Evaluation of clinical, microbiological and immunological effectiveness of a collagen sponge with antimicrobial and immunotropic properties

Abstract

Relevance. The etiology of alveolitis distinguishes infectious and traumatic factors, which determine the relevant drugs for preventing the inflammatory process after tooth extraction and local treatment of the developed alveolitis. Purpose – the study aimed to evaluate the effectiveness of a collagen sponge containing lincomycin hydrochloride compared to the traditional method using iodoform packing strips based on clinical, microbiological and immunological research methods.Materials and methods. The study examined and surgically treated 75 patients with jaw alveolitis (K10.3), including those with eruption disorders, chronic periodontitis and chronic periodontitis in remission. Routine tooth extraction was recommended for them. We treated developed alveolitis in 37 patients and prevented complications during tooth extraction in 38 patients. According to the local exposure, the study allocated two subgroups: A –collagen sponge containing lincomycin hydrochloride and B –iodoform packing strips (traditional method). We comparatively analyzed microbiological parameters and cytokine content in the mixed saliva of patients using enzyme immunoassay (EIA).Results. In the studied alveolar socket material with a confirmed diagnosis of alveolitis, a spectrum of priority pathogens was established, including mainly microaerophilic streptococci, obligate anaerobes and staphylococci. The monitoring of the local treatment method effectiveness demonstrated that the sponge with lincomycin does not fall behind in the decontamination level regarding streptococci and obligate anaerobes but is less effective against the staphylococcal component of the microbial consortium. Analysis of cytokines confirmed the presence of the immunotropic effect of the collagen sponge with lincomycin.Conclusion. The possibility of using a collagen sponge with lincomycin hydrochloride has been substantiated as an alternative method of local treatment of alveolitis, which has a pronounced antibacterial and immunotropic effect at the level of regulation of the cytokine status.