<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2023.84.09</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-333</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕТОДЫ ДИАГНОСТИКИ И ЛЕЧЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>METHODS OF DIAGNOSIS AND TREATMENT</subject></subj-group></article-categories><title-group><article-title>Эффективность использования аутогенной кости в сочетании с ксеногенным костным материалом при направленной регенерации костной ткани в эксперименте</article-title><trans-title-group xml:lang="en"><trans-title>Efficiency of using autogenic bone in combination with a xenogenic bone material for guided bone tissue regeneration in an experiment</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-0201-1129</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аведова</surname><given-names>Д. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Avedova</surname><given-names>D. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аведова Диана Юрьевна – аспирант </p></bio><bio xml:lang="en"><p>Avedova Diana Yurievna – postgraduate student of the department of Therapeutic Dentistry</p></bio><email xlink:type="simple">sto-kafedra@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0669-2867</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осипова</surname><given-names>Ю. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Osipova</surname><given-names>Yu. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Осипова Юлия Львовна – д.м.н., проф. </p></bio><bio xml:lang="en"><p>Osipova Yulia Lvovna – MD, Professor of the Department of Therapeutic Dentistry</p></bio><email xlink:type="simple">osipova-sgmu@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2938-3063</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зюлькина</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zyulkina</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зюлькина Лариса Алексеевна – д.м.н., зав. кафедрой  </p></bio><bio xml:lang="en"><p>Zyulkina Larisa Alekseevna – MD, Head of the Department of Dentistry</p></bio><email xlink:type="simple">larisastom@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1746-5878</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Юркевич</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yurkevich</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Юркевич Александр Владимирович – д.м.н., доцент, член-корр. РАЕН, декан, зав. кафедрой </p></bio><bio xml:lang="en"><p>Yurkevich Alexander Vladimirovich – Dean of the Faculty of Dentistry, Head of the Department of Orthopedic Dentistry; Doctor of Medical Sciences, Associate Professor, Corresponding Member of the Russian Academy of Natural Sciences</p></bio><email xlink:type="simple">dokdent@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4044-3004</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ушницкий</surname><given-names>И. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Ushnitsky</surname><given-names>I. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ушницкий  Иннокентий Дмитриевич – д.м.н., проф., зав. кафедрой</p></bio><bio xml:lang="en"><p>Ushnitsky Innokenty Dmitrievich – MD, Professor, Head of the Department of Therapeutic, Surgical, Orthopedic Dentistry and Pediatric Dentistry</p></bio><email xlink:type="simple">incadim@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Саратовский гос. медицин. ун-т им. В.И. Разумовского МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia,</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Саратовский гос. медицин. ун-т им. В.И. Разумовского МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V.I. Razumovsky Saratov State Medical University, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Пензенский гос. ун-т Минобрнауки</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Penza State University, Ministry of Education and Science</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Дальневосточный ГМУ МЗ РФ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Far Eastern State Medical University of the Ministry of Health of Russia; Russian Academy of Natural Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Мединститут Северо-Восточного федеральн. ун-та им. М.К. Аммосова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Institute of M.K. Ammosov North-Eastern &#13;
