A. S. Grudinina

Bashkir State Medical University, Ufa, Russia

Experience in the application of hemostatic cone Parasorb after extraction of permanent teeth

Postextraction wound healing by a secondary tension. Epithelialization takes place in a two - or three-week period. 3-4 days after removal of the development of granulation tissue, and by day 14 the hole is completely filled it. 2 weeks after surgery at the bottom and side walls of the wells appear osteogene ravine, and to the 45 day completely filled spongy bone tissue [4, 5, 6]. By the end of the 3rd month newly formed bone does all the alveoli. By the end of 4-6 months radiographically to distinguish the hole from the surrounding bone is not possible. [1, 2,3] The study used material Alvostaz and collagen cones Parasorb. The alvostaz — hemostatic and antiseptic compress after dental extraction. The alvostaz (sponge) represent collagen hemostatic cubes of 1x1 cm is impregnated with the respective solution.

Part 1 of the cube contains: eugenol, iodoform, thymol, calcium phosphate, lidocaine, butylperoxybenzoate, propolis. The alvostaz is a special tool for the prevention and treatment of alveolitis. Introduced into the alveolus of the Alvostaz quickly relieves inflammation and pain. The drug exerts its effect for several hours, then gradually dissipates in the hole of the tooth. The therapeutic composition does not cause inflammation of the mucous membrane of the oral cavity. When using the material as a prophylactic agent, the drug in a very short time promotes painless healing of the tooth.[7]

The composition of the material Parasorb includes native horse collagen fibers, gentamicin sulfate. The material is not toxic, not irritating to the alveolar socket. The drug Parasorb available in 3 types: collagen cone collagen membrane, collagen sponge. When introduced into the extraction socket, cone Parasorb tight to the edges of the extraction wound, which provides haemostatic and antiseptic effects. Resorbed within 2-4 weeks. Clinical trials have shown high efficiency in the process of epithelialization of the hole.

The purpose of the study to Study the efficacy of hemostatic drug Parasorb after extraction of permanent teeth.

Materials and methods. To study the effectiveness of the drug Purasorb the study was conducted from January 2017 to August 2017 among patients referred for operation of tooth extraction with a diagnosis of exacerbation of chronic or chronic periodontit permanent tooth. The study involved 80 people (42 men and 38 women) aged 15-35 years. For examination patients were used clinical research methods (survey, inspection), and additional methods of investigation (x-ray). The diagnosis of chronic periodontit had 53 patients, and the diagnosis of exacerbation of chronic periodontitis 27 patients.

Patients were divided into 3 groups. After surgical intervention (surgery removal of permanent teeth) in the area of extraction wound of the 1st group of patients (20 people) the hole was closed with cotton-gauze swab, the material is not laid, the 2nd group of patients (25 people) were laid hemostatic material Alvostaz, 3rd group of patients (35 people) set collagen cone Parasorb. Recommendations for the care of a hole. On examination, the patients were invited on 4th day, 7th day and 14th day after tooth extraction. The effectiveness of healing was evaluated with regard to the General condition of the patients and their complaints, and clinical examination.

Results and discussion all 80 patients extraction wound epithelization at different speeds depending on the drug used. Thus, in patients after removal of a permanent tooth, the hole was closed with cotton-gauze tampon, the formation of granulation tissue occurred in 4 days in 19 patients (95%). Complaints patients showed pain in the day of the removal, odor was absent. Patients who pawned the article "Alvostaz" and Parasorb the development of granulation tissue occurred on the 4th day 100% (60) of the cases. In group II patients complained of a pungent smell "pharmacies" mouth for 2 days, pain after the removal complained of 3 people. In group III, patients complaints of pain after the removal, bad breath is absent. Among patients of group I wells epithelialization was achieved in 35% of patients (7 people) at day 14. In group II, the healing of the hole in 8 patients (32%) occurred on the 7th day, the remaining 17 patients (68%) at day 14. In patients who were laid collagen cone Parasorb for 7 days in 100% of cases (35) hole epithelization.

Thus, this study shows the efficacy of the drug Purasorb after extraction of permanent teeth. Collagen cone promotes early healing of postextraction wound, and part of the cone gentamicin sulfate reduction of pain and inflammation in the hole.

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