-Ricouz
C. et al.. Severe odontogenic infection: An emergency.
Case report // J. Clin. Exp. Dent. – 2017. – Vol. 9, №2.
– P. e319-e324
14. Lewandowski B., Pakla P., Wołek W. et al. A fatal case
of descending necrotizing mediastinitis as a complica
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tion of odontogenic infection. A case report // Kardio
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chir. Torakochirurgia Pol. – 2014. – Vol. 11, №3. – Р.
324-328.
15. Precious D.S., Lung K.E., Pynn B.R., Goodday R.H.
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dod. – 1998. – Vol. 85, №4. – P. 362-365.
GENERAL CHARACTERISTICS
OF MEDICAL
PROPERTIES OF THE MATERIAL
OF COLETEX-ADL
УДК: 616.314:616.83-611.011.1
Ikramov G.A., Kodirova N.R.
Tashkent State Dental Institute
Annotation
Bandages are also an important part of the treat
-
ment process. Recently, chemical textile workers, to
-
gether with biologists and physicians, have attached
particular importance to giving dressing materials an
additional medical effect with the addition of drugs
to them.
Аннотация
Перевязочные материалы являются важной ча
-
стью процесса лечения. В последнее время хими
-
ческие текстильщики вместе с биологами и врача
-
ми придают особое значение приданию туалетным
материалам дополнительного медицинского эф
-
фекта с добавлением к ним лекарств.
Ключевые слова:
воспалительные заболевания
и травмы челюстно-лицевой области, перевязоч
-
ные материалы, инновационные технологии.
As we know, textiles in medicine are traditionally
used for the manufacture of dressings. Napkins, ban
-
dages and other various materials have always been
and remain to be used, since already without them no
operation can be performed. Their effectiveness lies
in such qualities as: high sorbed ability, breathability,
elasticity, ease of use, and others.
Dressings are also an important part of the treat
-
ment process. They serve to drain wound surfaces
and protect them from secondary infection. Varieties
of dressing facilities are currently quite wide, which
meet modern methods of treatment of wounds. The
creation of these tools is the result of the constant
search for new dressing tools that contribute to the
rapid healing of wound surfaces.
Recently, chemical textile workers, together with
biologists and physicians, have attached particular
importance to giving dressing materials an additional
20
STOMATOLOGIYA
medical effect with the addition of drugs to them. By
studying such a problem, the materials will not only
close the wound from infection and absorb blood, but
will also have a healing effect due to the injected drug.
In this case, the drug added to the material should
have a prolonged-action effect. At the same time, the
dose and effect of the drug must comply with medical
standards. In the event that if the dressing with the
added drug has a prolonged effect, then there will be
no need for frequent dressings, and the wound healing
process will not be disturbed. There are very differ
-
ent ways of introducing drugs and biologically active
substances into the textile material, and it also has
its own, special requirements for all drugs in terms
of suitability and on the side of their acceptability in
practice. First, the textile material must be non-tox
-
ic, atraumatic, secondly, it should not crumble into
the wound and not stick to the wound, injuring the
damaged surface, and also it must have a certain vis
-
cosity and have an additional therapeutic effect de
-
pending on the added drug. Taking into account the
above requirements, sodium and calcium alginate and
the sodium salt were chosen as the polymer base. The
preference of alginates is due to the fact that they
have a pronounced hemostatic effect, anti-inflamma
-
tory and reparative properties. Sodium salt of alginic
acid is used in connection with the ability to excrete
heavy metals (mercury, lead) and radionuclides from
the div. Alginates are important for medical prac
-
tice, because they have the ability to prevent the de
-
velopment of many diseases – cancer, cardiovascular,
renal, gastrointestinal, and can strengthen the immune
system.
