Received: 20.11.2023 Accepted: 25.01.2024 Published online: 29.02.2024
UDC 616.314-089(045)
DOI 10.53511/PHARMKAZ.2024.43.99.047
M.А. Mugalbayeva1, U.R. Mirzakulova1, G.B. Zaitenova2, Z.S.Uglanov1
1 Asfendiyarov Kazakh National Medical University, Almaty, Republic of Kazakhstan
2 Kazakh-Russian Medical University, Almaty, Republic of Kazakhstan
ENHANCING OSTEOGENESIS: OSTEOPLASTIC MATERIAL WITH PLASMOGEL AND PLATELET-ENRICHED PLASMA
Resume. This article is a comprehensive exploration of the clinical and radiological findings derived from the
utilization of osteoplastic synthetic material, combined with plasma gel and platelet-rich plasma, to facilitate
and augment local osteogenesis subsequent to the atypical extraction of the lower third molar. The study,
comprising 80 patients, was meticulously divided into two distinct groups: the experimental group and the
control group. The strategic utilization of osteoplastic synthetic material in conjunction with plasmogel for
bone wound filling, along with the introduction of plasma enriched with platelet factors into the transitional
fold of the surgical site, emerged as a pivotal approach. This multifaceted technique not only acted as a
robust defense against wound infections but also exhibited a remarkable reduction in the frequency of
postoperative inflammatory complications, impressively plummeting from 10% to a mere 2.5%. Radiological
assessments, notably through X-ray examinations, provided compelling evidence of an accelerated and
substantially reinforced reparative regeneration of bone tissue within the void left by the extracted lower
third molar.
The primary and overarching objective of this comprehensive study was to meticulously scrutinize and
document the outcomes arising from the meticulous implementation of osteoplastic synthetic material in
conjunction with plasmogel and platelet-rich plasma. This innovative approach was systematically applied to
catalyze and amplify local osteogenesis, predominantly in the aftermath of the intricate and atypical extraction
of the lower third molar, shedding light on the transformative potential of this multifaceted intervention in
clinical practice.
Key words: Difficult Eruption, Lower Third Molar, Atypical Tooth Extraction, Osteoplastic Synthetic Material,
Plasma Gel, Plasma Enriched with Platelet Factors.
REFERENCES
1 Andreishchev A.R. Complications associated with the lower third molars (Pathogenesis, clinic, treatment). Abstract of the thesis. dis. Candidate of Medical
Sciences. 2015;15.
2 Andreishchev A. R., Fadeev R. A., Raad Z. et al. New opportunities in the diagnosis and treatment planning of patients with impaired teething. Pediatric
Dentistry and Prevention.2018;(3-4):27-28.
3 Afanasyeva VV et al. Surgical dentistry. GEOTAR – Media. 2019; 286-299.
4 Azarova E. A. Clinical and experimental substantiation of the use of «Bioplast-Dent», «Klipdent» in the complex treatment of fractures of the jaws and
intraosseous formations of the maxillofacial region. Dis., candidate of medical sciences. 2018;161.
5 Belozerov M.N. Evaluation of osteoplastic properties of various biocomposite materials for filling jaw defects. Abstract of the thesis. dis. Candidate of Medical
Sciences. 2004;22.
6 Deliverska E.G., (Deliverska, Elitsa G.); Petkova, M (Petkova, Milena) Complications after extraction of impacted third molars. Literature review. 2020;1202-
1211
7 Sirak SV, Sletov AA, Alimov ASh et al. Clinico-experimental basis of Kollost usage and bioresorbed membrane Diplen-Gamm and Parodonkol at extraction
of impacted and dystopic third mandibular molars. Dentistry. 2008;(2): 10-14.
8 Laskin U.B. Usage of bioplastic materials in surgical dentistry at extraction of impacted mandibular wisdom teeth and dystopic teeth. Bulletin of medical
stomatology institute. 2008;(1-2):6-10.
9 Marx R., Garg AK. Dental and craniofacial applications of platelet-rich plasma. Carol Stream: Quintessence Publishing Co, Inc. 2005;(221):3-4).
10 Adda F. Fibrin rich thrombocytes. clinical dentistry. 2003; 1:67-69. Russian (Adda F. Platelets with a high content of fibrin // Clinical Dentistry. 2003. No. 1.
P. 67-69).
11 Obolenskin VN, Ermolova DA. The use of thrombocytic growth factors and collagen-containing substances in treatment of chronic wounds of various
etiology. The Pirogov N.I. 2012;(5):42-47.
12 Ivanov PU, Zhuravlev VR, Makeyev OG. The usage of enriched thrombocyte plasma for prophylaxis of jaws atrophy before dental implantation. The Ural
Bulletin of academic science. 2011;(1):76-78.