The pharmacological substantiation of hyaluronic acid application in combined soft medicines in dentistry
DOI:
https://doi.org/10.24959/cphj.20.1529Keywords:
reparative activity, hyaluronic acid, gel, stencil woundsAbstract
Treatment of periodontal disease is one of the most important and complex problems of dentistry. Among periodontal diseases, gingivitis is the most common form of damage to the periodontal tissues; without proper treatment it tends to develop into a progressive form of periodontitis. Despite many years of experience in the use of stable combinations of antibacterial agents in dental gels, the creation of new combined drugs with the improved biopharmaceutical properties remains an urgent task for pharmaceutical industry.
Aim. To study the wound-healing effect of the gel and determine the effect of the presence of hyaluronic acid in the composition on the intensity of the reparative process.
Materials and methods. The wound-healing activity of new objects was studied on the model of a full-layer stencil wound. The test drugs were applied daily once a day in the dose of 20 mg/cm2 until complete healing. The main indicators of verification of the wound-healing effect of drugs were the area of stencil wounds, the rate of the healing rate and the percentage of animals with healed wounds.
Results. The results of the dynamics of planimetric parameters showed that from the 4th and 7th days of the treatment the reduction of the wound area under the effect of the gel with hyaluronic acid was probably more effective than in the groups where the gel without hyaluronate and the reference drug were used. Complete epithelialization of wounds in all animals in the group where the combined gel was used was observed on day 14 compared to day 21 in the control group.
Conclusions. By its reparative action the dental gel with hyaluronic acid is not inferior to the reference drug with methyluracil and miramistin and significantly exceeds the effectiveness of the gel without hyaluronate, which makes it a promising object for the in-depth pharmacological study and further clinical application.References
Biloklytska, H. F., Tsentilo, T. D., Afanasenko, K. Yu. (2013). Zastosuvannia preparatu hialuronovoi kysloty v kompleksnomu likuvanni khvorykh khronichnym kataralnym hinhivitom. Sovremennaya stomatolohyya, 5, 28–32.
Sahni, J., Talegaonkar, S., Tariq, M., Ahmad, Z., Ali, J., Baboota, S., & Iqbal, Z. (2012). Treatment modalities and evaluation models for periodontitis. International Journal of Pharmaceutical Investigation, 2(3), 106. https://doi.org/10.4103/2230-973X.104394.
Ciurba, A., Lazăr, L., Antonoaea, P., Georgescu, A., Vari, C-E., Todoran, N. (2015). In vitro/in vivo performance study of new metronidazole periodontal gel formulations. Farmacia, 63, 11–19.
Bagaeva, V. V., Popova, V. M., Pashkova, G. S., Isadzhanyan, K. E., Nikitin, V. V., & Zhilenkov, E. L. (2015). The study the efficacy and safety of antimicrobial agents. Research’n Practical Medicine Journal, 2(3), 35–42. https://doi.org/10.17709/2409-2231-2015-2-3-35-42
Avanesov, A. M., Kalantarov, G. K. (2013). Sravnitelnaia otcenka immunologicheskoi effektivnosti preparatov miramistin i khlorgeksidin u patcientov s khronicheskim generalizovannym parodontitom legkoi stepeni tiazhesti. Sovremennye problemy nauki i obrazovaniia, 4. [Electronic resourse]. – Available at: https://www.science-education.ru/ru/article/view?id=9516
Bertl, K., Bruckmann, C., Isberg, P.-E., Klinge, B., Gotfredsen, K., & Stavropoulos, A. (2015). Hyaluronan in non-surgical and surgical periodontal therapy: a systematic review. Journal of Clinical Periodontology, 42(3), 236–246. https://doi.org/10.1111/jcpe.12371
Casale, M., Moffa, A., Vella, P., Sabatino, L., Capuano, F., Salvinelli, B., … Salvinelli, F. (2016). Hyaluronic acid: Perspectives in dentistry. A systematic review. International Journal of Immunopathology and Pharmacology, 29(4), 572–582. https://doi.org/10.1177/0394632016652906.
Tarasenko, S. V., Kulaga, O. I. (2016). Preparaty na osnove gialuronovoi kisloty dlia lecheniia patcientov s khronicheskim generalizovannym parodontitom. Rossiyskiy stomatologicheskiy zhurnal, 20(6), 340–343.
Kozhem’yakin, Yu. M., Khromov, O. S., Filonenko, M. A., Sayfetdynova, H. A. (2002). Naukovo-praktychni rekomendatsiyi z utrymannya laboratornykh tvaryn ta roboty z nymy. Kyiv: Avitsenna, 156.
Directive (EU) 2010/63/EU of the European Parliament and of the Council of 22 September 2010. (2010). On the Protection of Animals Used for Scientific Purposes. Official Journal of the European Union, 276, 33–79.
Yakovlyeva, L. V., Tkachova, O. V., Butko, Ya. O., Laryanovska, Yu. B. (2013). Eksperymentalne vyvchennya novykh preparativ dlya mistsevoho likuvannya ran. Metodychni rekomendatsiyi. Kharkiv, NFaU, 52.
Stefanov, O. V. (Ed.). (2001). Doklinichni doslidzhennia likarskykh zasobiv. Kyiv: Avitsenna, 528.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 National University of Pharmacy

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).