低剂量高分辨螺旋CT在拔除复杂下颌低位阻生智齿中的临床应用价值
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摘要
目的探讨低剂量高分辨螺旋CT在拔除复杂下颌低位阻生智齿中的临床应用价值。方法选取我院2018年3月至2019年1月收治的128例复杂下颌低位阻生智齿患者,按就诊日期分为对照组(n=60)与观察组(n=68)。对照组拔除智齿前经传统X线牙片影像检查,观察组拔除智齿前经X线牙片及颌面部低剂量高分辨螺旋CT扫描来确定阻生智齿位置及阻生类型。比较两组患者拔除智齿后的疼痛程度及并发症情况。结果观察组拔除智齿后的疼痛程度及并发症发生率均低于对照组(P <0.05)。结论低剂量高分辨螺旋CT在拔除复杂下颌低位阻生智齿中的临床应用价值较高,可有效改善患者拔除智齿后的疼痛程度,安全可靠,可作为复杂下颌低位阻生智齿必要的检查手段。
Objective To explore the clinical application value of low-dose and high-resolution spiral CT in extraction of complex lower impacted mandibular wisdom teeth. Methods 128 cases of patients with complex lower impacted mandibular wisdom teeth admitted to our hospital from March 2018 to January 2019 were selected and divided into control group(n = 60) and observation group(n = 68)according to the treatment date. Before the extraction of wisdom teeth, the control group was given traditional X-ray dental radiography,while the observation group was given X-ray and maxillofacial low-dose and high-resolution spiral CT to determine the position and type of impacted wisdom teeth. The pain degree and complications after the extraction of wisdom teeth were compared between the two groups.Results After the extraction of wisdom teeth, the pain degree and incidence of complications in the observation group were lower than those in the control group(P <0.05). Conclusions Low-dose and high-resolution spiral CT has higher clinical value in the extraction of complex lower impacted mandibular wisdom teeth, can effectively improve the pain degree after extraction of wisdom teeth, and is safe and reliable,which can be used as a necessary examination method for complex lower impacted mandibular wisdom teeth.
Objective To explore the clinical application value of low-dose and high-resolution spiral CT in extraction of complex lower impacted mandibular wisdom teeth. Methods 128 cases of patients with complex lower impacted mandibular wisdom teeth admitted to our hospital from March 2018 to January 2019 were selected and divided into control group(n = 60) and observation group(n = 68)according to the treatment date. Before the extraction of wisdom teeth, the control group was given traditional X-ray dental radiography,while the observation group was given X-ray and maxillofacial low-dose and high-resolution spiral CT to determine the position and type of impacted wisdom teeth. The pain degree and complications after the extraction of wisdom teeth were compared between the two groups.Results After the extraction of wisdom teeth, the pain degree and incidence of complications in the observation group were lower than those in the control group(P <0.05). Conclusions Low-dose and high-resolution spiral CT has higher clinical value in the extraction of complex lower impacted mandibular wisdom teeth, can effectively improve the pain degree after extraction of wisdom teeth, and is safe and reliable,which can be used as a necessary examination method for complex lower impacted mandibular wisdom teeth.
引文
[1]史晓钰,史晓钰,徐明哲,等.96例下颌智齿阻生并发症临床分析[J].临床军医杂志,2018,46(7):814-815.
[2]Schneider T,Filo K,Kruse AL,et al.Variations in the anatomical positioning of impacted mandibular wisdom teeth and their practical implications[J].Swiss Dent J,2014,124(5):520-538.
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[4]罗丽华,田剑敏,吴列红.涡轮机联合微创拔牙器械与传统拔牙器械在下颌低位阻生智齿拔除术中的临床比较[J].浙江创伤外科,2018,23(5):932-933.
[5]Szalma J,Lempel E,Csuta T,et al.The role of panoramic radiography in assessing the risk of injury to the inferior alveolar nerve before the extraction of mandibular wisdom teeth[J].Fogorv Sz,2010,103(2):43-48.
[6]Sollmann N,Mei K,Hedderich DM,et al.Multi-detector CT imaging:impact of virtual tube current reduction and sparse sampling on detection of vertebral fractures[J].Eur Radiol,2019,22(3):325-337.
[7]吴亮颖,刘坚,张卫平,等.锥形束CT数字化模拟技术在阻生牙拔除术中的临床应用研究[J].口腔医学研究,2018,34(7):742-745.
[8]蔡鉴,朱婵媛.全景片中下颌神经管清晰度研究综述[J].医学美学美容,2015,24(6):991-992.
[2]Schneider T,Filo K,Kruse AL,et al.Variations in the anatomical positioning of impacted mandibular wisdom teeth and their practical implications[J].Swiss Dent J,2014,124(5):520-538.
[3]Huang ZQ,Huang ZX,Wang YY,et al.Removal of the residual roots of mandibular wisdom teeth in the lingual space of the mandible via endoscopy[J].Int J Oral Maxillofac Surg,2015,44(3):400-403.
[4]罗丽华,田剑敏,吴列红.涡轮机联合微创拔牙器械与传统拔牙器械在下颌低位阻生智齿拔除术中的临床比较[J].浙江创伤外科,2018,23(5):932-933.
[5]Szalma J,Lempel E,Csuta T,et al.The role of panoramic radiography in assessing the risk of injury to the inferior alveolar nerve before the extraction of mandibular wisdom teeth[J].Fogorv Sz,2010,103(2):43-48.
[6]Sollmann N,Mei K,Hedderich DM,et al.Multi-detector CT imaging:impact of virtual tube current reduction and sparse sampling on detection of vertebral fractures[J].Eur Radiol,2019,22(3):325-337.
[7]吴亮颖,刘坚,张卫平,等.锥形束CT数字化模拟技术在阻生牙拔除术中的临床应用研究[J].口腔医学研究,2018,34(7):742-745.
[8]蔡鉴,朱婵媛.全景片中下颌神经管清晰度研究综述[J].医学美学美容,2015,24(6):991-992.