medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/ms2024-326medsovet-8476Research ArticleТЕРАПИЯ БОЛИPAIN THERAPYБолевые и сенсорные расстройства после удаления третьего моляра на нижней челюстиPain and sensory disorders after removal of mandibular third molarshttps://orcid.org/0000-0002-7682-6672МаксимоваМ. Ю.MaximovaM. Yu.

Максимова Марина Юрьевна, д.м.н., профессор, руководитель 2-го неврологического отделения; профессор кафедры неврологии Научно-образовательного института клинической медицины имени Н.А. Семашко

125367, Москва, Волоколамское шоссе, д. 80

127473, Москва, ул. Делегатская, д. 20, стр. 1

Scopus Author ID: 7003900736; Researcher ID: C-7408-2012

Marina Yu. Maximova, Dr. Sci. (Med.), Professor, Head of the 2nd Neurology Department; Professor of the Department of Neurology at the N.A. Semashko Scientific and Educational Institute of Clinical Medicine

80, Volokolamskoe Shosse, Moscow, 125367

20, Bldg. 1, Delegatskaya St., Moscow, 127473

Scopus Author ID: 7003900736

 

ncnmaximova@mail.ruhttps://orcid.org/0000-0002-1405-5235СуановаЕ. Т.SuanovaE. T.

Суанова Екатерина Таймуразовна, к.м.н., ассистент кафедры неврологии Научно-образовательного института клинической медицины имени Н.А. Семашко

127473, Москва, ул. Делегатская, д. 20, стр. 1

Ekaterina T. Suanova, Cand. Sci. (Med.), Assistant of the Department of Neurology at the N.A. Semashko Scientific and Educational Institute of Clinical Medicine

20, Bldg. 1, Delegatskaya St., Moscow, 127473

ekaterina.souanova@gmail.comНаучный центр неврологии; Российский университет медицины (РосУниМед)РоссияScientific Center of Neurology; Russian University of Medicine (ROSUNIMED)Russian FederationРоссийский университет медицины (РосУниМед)РоссияRussian University of Medicine (ROSUNIMED)Russian Federation20241408202401296–100Copyright © Максимова М.Ю., Суанова Е.Т., 20242024Максимова М.Ю., Суанова Е.Т.Maximova M.Y., Suanova E.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/8476Введение

Введение. Удаление третьего моляра на нижней челюсти является одним из наиболее распространенных хирургических вмешательств в челюстно-лицевой хирургии.

Цель

Цель. Оценить эффективность препарата, содержащего комплекс витаминов В, для лечения болевых ощущений и сенсорных нарушений, связанных с травматизацией нижнего луночкового нерва (НЛН) при удалении третьего моляра на нижней челюсти.

Материалы и методы

Материалы и методы. В открытом сравнительном исследовании приняли участие 86 пациентов в возрасте от 45 до 54 лет с травматизацией НЛН, проявляющейся сенсорными нарушениями длительностью 72 ч после удаления третьего моляра нижней челюсти. Интенсивность боли оценивалась с помощью визуально-аналоговой шкалы (ВАШ). Количественное сенсорное тестирование (КСТ) проводилось на компьютеризированном термосенсорном анализаторе (TSA II, Medoc Ltd., Израиль) с контактным термодом (30 × 30 мм). Пациенты были разделены на две группы: 1-я группа – 44 пациента, получали стандартную терапию и дополнительно препарат, содержащий комплекс витаминов В, в течение 30 дней; 2-я группа – 42 пациента, получали стандартную терапию.

Результаты

Результаты. После курса терапии в 1-й группе (лечение препаратом, содержащим комплекс витаминов В) выявлены регресс онемения и болевых ощущений у 90,9% пациентов с травматизацией НЛН. Интенсивность боли по ВАШ в 1-й группе снизилась с 6,3 ± 0,9 до 0,8 ± 0,2 балла (р = 0,02), во 2-й группе – с 6,1 ± 0,6 до 4,8 ± 0,4 балла (p =0,09). Только в 1-й группе отмечено снижение порога тепловой чувствительности при КСТ, что также подтверждает положительный терапевтический эффект препарата, содержащего комплекс витаминов В.

Выводы

Выводы. Отмечена высокая эффективность применения Комбилипена в отношении алгического синдрома и сенсорных нарушений, возникающих после удаления третьего моляра на нижней челюсти.

Introduction

Introduction. Extraction of mandibular third molars is one of the most common oral surgical procedures.

Aim

Aim. To evaluate the efficacy of B Complex Preparation on pain and sensory problems related to inferior alveolar nerve damage after surgical removal of mandibular third molars.

Materials and methods

Materials and methods. In the open-label comparative trial 86 patients aged 45 to 54 years with sensory disturbances, lasting 72 hours, after surgical removal of mandibular third molar were included. Pain intensity was assessed using a visual analogue scale (VAS). Quantitative sensory testing (QST) was performed with the computer-controlled Thermal Sensory Analyzer (TSA type II, Medoc Ltd., Ramat Yishai, Israel) with contact thermode (30 × 30 mm). Patients with inferior alveolar nerve damage were divided into 2 groups: the first group – 44 patients received the standart therapy in combination with B Complex Preparation for 30 days, in the second group 42 patients received the standart treatment.

Results

Results. After a course of treatment in the first group (B Complex Preparation) was determined the relieving of numbness and pain in 90.9% of patients with inferior alveolar nerve damage. The pain intensity in VAS reduced from 6.3 ± 0.9 to 0.8 ± 0.2 points (p = 0.02) in the first group and from 6.1 ± 0.6 to 4.8 ± 0.4 points (p = 0.09) in the second group. Only in the first group there was a decrease of the warm sensation threshold during QST, which additionally confirms the positive therapeutic effect of B Complex Preparation.

Conclusion

Conclusion. Effectiveness of therapy with B Complex Preparation was noted in patients with algic manifistations and sensory disorders after the removal of the third molar.

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The authors declare that there are no conflicts of interest present.