Bashkir State Medical
University, Ufa, Russia
THE
USE OF AUTOLOGOUS PLATELET PLASMA IN DENTISTRY
In recent
years, dentistry has received a large leap forward in terms of service
improvement and introduction of the latest achievements of science. Recognition
of the benefits of non-drug methods aiming to achieve stimulation of the
regenerative processes of the maxillofacial area. This method to date was the
injection method with the use of autoplasma rich in platelet - Plasmolifting.
In dentistry the method of plasmolifting is used as in diseases of soft tissues
and periodontal tissues, and in practice, surgical, orthopedic dentistry.
Indications for use are: gingivitis, periodontitis, surgery targeted tissue
regeneration, burns, contractures, scars, necrosis, tooth extraction,
cystectomy, trauma, implants, bone grafting, sinus lifting, contouring of the alveolar
process, substitution defects, periimplantitis [1,2,3,4,6,7]. Indications for
use may also be not only treatment but also prevention of periodontal disease
in patients at risk with accompanying pathology (e.g., diabetes), patients with
dental implants [9], patients with fixed orthodontic appliances during the
correction of the occlusion [8].
An
important fact is that the plasmatherapy has significant advantages: simple to
implement; there is no rehabilitation period after the procedure; non-toxic, natural
treatments; low risk of adverse effects; the possibility of combining with
other types of therapy, a minimum of contraindications. The advantage of the
method Plasmolifting is an opportunity to increase the number of platelets in
the tissues by increasing the volume of injected plasma. [2,3,10].
Methods of
obtaining and using native plasma (PA – Platelet autoplasma) is quite simple.
The patient must get blood in the original tube with a separator gel and 8.5
ml. Then the tube was placed in a centrifuge and centrifugation Protocol
produced.
Separated
in a test tube, a PA is taken into the syringe and injected into the zone on a
transitional fold, marginal gingiva and gingival papilla. Derived from one
beaker of PA is enough for one jaw. Method it is recommended to use together
with the received treatment, for example, after professional hygiene and
pharmacological treatment of gingival pockets [1,2,3,6].
Studies
have shown that application of platelet autoplasma by the method of
Plasmolifting in the treatment of inflammatory and inflammatory-destructive
periodontal diseases can reduce the severity of chronic inflammation,
prevention of exacerbation of the inflammatory response, prevents the
development of necrotic-destructive processes; results in an almost complete
regeneration of epithelial lining; prevents the development of sclerosis
[1,2,3,5,10].
The method
of plasmolifting is extremely relevant in gerontotechnology because in the
elderly there are many factors that reduce the regenerative processes of
tissues, aggravating the course of disease and worsens the forecasts for full
rehabilitation. This technology is especially promising in Periodontology,
where it is important to stimulate the bone [6,7,8] .
Conclusion.
Using injections of platelet autoplasma in the treatment of inflammatory
diseases of the mucous membrane of the oral cavity can accelerate the healing
tissue with erosive-ulcerative processes to reduce the frequency of relapse,
stabilize the inflammatory process, to speed up the processes of regeneration
and tissue. This method is a promising direction in all sections of dentistry.
Literature.
1. Ахмеров P.P.
Регенеративная медицина на основе аутологичной плазмы. Технология
PlasmoliftingTM . М. , 2014. -160 с.
2. Ахмеров P.P., Зарудий
Р.Ф., Цыплаков Д.Э., Овечкина М.В., Воробьев А.А. Изучение патоморфологических
изменений тканей десны при лечении хронических воспалительных и
воспалительно-деструктивных заболеваний пародонта с использованием
регенеративного метода PlasmoliftingTM. Часть I
//
Пародонтология. – 2014.
- №4 (73). - С.54-56.
3. Буляков
Р.Т., Сабитова Р.И., Гуляева О.А. Опыт консервативного лечения пародонтита
тяжелой степени с использованием современных методов разрушения биопленки и
технологии Рlasmolifting // Проблемы стоматологии. — 2014. — № 1. — С. 54–58.
4. Гуляева О.А., Аверьянов
С.В., Солодкий В.Г., Овечкина М.В., Ахмеров Р.Р., Зарудий Р.Ф., Тухватуллина
Д.Н., Саляхова Г.А. Применение аутологичной тромбоцитарной плазмы в
стоматологии //Учебное пособие. Уфа.- 2016.- 75 с.
5. Гуляева О.А., Тухватуллина Д.Н., Солодкий В.Г. Применение тромбоцитарной аутологичной плазмы в
комплексном лечении и профилактике гингивита у пациентов с несъемными
ортодонтическими конструкциями // Пародонтология. – 2016. – №
2. – С. 38-42.
6. Солодкий
В.Г., Овечкина М.В. Применение
тромбоцитарной аутологичной плазмы в практике хирургической стоматологии //// Пародонтология. – 2016. – № 3. – С.
62-66.
7.
Гуляева О.А., Аверьянов
С.В. Профилактика
воспалительных осложнений после дентальной имплантации // Пародонтология. –
2017. – № 2. – С. 84-88.
8. Гуляева О.А. Способ
лечения гипертрофического гингивита у пациентов с несъемной ортодонтической
техникой с применением инъекционной формы аутологичной тромбоцитарной плазмы
/ патент на
изобретение RUS 2626826 08.11.2016
9. Гуляева О.А. Способ
профилактики воспалительных заболеваний пародонта у пациентов с несъемной
ортодонтической техникой с применением инъекционной формы аутологичной
тромбоцитарной плазмы /
патент на изобретение RUS 2626825 08.11.2016
10.
Гуляева О.А., Буляков Р.Т. Способ лечения деструктивных
форм хронического периодонтита с применением инъекционной формы аутологичной
тромбоплазмы / патент на изобретение
RUS 2627582 25.05.2016