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<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">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2026-10-87-91</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-4998</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>Статьи</subject></subj-group></article-categories><title-group><article-title>Оценка эффективности применения аппликационных обезболивающих средств на первом этапе лечения несъемной ортодонтической техникой</article-title><trans-title-group xml:lang="en"><trans-title>Evaluation of the effectiveness of topical anesthetics at the first stage of treatment with fixed orthodontic appliances</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-4849-1828</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ярцева</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Yartseva</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Александра Вадимовна Ярцева, к. м. н., доцент</p><p>кафедра обезболивания в стоматологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Alexandra V. Yartseva, MD, PhD, Associate Professor</p><p>Department of Anesthesia in Dentistry</p><p>Moscow</p></bio><email xlink:type="simple">a.v.yartseva@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-2621-8705</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шаныгина</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Shanigina</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Диана Владимировна Шаныгина, к. м. н., доцент</p><p>кафедра стоматологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Diana V. Shanygina, MD, PhD, Associate Professor</p><p>Department of Dentistry</p><p>Moscow</p></bio><email xlink:type="simple">disha1disha@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/0000-0002-1650-5316</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чепик</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Chepik</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Екатерина Александровна Чепик, к. м. н., ассистент</p><p>кафедра ортодонтии</p><p>Москва</p></bio><bio xml:lang="en"><p>Ekaterina A. Chepik, MD, PhD, Assistant Professor</p><p>Department of Orthodontics</p><p>Moscow</p></bio><email xlink:type="simple">che.katya@mail.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/0000-0001-9532-8436</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Марчук</surname><given-names>Т. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Marchuk</surname><given-names>T. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Татьяна Алексеевна Марчук, к. м. н., доцент</p><p>кафедра стоматологии</p><p>Москва</p></bio><bio xml:lang="en"><p>Tatyana A. Marchuk, MD, PhD, Associate Professor</p><p>Department of Dentistry</p><p>Moscow</p></bio><email xlink:type="simple">marchuktatal@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2932-168X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дыбов</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Dybov</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андрей Михайлович Дыбов, д. м. н., профессор</p><p>кафедра детской, профилактической стоматологии и ортодонтии</p><p>Москва</p></bio><bio xml:lang="en"><p>Andrey M. Dybov, MD, PhD, Professor</p><p>Department of Pediatric, Preventive Dentistry and Orthodontics</p><p>Moscow</p></bio><email xlink:type="simple">AMDybov@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/0000-0001-9881-6574</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тиунова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Tiunova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья Викторовна Тиунова, д. м. н., доцент, заведующий кафедрой</p><p>кафедра клинической стоматологии</p><p>Нижний Новгород</p></bio><bio xml:lang="en"><p>Natalya V. Tiunova, MD, PhD, Associate Professor, Head of the Department</p><p>Department of Clinical Dentistry</p><p>Nizhny Novgorod</p></bio><email xlink:type="simple">tiunova@unn.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/0009-0004-1821-8160</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Владимирова</surname><given-names>В. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Vladimorova</surname><given-names>V. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Виктория Геннадьевна Владимирова, к. м. н., доцент</p><p>кафедра клинической стоматологии</p><p>Нижний Новгород</p></bio><bio xml:lang="en"><p>Victoria G. Vladimirova, MD, PhD, Associate Professor</p><p>Department of Clinical Dentistry</p><p>Nizhny Novgorod</p></bio><email xlink:type="simple">tabakaeva_v@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/0009-0004-2580-8927</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мусина</surname><given-names>Э. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Musina</surname><given-names>E. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Эльнара Рамилевна Мусина, студентка 5 курса</p><p>Нижний Новгород</p></bio><bio xml:lang="en"><p>Elnara R. Musina, fifth-year student</p><p>Nizhny Novgorod</p></bio><email xlink:type="simple">elram777@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/0009-0000-9672-4916</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Потапов</surname><given-names>Я. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Potapov</surname><given-names>Y. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ярослав Александрович Потапов, студент 5 курса</p><p>Нижний Новгород</p></bio><bio xml:lang="en"><p>Yaroslav A. Potapov, fifth-year student</p><p>Nizhny Novgorod</p></bio><email xlink:type="simple">yaroslav.potapov.02@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ВО «Российский университет медицины»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of&#13;
Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ЧУОО ВО «Медицинский университет «Реавиз»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Private Educational Institution of Higher Education «Reaviz Medical University»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical&#13;
University of the Ministry of Health of the Russian Federation (Sechenov University)»</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГАОУ ВО «Национальный исследовательский Нижегородский государственный университет им. Н.И. Лобачевского»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Autonomous Educational Institution of Higher Education «National Research Lobachevsky State University&#13;
of Nizhny Novgorod»</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>02</day><month>05</month><year>2026</year></pub-date><volume>0</volume><issue>10</issue><issue-title>Стоматология (2)</issue-title><fpage>87</fpage><lpage>91</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ярцева А.В., Шаныгина Д.В., Чепик Е.А., Марчук Т.А., Дыбов А.М., Тиунова Н.В., Владимирова В.Г., Мусина Э.Р., Потапов Я.А., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Ярцева А.В., Шаныгина Д.В., Чепик Е.А., Марчук Т.А., Дыбов А.М., Тиунова Н.В., Владимирова В.Г., Мусина Э.Р., Потапов Я.А.</copyright-holder><copyright-holder xml:lang="en">Yartseva A.V., Shanigina D.V., Chepik E.A., Marchuk T.A., Dybov A.M., Tiunova N.V., Vladimorova V.G., Musina E.R., Potapov Y.A.</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://www.med-alphabet.com/jour/article/view/4998">https://www.med-alphabet.com/jour/article/view/4998</self-uri><abstract><p>   Проблема адаптации слизистых преддверия полости рта к вестибулярной брекет-системе остается актуальной проблемой современной ортодонтии. Результаты исследования показали, что применение местных обезболивающих гелей является эффективной и статистически подтвержденной стратегией для купирования боли после установки брекет-системы в раннем периоде для облегчения привыкания и повышения качества жизни пациента. Полученные данные обосновывают их включение в стандартные протоколы ведения ортодонтических пациентов.</p></abstract><trans-abstract xml:lang="en"><p>   The adaptation of the oral mucosa to vestibular braces is a relevant issue in modern orthodontics. The study’s results demonstrated that the use of topical anesthetic gels is an effective and statistically proven strategy for pain relief at the early stage after brace installation facilitating adaptation and improving the patient’s quality of life. These findings support their inclusion in standard orthodontic treatment protocols.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>ортодонтическое лечение</kwd><kwd>брекет-система</kwd><kwd>обезболивающий гель</kwd></kwd-group><kwd-group xml:lang="en"><kwd>orthodontic treatment</kwd><kwd>braces</kwd><kwd>anesthetic gel</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">Шедякова Н., Петрикас А., Честных Е., Нечаева А. Оценка эффективности применения аппликационной анестезии при блокаде носонебного нерва. Эндодонтия Today. 2014;12(4):11–13.</mixed-citation><mixed-citation xml:lang="en">Shedyakova N., Petrikas A., Chestnykh E., Nechaeva A. Evaluation of the effectiveness of application anesthesia in the block of the nasopalatine nerve. 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