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微创拔牙与锤凿拔牙治疗下颌低位埋伏阻生智齿的效果对比分析
Effect Comparison Analysis of Minimally Invasive Tooth Extraction and Chiso-Mallet Tooth Extraction in the Treatment of Introversion Wisdom Tooth in Mandible
【摘要】 目的探讨微创拔牙与锤凿拔牙治疗下颌低位埋伏阻生智齿的效果。方法将2014年6月至2017年6月收治的112例下颌低位埋伏阻生智齿拔除患者采用随机数表法分为观察组和对照组,每组各56例。观察组应用微创拔牙,对照组应用锤凿拔牙。比较两组单颗牙齿拔除时间、术中情绪反应、术后面部肿胀、张口受限和疼痛程度[视觉模拟评分法(VAS)],记录术后并发症发生率。结果 (1)观察组单颗牙齿拔出时间短于对照组(P<0.05);(2)观察组术中产生畏惧感、不确定感、疼痛感患者比例低于对照组(P<0.05),两组麻醉疼痛感患者比例差异无统计学意义(P>0.05);(3)术后24 h,观察组面部肿胀、张口受限程度和VAS评分均低于对照组(P<0.05);(4)观察组术后并发症总发生率低于对照组(P<0.05)。结论微创拔牙治疗下颌低位埋伏阻生智齿的效果优于锤凿拔牙,临床应用前景可观。
【Abstract】 Objective To investigate the effect of minimally invasive tooth extraction and chiso-mallettooth extraction in the treatment of introversion wisdom tooth?in mandible.Methods 112 cases with introversion wisdom tooth?in mandible in our hospital from June 2014 to June 2017 were randomly divided into the observation group and the control group,56 cases in each group.The observation group was given minimally invasive tooth extraction,and the control group was given chiso-mallettooth extraction.Compare the single tooth removal?time,intraoperative emotional reaction,postoperative facial swelling,limitation of mouth opening,pain degree(VAS)between the two groups,record the postoperative complication incidence rate.Results(1)The single tooth removal?time of the observation group was shorter than that of the control group(P<0.05);(2)Occurrence rate of fear,uncertainty,pain during operation in the observation group was lower than that of the control group(P<0.05),the difference of anesthesia pain proportion between the two groups had no statistic significance(P>0.05);(3) 24 h after operation,facial swelling,limitation of mouth opening,VAS score of the observation group were lower than those of the control group(P<0.05);(4)Total complication incidence rate of the observation group was lower than that of the control group(P<0.05).Conclusion The application of minimally invasive tooth extraction in the treatment of introversion wisdom tooth?in mandible is better than chiso-mallettooth extraction,the clinical application is promising.
【Key words】 Introversion wisdom tooth in mandible; Minimally invasive tooth extraction; Chiso-mallettooth extraction;
- 【文献出处】 哈尔滨医药 ,Harbin Medical Journal , 编辑部邮箱 ,2018年06期
- 【分类号】R782.11
- 【被引频次】1
- 【下载频次】54