The immunostimulating effect of alginates is as
-
sociated with the activation of phagocytosis (which
increases antiviral and antimicrobial reactions), with
the adsorption of an excess of immune complexes
in the blood (thereby preventing the development of
inflammatory and allergic reactions). Alginates in
-
crease the barrier function of the skin and mucous
membranes of the respiratory tract and gastrointes
-
tinal tract in relation to the pathogenic action of mi
-
croorganisms by stimulating the synthesis of antibod
-
ies (immunoglobulins A) of local specific protection.
Stimulating phagocytosis, they have an antitumor ef
-
fect. Alginic acid salts are cholesterol and fatty acid
sorbents, thereby eliminating the main possible caus
-
es of atherosclerosis. For the treatment of wounds of
various origins, burns, trophic ulcers, alginate-coated
dressings are produced. Such dressings have drain
-
age properties, accelerate wound cleansing, protect
the wound from infection and injury, and promote a
favorable course of the wound process and healing.
With such above effects, modern medical textile ma
-
terial Coletex-ADL has the most effective effect and
performs the mechanical function of the postoperative
wound drainage today.
It is known that Coletex-ADL contains active in
-
gredients like: sodium alginate, dioxidine and lido
-
caine. Sodium alginate was chosen as a biopolymer
for polyfunctional PS Coletex-ADL. According to the
results of research by many authors, sodium alginate,
which contains a large number of trace elements, is a
prodrug. Necrosis of tissues does not occur under the
alginic layer, and under alginate dressings, the period
of necrolysis of non-viable tissues is shortened, which
favorably affects the course of the wound process.
Alginates, as mentioned above, stimulate phagocy
-
tosis, where phagocytes are the main “orderlies” in
the div. Alginates attract to themselves (sorb) and
thus make inactive circulating immune complexes
in the blood. The immune complex is a conglomer
-
ate consisting of an antigen (the protein portion of
the microbial wall, a foreign substance) and a spe
-
cific protein produced by the immune system – the
immunoglobulin (also called an antidiv). If there are
an excessive amount of such immune complexes in
the blood, the div does not have time to clear them.
Excessive amounts of circulating immune complexes
damage the vascular wall of the smallest blood ves
-
sels in almost all organs and cause an inflammatory
reaction. The damaging role of excess circulating im
-
mune complexes has been proven in many diseases
(bronchial asthma, rheumatism, rheumatoid arthritis,
glomerulonephritis, chronic hepatitis, myasthenia, au
-
toimmune anemia, thrombocytopenia). They are able
to sorb (bind) and an excessive amount of a special
class of immunoglobulins (E), guilty of the develop
-
ment of acute allergic reactions and diseases. Sodium
alginates stimulate the synthesis of antibodies of local
specific protection (class A immunoglobulins).
Dioxidine in the napkin has an antiseptic effect. It
is effective in infections caused by the Pseudomonas
sutum, vulgar Proteus, Klebsiella, Staphylococcus,
Streptococcus, pathogenic anaerobes. Dioxidine acts
on bacterial strains resistant to other chemotherapeu
-
tic agents, including antibiotics. Lidocaine is a local
anesthetic that blocks the transmission of pain im
-
pulse for 60-90 minutes, since the drug is subsequent
-
ly hydrolyzed in a weakly alkaline medium.
The peculiarity of Coletex-ADL napkins as a local
anesthetic is that with a sufficiently low concentra
-
tion of lidocaine in them (2% of the masses) com
-
pared with other dosage forms, for example, sprays,
ointments, etc., the analgesic effect is more effective
and long. For example, in a comparative study of the
therapeutic properties of Coleteks-ADL wipes and a
10% spray, the advantage of wipes was proven. When
applying Coletex-ADL wipes on the wound area after
receiving injuries or operations, the patients noted an
anesthetic effect for 60-90 minutes, which are usually
characterized by the most pronounced pain impulses
from the affected area (damage).
21
ОРТОПЕДИЧЕСКАЯ СТОМАТОЛОГИЯ
According to clinical trials with the use of Co
-
leteks-ADL wipes, the infected wound surface was
sanitized in 5-9 days, which is 3-7 days earlier than in
the comparison groups (Oltarzhevskaya N.D., Moise
-
eva A.A., Egorova E.A., 2004)
.
