微创拔牙刀联合超声骨刀拔除阻生智齿的效果观察
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摘要
目的探讨观察微创拔牙刀联合超声骨刀拔除阻生智齿的效果。方法选择2016年3月-2018年3月收治的阻生智齿患者80例展开分析,在双色球随机分组法下将之均分为对照组40例与观察组40例,对照组采用传统拔牙器械拔牙,观察组则采用微创拔牙刀联合超声骨刀拔牙,比较分析两组手术情况、并发症发生率。结果观察组疼痛评分、拔牙窝完整性评分低于对照组,肿胀度、张口受限度也显著低于对照组(P<0.05);观察组并发症发生率为5.00%,比对照组的22.50%明显更低(P<0.05)。结论临床拔除阻生智齿采用微创拔牙刀联合超声骨刀能够减轻患者疼痛,提高拔牙效果,也能减少并发症发生率,值得推广。
【Objective】To observe the effect of minimally invasive tooth extraction knife combined with ultrasound bone knife in removal of impacted wisdom teeth.【Methods】Eighty patients with impacted wisdom teeth admitted from March 2016 to March 2018 were divided into control group(40 cases) and observation group(40 cases) by two-color ball random grouping method. The control group was treated with traditional tooth extraction instruments, while the observation group was treated with minimally invasive tooth extraction knife combined with ultrasonic bone knife to extract teeth. The surgical conditions, incidence of complications were analyzed and compared between the two groups.【Results】The pain score and extraction socket integrity score of the observation group were lower than those of the control group, and the swelling degree and mouth opening limitation were also significantly lower than those of the control group(P <0.05); the incidence of complications in the observation group was 5.00%,which was significantly lower than that of the control group(22.50%)(P <0.05).【Conclusion】Clinical extraction of impacted wisdom teeth using minimally invasive tooth extraction knife combined with ultrasound bone knife can reduce pain, improve the extraction effect, and also reduce the incidence of complications, so it is worth promoting.
【Objective】To observe the effect of minimally invasive tooth extraction knife combined with ultrasound bone knife in removal of impacted wisdom teeth.【Methods】Eighty patients with impacted wisdom teeth admitted from March 2016 to March 2018 were divided into control group(40 cases) and observation group(40 cases) by two-color ball random grouping method. The control group was treated with traditional tooth extraction instruments, while the observation group was treated with minimally invasive tooth extraction knife combined with ultrasonic bone knife to extract teeth. The surgical conditions, incidence of complications were analyzed and compared between the two groups.【Results】The pain score and extraction socket integrity score of the observation group were lower than those of the control group, and the swelling degree and mouth opening limitation were also significantly lower than those of the control group(P <0.05); the incidence of complications in the observation group was 5.00%,which was significantly lower than that of the control group(22.50%)(P <0.05).【Conclusion】Clinical extraction of impacted wisdom teeth using minimally invasive tooth extraction knife combined with ultrasound bone knife can reduce pain, improve the extraction effect, and also reduce the incidence of complications, so it is worth promoting.
引文
[1]赵庆扬,乔春暖,谢伟珍,等.两种拔牙法拔除下颌水平阻生智齿的疗效评价[J].海南医学, 2018, 299(8):1172-1173.
[2]Ali K, McCarthy A, Robbins J, et al. Management of impacted wisdom teeth:teaching of undergraduate students in UK dental schools[J]. European Journal of Dental Education, 2014, 18(3):135-141.
[3]平宇炳.微创拔牙技术与传统凿骨劈冠法拔除下颌低位埋伏阻生智齿的临床效果对比[J].山西医药杂志, 2015, 24(9):1067-1068.
[4]罗世海.微创法与劈冠法在下颌低位阻生智齿拔除中的比较研究[J].医药前沿, 2017, 7(29):59-60.
[5]Carr AS, Evans M, Shah S, et al. Wisdom tooth extraction causing lingual nerve and styloglossus muscle damage:a mimic of multiple cranial nerve palsies[J]. Practical Neurology, 2017, 17(3):218-221.
[6]严伟一,许翔.锤凿劈冠法与微创拔牙治疗下颌低位阻生智齿的临床效果及安全性对比[J].浙江创伤外科, 2017, 22(1):35-37.
[7]赵庆扬.两种方法拔出下颌水平阻生智齿的术后临床疗效评价[J].中国医学创新, 2017, 14(14):96-100.
[8]袁华.高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用效果[J].中国继续医学教育, 2018, 10(11):92-94.
[9]刘智海,窦文涓.微创拔牙法在下颌近中阻生智齿拔除术中的临床应用[J].中国社区医师, 2017, 33(5):49-49, 51.
[10]李坤.微创拔牙刀结合高速涡轮牙钻拔牙法在下颌近中阻生智齿拔除术的效果分析[J].中国继续医学教育, 2016, 8(23):84-85.
[11]段瑞,李永生.高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用[J].广东医学, 2016, 37(12):1859-1860, 1861.
[12]熊贵发,陈炫霖,王斌,等.微创拔牙刀结合高速涡轮牙钻拔牙法在下颌近中阻生智齿拔除术中的临床应用效果[J].中国继续医学教育, 2016, 8(12):93-95.
[2]Ali K, McCarthy A, Robbins J, et al. Management of impacted wisdom teeth:teaching of undergraduate students in UK dental schools[J]. European Journal of Dental Education, 2014, 18(3):135-141.
[3]平宇炳.微创拔牙技术与传统凿骨劈冠法拔除下颌低位埋伏阻生智齿的临床效果对比[J].山西医药杂志, 2015, 24(9):1067-1068.
[4]罗世海.微创法与劈冠法在下颌低位阻生智齿拔除中的比较研究[J].医药前沿, 2017, 7(29):59-60.
[5]Carr AS, Evans M, Shah S, et al. Wisdom tooth extraction causing lingual nerve and styloglossus muscle damage:a mimic of multiple cranial nerve palsies[J]. Practical Neurology, 2017, 17(3):218-221.
[6]严伟一,许翔.锤凿劈冠法与微创拔牙治疗下颌低位阻生智齿的临床效果及安全性对比[J].浙江创伤外科, 2017, 22(1):35-37.
[7]赵庆扬.两种方法拔出下颌水平阻生智齿的术后临床疗效评价[J].中国医学创新, 2017, 14(14):96-100.
[8]袁华.高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用效果[J].中国继续医学教育, 2018, 10(11):92-94.
[9]刘智海,窦文涓.微创拔牙法在下颌近中阻生智齿拔除术中的临床应用[J].中国社区医师, 2017, 33(5):49-49, 51.
[10]李坤.微创拔牙刀结合高速涡轮牙钻拔牙法在下颌近中阻生智齿拔除术的效果分析[J].中国继续医学教育, 2016, 8(23):84-85.
[11]段瑞,李永生.高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用[J].广东医学, 2016, 37(12):1859-1860, 1861.
[12]熊贵发,陈炫霖,王斌,等.微创拔牙刀结合高速涡轮牙钻拔牙法在下颌近中阻生智齿拔除术中的临床应用效果[J].中国继续医学教育, 2016, 8(12):93-95.