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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" dtd-version="1.4" article-type="research-article" xml:lang="en"><front><journal-meta><journal-title-group><journal-title xml:lang="ru">Acta Medica Eurasica</journal-title></journal-title-group><issn publication-format="print">2413-4864</issn><issn publication-format="electronic">2413-4864</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.47026/2413-4864-2026-2-85-97</article-id><article-categories><subj-group><subject>Other</subject></subj-group></article-categories><title-group><article-title xml:lang="ru">Современные подходы к лечению кариеса дентина с применением биоактивных материалов и регенеративных технологий</article-title><trans-title-group xml:lang="en"><trans-title>Modern approaches to the treatment of dental caries using bioactive materials and regenerative technologies</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Никитина</surname><given-names>Луиза Ивановна</given-names></name><name xml:lang="en"><surname>Nikitina</surname><given-names>Lоuise I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><email>prop.stom.zab@mail.ru</email><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4893-0314</contrib-id></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Джураева</surname><given-names>Шарора Файзовна</given-names></name><name xml:lang="en"><surname>Dzhuraeva</surname><given-names>Sharora F.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><email>dsharora@mail.ru</email><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0149-5653</contrib-id></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Воробьев</surname><given-names>Михаил Викторович</given-names></name><name xml:lang="en"><surname>Vorobev</surname><given-names>Mikhail V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff3"/><xref ref-type="aff" rid="aff4"/><email>ivanovovita@mail.ru</email><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9174-9436</contrib-id></contrib><aff-alternatives id="aff1"><aff><institution xml:lang="en">Chuvash State University</institution><city xml:lang="en">Cheboksary</city><country xml:lang="en">Russia</country></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="ru">Чувашский государственный университет</institution><city xml:lang="ru">Чебоксары</city><country xml:lang="ru">Россия</country></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Ivanovo State Medical University</institution><city xml:lang="en">Ivanovo</city><country xml:lang="en">Russia</country></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="ru">Ивановский государственный медицинский университет</institution><city xml:lang="ru">Иваново</city><country xml:lang="ru">Россия</country></aff></aff-alternatives></contrib-group><pub-date pub-type="epub" iso-8601-date="2026-06-25"><day>25</day><month>06</month><year>2026</year></pub-date><issue>2</issue><fpage>85</fpage><lpage>97</lpage><permissions><license xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:title="CC BY 4.0"><ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p xml:lang="ru">CC BY 4.0</license-p></license></permissions><self-uri xlink:href="https://acta-medica-eurasica.ru/single/2026/2/8/" xlink:title="https://acta-medica-eurasica.ru/single/2026/2/8/">https://acta-medica-eurasica.ru/single/2026/2/8/</self-uri><self-uri content-type="pdf" xlink:href="publication-b059d704-aaa3-4993-a6b8-de6328564a88.pdf" xlink:title="PDF"/><abstract xml:lang="ru"><p>Кариес дентина остается наиболее распространенным стоматологическим заболеванием, требующим применения эффективных методов лечения, направленных на сохранение жизнеспособности пульпо-дентинного комплекса. Традиционные подходы уступают место концепции минимально инвазивного вмешательства с использованием биоактивных материалов. Цель работы – анализ и систематизация современных данных литературы о методах лечения кариеса дентина с применением биоактивных материалов (отечественные и мировые разработки) и регенеративных технологий. Выполнен поиск литературы в российских (eLIBRARY, CyberLeninka) и международных (PubMed, Scopus, Web of Science) библиографических базах. Глубина поиска охватила период 2015–2025 гг., с включением нескольких более ранних работ, имеющих значение для темы. Для поиска использовали комбинации ключевых слов: «кариес дентина», «минимально инвазивное лечение кариеса», «репаративный дентиногенез», «витальная терапия пульпита», «регенеративная стоматология». Критерии включения: оригинальные исследования, систематические обзоры, мета-анализы. Проведенный анализ показал, что современные принципы лечения кариеса дентина базируются на принципах минимально инвазивного вмешательства. Представлены данные о российских стеклоиономерных цементах производства АО «ВладМиВа» («Цемион», «Цемилайт», «Аквион», «Аргецем», «Цемион A.R.T.»), которые, по результатам независимых исследований, демонстрируют высокие физико-механические показатели и кариесстатический эффект. Проанализирован регенеративный потенциал обогащенного тромбоцитами фибрина. Систематизированы данные о клинической эффективности биоактивных силикатных цементов (MTA, Biodentine), которые не только обеспечивают герметизацию, но и стимулируют репаративный дентиногенез. Наиболее перспективными направлениями лечения кариеса дентина являются применение биоактивных материалов (отечественных и зарубежных) и использование комбинированных подходов с факторами роста. Необходимы дальнейшие рандомизированные исследования для оптимизации клинических протоколов.</p></abstract><abstract xml:lang="en" abstract-type="summary"><p>Dentine caries remains the most common dental disease requiring the use of effective treatment methods aimed at preserving the viability of the pulp-dentine complex. Traditional approaches are giving way to the concept of minimally invasive intervention using bioactive materials. The purpose of the work is to analyze and systematize modern literature data on methods of treating dental caries using bioactive materials (domestic and international developments) and regenerative technologies. A literature search was performed in Russian (eLibrary, CyberLeninka) and international (PubMed, Scopus, Web of Science) bibliographic databases. The scope of the research covered the period 2015–2025, including several earlier works relevant to the topic. Combinations of keywords were used for the search: "dentine caries", "minimally invasive caries treatment", "reparative dentinogenesis", "vital pulpitis therapy", "regenerative dentistry". Inclusion criteria were original research, systematic reviews, meta-analyses. The analysis showed that modern principles of dentine caries treatment are based on the principles of minimally invasive intervention. Data on Russian glass ionomer cements produced by VladMiVa JSC ("Cemion", "Cemilite", "Aquion", "Argetsem", "Cemion A.R.T.") are presented, which, according to the results of independent studies, demonstrate high physico-mechanical properties and a caries-static effect. The regenerative potential of platelet-enriched fibrin was analyzed. The data on the clinical efficacy of bioactive silicate cements (MTA, Biodentine), which not only provide sealing, but also stimulate reparative dentinogenesis, are systematized. The most promising areas of dentine caries treatment are the use of bioactive materials (domestic and foreign ones) and the use of combined approaches with growth factors. Further randomized trials are needed to optimize clinical protocols.</p></abstract><kwd-group xml:lang="ru"><kwd>кариес дентина</kwd><kwd>биоактивные материалы</kwd><kwd>регенеративные технологии</kwd><kwd>минимально инвазивная стоматология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>dentine caries</kwd><kwd>bioactive materials</kwd><kwd>regenerative technologies</kwd><kwd>minimally invasive dentistry</kwd></kwd-group></article-meta></front><back><ref-list><ref id="ref1"><mixed-citation publication-type="other" xml:lang="ru">Абдуазимова Л.А., Джалилова Ш.А., Мухторова М.М. Современные методы лечения кариеса у детей // Вестник науки и образования. 2022. № 6-1(126). С. 97–100. 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