Federal University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>08</day><month>02</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>35</fpage><lpage>38</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Аведова Д.Ю., Осипова Ю.Л., Зюлькина Л.А., Юркевич А.В., Ушницкий И.Д., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Аведова Д.Ю., Осипова Ю.Л., Зюлькина Л.А., Юркевич А.В., Ушницкий И.Д.</copyright-holder><copyright-holder xml:lang="en">Avedova D.Y., Osipova Y.L., Zyulkina L.A., Yurkevich A.V., Ushnitsky I.D.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/333">https://ymj.elpub.ru/jour/article/view/333</self-uri><abstract><p>По данным лазерной допплеровской флоуметрии изучены показатели микрогемодинамики в зоне проведения направленной регенерации костной ткани (НРКТ) у экспериментальных животных, которым имплантировали различные композиции остеопластических материалов. Установлено, что в первые две недели после вмешательства оптимальные темпы восстановления микроциркуляции в зоне операции характерны для остеопластики с использованием смеси ксеногенного костного материала и аутогенной костной стружки из внутриротовой донорской зоны. Данные результаты целесообразно учитывать в амбулаторной стоматологической практике при проведении манипуляций, связанных с использованием техники НРКТ.</p></abstract><trans-abstract xml:lang="en"><p>Currently, the search for effective methods of reconstructive interventions aimed at increasing alveolar ridge height and thickness remains a pressing issue in dentistry. However, the results of studies on the comparative assessment of the effectiveness of the use of autogenic bone from various donor sites are extremely small and ambiguous. Aim. Substantiate the effectiveness of using the optimal composition of autogenic bone chips (ABC) and xenogenic bone material (XBM) taking into account the anatomical localization of the donor zone in guided bone regeneration (GBR) according to the data of microhemodynamics of the experiment. Research materials and methods. The object of the study in the research was 84 sexually mature male rabbits of the chinchilla breed weighing 2500-3200 g. The materials of Cardioplant LLC (Penza) with registration certificates: Xenogenous bone material (XBM) “Xenograft Mineral” (medical device registration certificate No. RZN 2015/3086 dated 16.09.2015) and bioresorbable membrane “BioPLATE Barrier” (medical device registration certificate No. RZN 2016/4808 dated 26.01.2021). A defect in the mandible area was formed in the animals under study, which was then filled with osteoplastic material. Laser Doppler flowmetry (LDF) was used to monitor the state of microhemodynamics of gingival tissues in the area of surgery using a laser analyzer of capillary blood flow "LAKK-02," (NPP "Lazma," Moscow). Results and discussion. It was established that within the first two weeks after the intervention, optimal rates of microcirculation recovery in the surgical area are characteristic of osteoplasty using a mixture of XBM (75%) and ABC (25%) from the oral donor zone. On the 14th day after the operation, capillary blood flow was stabilized, which was manifested by a decrease in the studied parameters in all observation groups. However, the normalization of microvessel functioning was not the same in the study groups. At the same time, the normalization of capillary blood flow was optimal in animals of subgroup 3 in group II, with the microcirculation indicator at the level of 20,59±1,18 perf. units, and its intensity at the level of 2,31±0,12 perf. units by the 14th day. Starting from the 30th day of observation, microcirculation recovery proceeded at the same pace in all groups of animals, with the exception of a slight lag in animals of subgroup 3 in group III, however, by the 90th day and by the end of the observation period, significant differences in capillary blood flow levels could not be found.