【摘要】 目的探讨急性冠周炎期智齿拔除的有效性和安全性。方法对238例急性下颌智齿冠周炎采用初期即时拔牙法,观察并记录局部疼痛、肿胀、张口程度和拔牙创口愈合情况。结果术后第3天复诊,局部疼痛、肿胀明显著减缓退减轻者220例(92.4%);术后第7天复诊局部疼痛、肿胀消退者228(95.8%)例,张口度正常,拔牙创愈合良好。无发热、头痛等炎症扩散的全身并发症出现。结论急性智齿冠周炎初期,即时拔除下颌阻生智齿可以作为一种有效的选择。更多还原

【Abstract】 OBJECTIVE:TO EVALUATE THE EFFICIENCY AND SAFETY OF EXTRACTING IMPACTED TEETH DURING ACUTE PERICORONITIS. METHODS:238 CASES WITH ACUTE PERICORONITIS WERE TREATED WITH EXTRACTION OF IMPACTED MANDIBULAR THIRD MOLAR AT EARLY STAGE OF ACUTE PERIOD, AND LOCAL PAIN, SWELL, DEGREE OF DEHISCE, HEALING UP OF WOUND AFTER EXTRACTION WERE RECORDED. RECULTS:THE LOCAL PAIN AND SWELL IN 220 CASES (92.4%) WERE LIGHTENED MARKEDLY AT THE THIRD DAY AFTER EXTRACTION, AND IN 228 CASES (95.8%) AT THE SEVENTH DAY. THEIR DEGREE OF DEHISCE AND WOUNDS RECOVERED. THERE WERE NO FEVER,HEADACHE AND OTHER GENERAL COMPLICATIONS IN ALL PATIENTS. CONCLUSION: FOR THE PATIENT WITH ACUTE PERICORONITIS, EXTRACTING MANDIBULAR IMPACTED THIRD MOLAR AT EARLY STAGE OF ACUTE PERIOD IS AN EFFECTIVE AND SAFE METHOD.更多还原