Dentistry

doi: 10.25005/2074-0581-2017-19-4-513-519
EFFICIENCY OF THE APPLICATION OF «STIMUL-OSS» OSTEOPLASTIC MATERIAL IN COMBINATION WITH PLATELET-RICH PLASMA FOR THE EXTRACTION OF THE RETAINED AND DYSTOPIC MANDIBULAR THIRD MOLAR

M.A. Toktombaev1, I.M. Yuldashev1, A.T. Boronchiev2, Zh. D. Ashimov3

1Department of Pediatric Dentistry, Maxillofacial and Plastic Surgery, Kyrgyz-Russian Slavic University named after B.N. Yeltsin, Bishkek, Kyrgyzstan
2Department of Operative Dentistry, Kyrgyz-Russian Slavic University named after B.N. Yeltsin, Bishkek, Kyrgyzstan
3Department of Prosthetic Dentistry, Kyrgyz-Russian Slavic University named after B.N. Yeltsin, Bishkek, Kyrgyzstan

Objective: Optimization tactics and treatment results of the difficult eruption of lower third molars on the bases of the osteoinductive materials.

Methods: Depending on the chosen tactics of treatment, patients were divided into 2 groups. The first (main) group (29 patients – 51%), in which, after extraction of the lower third molar, the bone defect filled by the osteoplastic material «Stimul-OSS», and then covered by membrane-shaped platelet-rich plasma. And second (control) group (28 patients – 49%), where treatment was carried out according to traditional techniques.

Results: When analyzing the dynamics of leukocyte infiltration index by 7 days of treatment, the level of leukocytes in group II decreased to 6.0±0.3×109 /l, the ESR was 9.08±4.6 mm/h, whereas in the main group during this time, the leukocyte and ESR values were 5.60±0.3×109 /l and 9.09±2.89 mm/h, which indicated the normalization of the general condition of the patients. The results of densitometry in the main group in 12 months after tooth extraction corresponding to the norm – 1631.8±14.9 units. Analysis of the acidic-alkaline state of the alveolar socket of the removed tooth in the observation dynamics showed that a more positive picture noted in the main group.

Conclusions: The developed method of bone plastic surgery by the surgical treatment of retained dystopic lower third molars with the application of combination of osteoplastic material «Stimul-OSS» with platelet-rich plasma is pathogenetically grounded. This technique reduces healing time and treatment; has a medico-social and economic effectiveness of reduction of hospital stay and improved patients quality of life.

Keywords: Retention, dystopia, platelet-rich plasma, Stimul-OSS, osteoplastic materials.

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Authors informations:

Toktombaev Meder Amanturovich, Senior Lecturer of the Department of Pediatric Dentistry, Maxillofacial and Plastic Surgery, KRSU named after B.N. Yeltsin

Yuldashev Ilshat Mukhitdinovich, Doctor of Medical Sciences, Full Professor, Head of the Department of Pediatric Dentistry, Maxillofacial and Plastic Surgery, KRSU named after B.N. Yeltsin

Boronchiev Azamat Toktobekovich, Candidate of Medical Sciences, Senior Lecturer of the Department of Operative Dentistry, KRSU named after B.N. Yeltsin

Ashimov Zhanibay Doolotbakovich, Senior Lecturer of the Department of Prosthetic Dentistry, KRSU named after B.N. Yeltsin

Address for correspondence:

Toktombaev Meder Amanturovich

Senior Lecturer of the Department of Pediatric Dentistry, Maxillofacial and Plastic Surgery, KRSU named after B.N. Yeltsin

720021, Kyrgyz Republic, Bishkek, str. Ibraimova 34, apt. 12

Tel.: (+996) 550 740007

E-mail: medert@rambler.ru

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