</p><p>Conclusion. The obtained results should be taken into account in outpatient dental practice when performing manipulations related to the use of the GBR technique</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микроциркуляция</kwd><kwd>аутогенная кость</kwd><kwd>направленная регенерация костной ткани</kwd></kwd-group><kwd-group xml:lang="en"><kwd>autogenic bone</kwd><kwd>donor zone</kwd><kwd>guided bone regeneration</kwd><kwd>microcirculation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Дробышев А.Ю., Янушевич О.О. Челюстно-лицевая хирургия. М.: ГЭОТАР-Медиа. 2018. 880 с.</mixed-citation><mixed-citation xml:lang="en">Drobyshev A. YU., Yanushevich O. O. Maxillofacial Surgery. Mosсow: GEOTAR-Media. 2018. 880 p.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Иванов, С.Ю., Мураев А.А., Ямуркова Н.Ф. Реконструктивная хирургия альвеолярной кости. М.: ГЭОТАР Медиа. 2016. 360 с.</mixed-citation><mixed-citation xml:lang="en">Ivanov, S. Yu., Muraev A. A., Yamurkova N. F. Reconstructive surgery of the alveolar bone. Moscow: GEOTAR Media. 2016. 360 p.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Кулаков А.А. Дентальная имплантация: национальное руководство. М.: ГЭОТАР-Медиа. 2018. 400 с.</mixed-citation><mixed-citation xml:lang="en">Kulakov A.A. Dental implantation: national guidelines. Moscow: GEOTAR-Media. 2018. 400 p.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Bone grafting techniques and materials for implant dentistry / S. Kandhari, S. Khalid, A. James [et al.] // Br. Dent. J. 2023. 235(3). Р. 180- 189. doi: 10.1038/s41415-023-6113-1.</mixed-citation><mixed-citation xml:lang="en">Bone grafting techniques and materials for implant dentistry / S. Kandhari, S. Khalid, A. James [et al.] // Br. Dent. J. 2023. 235(3). Р. 180- 189. doi: 10.1038/s41415-023-6113-1.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Chatelet M., Afota F., Savoldelli C. Review of bone graft and implant survival rate : A comparison between autogenous bone block versus guided bone regeneration // J. Stomatol. Oral Maxillofac. Surg. 2022. 123(2). Р. 222-227. doi: 10.1016/j.jormas.2021.04.009.</mixed-citation><mixed-citation xml:lang="en">Chatelet M., Afota F., Savoldelli C. Review of bone graft and implant survival rate : A comparison between autogenous bone block versus guided bone regeneration // J. Stomatol. Oral Maxillofac. Surg. 2022. 123(2). Р. 222-227. doi: 10.1016/j.jormas.2021.04.009.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Efficacy of the autogenous dentin graft for implant placement: a systematic review and meta-analysis of randomized controlled trials / B. Mahardawi, S. Jiaranuchart, K.A., Tompkins [et al.] // Int. J. Oral Maxillofac. Surg. 2023. 52(5). Р. 604-612. doi: 10.1016/j.ijom.2022.10.014.</mixed-citation><mixed-citation xml:lang="en">Efficacy of the autogenous dentin graft for implant placement: a systematic review and meta-analysis of randomized controlled trials / B. Mahardawi, S. Jiaranuchart, K.A., Tompkins [et al.] // Int. J. Oral Maxillofac. Surg. 2023. 52(5). Р. 604-612. doi: 10.1016/j.ijom.2022.10.014.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Evaluation of Block Allograft Efficacy in Lateral Alveolar Ridge Augmentation / B.B. Bose, P.M. Natarajan, A.L. Kannan [et al.] // J. Contemp. Dent. Pract. 2022. 23(8). Р. 807-812. doi: 10.5005/jp-journals-10024-3377.</mixed-citation><mixed-citation xml:lang="en">Evaluation of Block Allograft Efficacy in Lateral Alveolar Ridge Augmentation / B.B. Bose, P.M. Natarajan, A.L. Kannan [et al.] // J. Contemp. Dent. Pract. 2022. 23(8). Р. 807-812. doi: 10.5005/jp-journals-10024-3377.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Horizontal augmentation techniques in the mandible: a systematic review / R. Smeets, L. Matthies, P. Windisch [et al.] // Int. J. Implant Dent. 2022. 8(1). Р. 23. doi: 10.1186/s40729-022-00421-7.</mixed-citation><mixed-citation xml:lang="en">Horizontal augmentation techniques in the mandible: a systematic review / R. Smeets, L. Matthies, P. Windisch [et al.] // Int. J. Implant Dent. 2022. 