Restoration of the microvasculature and hemodynamics in the oral mucosa wound defects area with and without a piezoelectric polymer membrane

Introduction. Restoration of blood supply to tissues is crucial for the regeneration of wound defects. The purpose of this research was to study the effect of piezoelectric polymers on the restoration of microcirculation and hemodynamics in the area of oral mucosa wound defects. Materials and methods. The study was carried out on 60 Wistar rats divided into four groups (15 rats each): control (intact) and 3 experimental groups. In group 1, the animals had an open wound defect. In groups 3 and 2, the rats had a wound defect covered with a membrane with and without copper modification, respectively. The specimens for subsequent light and electron microscopy were collected on days 3, 7, and 12. We studied qualitative and quantitative indicators of microcirculation and hemodynamics restoration. Results. Day 3: in all experimental groups, the arteriolo-venular relationship and the pericapillary diffusion index significantly decreased, while the Kernogan index increased. We also observed a significant increase in VEGF expression. Day 7: in experimental group 3, the values of the Kernogan index and the arteriolo-venular relationship were restored, and the pericapillary diffusion index remained significantly higher than in the control group. In the groups 1 and 2, none of the indicators reached the control values. VEGF expression decreased in all groups. On day 12 in group 1, the arteriolo-venular relationship, the Kernogan index and the index of pericapillary diffusion differed from the control group, in contrast to groups 2 and 3, where all the studied parameters were restored. Expression of VEGF in group 1 was significantly less than the control values, and in groups 2 and 3 it was significantly higher. Conclusion. We revealed that closing of oral mucosa wound defects by a piezoelectric polymer membrane led to the restoration of hemodynamic parameters and promoted active vascular formation. Keywords: wound defect, oral cavity, inflammation, regeneration, microcirculation, neoangiogenesis