Application of Polymer Phospholipid Matrix for Closing Open Wounds on Oral Mucosa
The aim of the investigation was to assess the possibilities of application of the polymer matrix made from Reperen material for closing open wound surface on the mucous membrane of the oral cavity.
Materials and Methods. Experimental investigation was carried out on 15 Chinchilla rabbits. Half of the created defect on the hard palate mucous membrane healed under the Reperen polymer matrix, and the other half healed by secondary intention. The results of the histological and cytological examination were assessed on day 3, 5, and 7.
Results. The area of granulation and connective tissue in the specimens of mucosa, healing without the Reperen matrix on day 5 amounted to 25.0±1.2 and 15.0±1.1%, and on day 7 — 15.0±1.2 and 25.0±1.7%, respectively. Meanwhile, in the specimens of mucous membrane, healing under the Reperen polymer matrix, their values have essentially changed: they were 25.0±1.2 and 20.0±1.1% on day 3, and 10.0±1.3 and 40.0±1.7% on day 7.
Conclusion. The Reperen polymer matrix promotes intensification of the local regenerative processes in the wound and can be used for closing large open wound surfaces on the mucous membrane of the oral cavity.
- Blednov A.V. Perspective trends in the development of new surgical dressings. Novosti khirurgii 2006; 14(1): 9–19.
- Shinkevich D.S. Osobennosti zazhivleniya posleoperatsionnykh ran myagkikh tkaney litsa v oblasti preddveriya rta, izolirovannykh silikonovymi membranami. Avtoref. dis. … kand. med. nauk [Healing of postoperative wounds of facial soft tissues in the oral vestibular area isolated by silicon membranes. PhD Thesis]. Moscow; 2008.
- Kolsanov A.V. Kompleksnoe lechenie ranevykh defektov kozhi i myagkikh tkaney razlichnoy etiologii s primeneniem kletochnykh kul'tur i biopokrytiy (eksperimental'no-klinicheskoe issledovanie). Avtoref. dis. … dokt. med. nauk [Complex treatment of skin and soft tissue wound defects of various etiology using cell cultures and biocoatings ( experimental and clinical study). DSc Thesis]. Samara; 2003.
- Carnio J., Hallmon W.W. A technique for augmenting the palatal connective tissue donor site: clinical case report and histologic evaluation. Int J Periodontics Restorative Dent 2005; 25(3): 257–263.
- Hofmänner P., Alessandri R., Laugisch O., Aroca S., Salvi G.E., Stavropoulos A., Sculean A. Predictability of surgical techniques used for coverage of multiple adjacent gingival recessions — a systematic review. Quintessence Int 2012; 43(7): 545–554.
- Mansouri S.S., Ayoubian N., Manouchehri M.E. A comparative 6-month clinical study of acellular dermal matrix allograft and subepithelial connective tissue graft for root coverage. J Dent (Tehran) 2010; 7(3): 156–164.
- Gasparini D.O. Double-fold connective tissue pedicle graft: a novel approach for ridge augmentation. In J Periodontics Restorative Dent 2004; 24(3): 280–287.
- Calesini G., Micarelli C., Coppè S., Scipioni A. Edentulous site enhancement: a regenerative approach for the management of edentulous areas. Part 1. Pontic areas. Int J Periodontics Restorative Dent 2008; 28(5): 517–524.
- Kuru B., Yıldırım S. Treatment of localized gingival recessions using gingival unit grafts: a randomized controlled clinical trial. J Periodontol 2013; 84(1): 41–50, http://dx.doi.org/10.1902/jop.2012.110685.
- Kobayashi K., Suzuki T., Nomoto Y., Tada Y., Miyake M., Hazama A., Omori K. Potential of heterotopic fibroblasts as autologous transplanted cells for tracheal epithelial regeneration. Tissue Eng 2007; 13(9): 2175–2184, http://dx.doi.org/10.1089/ten.2007.0008.
- Mahajan A. Treatment of multiple gingival recession defects using periosteal pedicle graft: a case series. J Periodontol 2010; 81(10): 1426–1431, http://dx.doi.org/10.1902/jop.2010.100134.
- Lukanina K.I. Razrabotka nauchnykh i tekhnologicheskikh osnov sozdaniya perevyazochnykh sredstv iz biodestruktiruemykh i biosovmestimykh voloknistykh materialov na osnove polilaktida. Avtoref. dis. … kand. tekh. nauk [Development of scientific and technological foundation for creation of dressing materials from biodestructable and biocompatible fibrous materials based on polylactide. PhD Thesis]. Moscow; 2011.
- Rokhvager I.S., Moroz B.T. Effect of the oral vestibular depth on the parodontal tissue state. Institut stomatologii 2000; 4(9): 38–39.
- Kapoor S., Patel S.A., Kartan S. Tolerance-like mediated suppression by mesenchymal stem cells in patients with dust mite allergy-induced asthma. J Allergy Clin Immunol 2012; 129(4): 1094–1101, http://dx.doi.org/10.1016/j.jaci.2011.10.048.