8(1). Р. 23. doi: 10.1186/s40729-022-00421-7.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Horizontal ridge augmentation with guided bone regeneration using particulate xenogenic bone substitutes with or without autogenous block grafts: A randomized controlled trial / G. Mendoza-Azpur, E. Chavez, E. Valdivia [et al.] // Clin. Implant Dent. Relat. Res. 2019. 21(4). Р. 521-530. doi: 10.1111/cid.12740.</mixed-citation><mixed-citation xml:lang="en">Horizontal ridge augmentation with guided bone regeneration using particulate xenogenic bone substitutes with or without autogenous block grafts: A randomized controlled trial / G. Mendoza-Azpur, E. Chavez, E. Valdivia [et al.] // Clin. Implant Dent. Relat. Res. 2019. 21(4). Р. 521-530. doi: 10.1111/cid.12740.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Intraoral onlay block bone grafts versus cortical tenting technique on alveolar ridge augmentations: a systematic review / A. Aloy-Prósper, E. Carramolino-Cuéllar, D. Peñarrocha-Oltra [et al.] // Med Oral Patol Oral Cir Bucal. 2022. 27(2). Р.181-190. doi: 10.4317/medoral.25169.</mixed-citation><mixed-citation xml:lang="en">Intraoral onlay block bone grafts versus cortical tenting technique on alveolar ridge augmentations: a systematic review / A. Aloy-Prósper, E. Carramolino-Cuéllar, D. Peñarrocha-Oltra [et al.] // Med Oral Patol Oral Cir Bucal. 2022. 27(2). Р.181-190. doi: 10.4317/medoral.25169.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Khoury F., Hanser T. Three-Dimensional Vertical Alveolar Ridge Augmentation in the Posterior Maxilla: A 10-year Clinical Study // Int. J. Oral Maxillofac. Implants. 2019. 34(2). Р. 471- 480. doi: 10.11607/jomi.6869.</mixed-citation><mixed-citation xml:lang="en">Khoury F., Hanser T. Three-Dimensional Vertical Alveolar Ridge Augmentation in the Posterior Maxilla: A 10-year Clinical Study // Int. J. Oral Maxillofac. Implants. 2019. 34(2). Р. 471- 480. doi: 10.11607/jomi.6869.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Osseointegration of dental implants in ectopic engineered bone in three different scaffold materials / H. Naujokat, Y. Açil, S. Harder [et al.] // Int. J. Oral Maxillofac Surg. 2020. 49(1). Р. 135-142. doi: 10.1016/j.ijom.2019.04.005.</mixed-citation><mixed-citation xml:lang="en">Osseointegration of dental implants in ectopic engineered bone in three different scaffold materials / H. Naujokat, Y. Açil, S. Harder [et al.] // Int. J. Oral Maxillofac Surg. 2020. 49(1). Р. 135-142. doi: 10.1016/j.ijom.2019.04.005.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Robert L., Aloy-Prósper A., Arias-Herrera S. Vertical augmentation of the atrofic posterior mandibular ridges with onlay grafts: Intraoral blocks vs. guided bone regeneration. Systematic review // J. Clin. Exp. Dent. 2023. 15(5). Р. 357- 365. doi: 10.4317/jced.60294.</mixed-citation><mixed-citation xml:lang="en">Robert L., Aloy-Prósper A., Arias-Herrera S. Vertical augmentation of the atrofic posterior mandibular ridges with onlay grafts: Intraoral blocks vs. guided bone regeneration. Systematic review // J. Clin. Exp. Dent. 2023. 15(5). Р. 357- 365. doi: 10.4317/jced.60294.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Tsuchida S., Nakayama T. Recent Clinical Treatment and Basic Research on the Alveolar Bone. Biomedicines. 2023.11(3). Р.843. doi: 10.3390/biomedicines11030843.</mixed-citation><mixed-citation xml:lang="en">Tsuchida S., Nakayama T. Recent Clinical Treatment and Basic Research on the Alveolar Bone. Biomedicines. 2023.11(3). Р.843. doi: 10.3390/biomedicines11030843.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Vertical Ridge Gain with Various Bone Augmentation Techniques: A Systematic Review and Meta-Analysis / M.H. Hameed, M. Gul, R. Ghafoor [et al.] // J. Prosthodont. 2019.28(4). Р. 421-427. doi: 10.1111/jopr.13028.</mixed-citation><mixed-citation xml:lang="en">Vertical Ridge Gain with Various Bone Augmentation Techniques: A Systematic Review and Meta-Analysis / M.H. Hameed, M. Gul, R. Ghafoor [et al.] // J. Prosthodont. 2019.28(4). Р. 421-427. doi: 10.1111/jopr.13028.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