The introduction of dioxidine antiseptic into the
composition reduces the risk of secondary infection
of the wound surfaces (in everyday life, in the process
of dressings, surgical treatments, etc.), abandon the
systemic use of antibiotics from a prophylactic point
of view and reduce the course of preventive therapy.
Thus, Coletex-ADL in modern medicine has taken
a special place with satisfactory indicators in the tex
-
tile dressing. Given the above composition and prop
-
erties of the drug, it will be appropriate to use for
suppressed inflammations of the maxillofacial region.
References
1. Абдирасилова Д.Д. Эффективность салфеток
Арглабина, Иммозимамы и Колетекса с комби
-
нированным радиационно-термическим повре
-
ждением (экспериментальное исследование):
Автореф. дис. … канд. мед.. наук. – Астана,
2005. – 23 c.
2. Артюшкевич А.К., Герасимчук А.А., Коваль
-
чук И.Н. и др. Воспалительные заболевания и
травмы челюстно-лицевой области: диффе
-
ренциальная диагностика, лечение: Справоч
-
ник. – Минск, 2001. –254 c.
3. Бродский С.Е. Предотвращение воспалитель
-
ных осложнений в стоматологии с использо
-
ванием фторхинолонов: Автореф. дис. … канд.
мед. наук. – M., 2008. – 23 c.
4. Егорова Е.А. Инновационные технологии для
создания и оценки эффективности перевязоч
-
ных устройств для лечения ран // Инновацион
-
ные технологии медицины XXI века: Материа
-
лы Всерос. науч. форума. – М., 2006. – С. 59-60.
5. Кожухова А.А. Разработка комплексной тех
-
нологии функциональных продуктов из бурых
водорослей: Дис. … канд. тех. наук. – Красно
-
дар, 2006. – 233 c.
ПРАКТИЧЕСКОЕ
ОБОСНОВАНИЕ ПРИМЕНЕНИЯ
МЕТОДИК WAX-UP И MOK-
UP ПРИ ОРТОПЕДИЧЕСКОМ
ВОССТАНОВЛЕНИИ
ФРОНТАЛЬНЫХ ЗУБОВ
ВИНИРАМИ
УДК: 616.314-089.28-039.77
Ризаева С.М., Муслимова Д.М.,
Ибрагимова Х.Х.
Ташкентский государственный стоматологический институт
Аннотация
В данной статье практически обосновывается ре
-
комендация по применению Wax-Up и Moc-Up при
протезировании винирами. Восковое моделирование
будущей конструкции протеза является актуальным в
эстетической стоматологии, так как дает возможность
пациенту оценить эстетику последующего ортопедиче
-
ского лечения. И тем самым ,облегчает работу зубного
техника и врача, застраховывая их от переделывания
работы.
Annotation
In this article, the recommendation for the use of Wax-
Up and Moc-Up with veneers is practically justified. Wax
modeling of the future design of the prosthesis is relevant
in aesthetic dentistry, as it allows the patient to assess the
aesthetics of subsequent orthopedic treatment. And thus, fa
-
cilitates the work of the dental technician and the doctor,
insuring them from the alteration of the work.
Цель:
обоснование необходимости применения ме
-
тодик Wax-up и Mok-Up при ортопедическом восста
-
новлении фронтальных зубов винирами.
Материал и
методы:
протезирование винирами было проведено 9
пациенткам женского пола (средний возраст 27 лет).
У 3 из них использовался традиционный протокол ор
-
топедического лечения винирами, у 6 протезирование
винирами служило этапом предварительной подготов
-
ки с помощью методик Wax-up и Mok-Up. Оценку ис
-
пользованных методик проводили с помощью опроса
пациенток и фотопротокола.
Результаты:
все три па
-