- Kim H.S., Kim N.H., Kim J., Cha I.H. Inducing re-epithelialization in skin wound through cultured oral mucosal keratinocytes. J Korean Assoc Oral Maxillofac Surg 2013; 39(2): 63–70, http://dx.doi.org/10.5125/jkaoms.2013.39.2.63.
- Mahdavishahri N., Moghatam Matin M., Fereidoni M., Yarjanli Z., Banihashem Rad S.A., Khajeh Ahmadi S. In vitro assay of human gingival scaffold in differentiation of rat’s bone marrow mesenchymal stem cells to keratinocystes. Iran J Basic Med Sci 2012; 15(6): 1185–1190.
- Treushnikov V.M. Basic principles of biocompatible implant manufacturing. Nizhegorodskie vedomosti meditsiny 2007; 6: 46–55.
- Belov A.I., Cherekaev V.A., Reshetov I.V., Kapitanov D.N., Vinokurov A.G., Zaytsev A.M., Bekyashev A.Kh. Calvarium defect plasty after removal of craniofacial tumors. Voprosy neyrokhirurgii im. N.N. Burdenko 2001; 4: 5–9.
- Durnovo E.A., Khomutinnikova N.E., Mishina N.V., Trofimov A.O. The peculiarities of the reconstruction of the walls of orbital cavity during the treatment of traumatic damages of facial skeleton. Meditsinskiy al’manakh 2013; 5: 159–161.
- Krupko A.V., Bogos’yan A.B., Krupko M.S. Use of "Reperen" polymer meshes in surgical treatment of pectus excavatum. Travmatologiya i ortopediya Rossii 2014; 3(73): 69–75.
- Tikhomirov S.E. Plastika defektov svoda cherepa plastinami "Reperen" (eksperimental’no-klinicheskoe issledovanie). Avtoref. dis. … kand. med. nauk [Calvarium defect plasty with “Reperen” plates (experimental and clinical study). PhD Thesis]. Nizhny Novgorod; 2011.
- Tikhomirov S.Е. Application of reperen miniplate for minor calvarium defect plasty in intracerebral hematoma removal. Sovremennye tehnologii v medicine 2015; 7(2): 198–201, http://dx.doi.org/10.17691/stm2015.7.2.23.
- Tikhomirov S.E., Tsybusov S.N., Kravets L.Ya., Fraerman A.P., Balmasov A.A. Plasty of the base of the skull defects and dura mater with the Reperen’s new polymer material. Sovremennye tehnologii v medicine 2010; (2): 6–11.
- Khodak V.А., Petrov V.V., Dvornikov А.V., Mironov А.А., Baburin А.B., Parshikov V.V., Tsybusov S.N. The possibilities and advantages of sutureless plasty of abdominal wall using different synthetic meshes in experimental study. Sovremennye tehnologii v medicine 2012; (2): 31–36.
- Uspenskiy I.V. "Reperen" polymer meshes. Nizhegorodskie vedomosti meditsiny 2006; 1: 8–9.
- Khomutinnikova N.E., Orlinskaya N.Yu., Tsybusov S.N., Durnovo E.A., Mishina N.V. Clinical and morphological assessment of reparative regeneration of the orbit bone tissue using polymer implants in experiment. Morfologicheskie vedomosti 2015; 1: 68–74.
- Shesterickov A.A., Lalov Yu.V., Fomin P.A., Uspensky I.V. Hermetization of the turkish saddle fundus with the “Reperen-ST” synthetic implant in a combined treatment of the chiasmal and sellar area tumors. Sovremennye tehnologii v medicine 2011; (1): 6–10.
- Tsybusov S.N., Durnovo E.A., Khomutinnikova N.E., Treushnikov V.M., Viktorova E.A., Treushnikov V.V., Sorokina O.V. Matritsa dlya regeneratsii myagkikh tkaney [Matrix for soft tissue regeneration]. Patent RF 2526182. 2014.
- Bozo I.J., Deev R.V., Pinaev G.P. Is "Fibroblast" a specialized cell or a functional condition of mesenchymal cells derivatives. Tsitologiya 2010; 52(2): 99–109.
- Bykov B.L. Tsitologiya i obshchaya gistologiya (funktsional’naya morfologiya kletok i tkaney cheloveka) [Cytology and general histology (functional morphology of human cells and tissues)]. Saint Petersburg: SOTIS; 2007.
- Orlov A.A., Grigoryan A.S., Marinicheva I.G., Ippolitov V.P., Karmen N.В., Mayevsky E.I. Perftoran in healing of soft and osseous tissues in rats. Rossiyskiy stomatologicheskiy zhurnal 2004; 3: 6–10.
- Bykov V.L. Tissue and cellular protective mechanisms of oral mucosa. Morfologiya 1996; 6: 14–19.
- Bochkov N.P., Nikitina V.A. Cytogenetics of human stem cells. Molekulyarnaya meditsina 2008; 3: 40–47.
- Mochalova D.A. Eksperimental’no-klinicheskoe izuchenie osobennostey regeneratsii slizistoy obolochki polosti rta s ispol’zovaniem polimernoy membrany. Avtoref. dis. … kand. med. nauk [Experimental and clinical study of oral mucosa regeneration using polymer membrane. PhD Thesis]. Nizhny Novgorod; 2015.