摘要
目的比较3种不同方法拔除下颌水平阻生第三磨牙(HIMTM)的效果。方法150例HIMTM患者随机分为A、B、C组。A组采用单纯锤凿劈冠法,B组采用高速涡轮机拔除法,C组采用超声骨刀联合高速涡轮机拔除法。对比3组的手术效果、患者畏惧程度和并发症发生情况。结果C组的手术时间最短,肿胀程度最轻,张口受限最小,疼痛程度最轻,术后恢复最快,B组、A组依次次之(P<0.05或0.01)。A组患者的畏惧程度和并发症总发生率明显高于B、C组(均P<0.05)。结论超声骨刀联合高速涡轮机拔除HIMTM的手术效果最好,其次是高速涡轮机拔除。采用超声骨刀联合高速涡轮机和高速涡轮机拔除HIMTM均可减轻患者的畏惧程度和降低并发症发生率。
Objective To investigate the compare the effect of three kinds of extraction methods for horizontallyimpacted mandibular third molar(HIMTM).Methods A total of 150 patients with HIMTM were randomized to Group A,B and C.Group A was treated with simple hammer chisel crown method,Group B was treated with high-speed air turbine handpiece and Group C was treated with piezosurgery combined with high-speed air turbine handpiece.The surgical effect,fear degree and the incidence of complications were compared among the three groups.Results Compared with Group A and B,Group C had the shortest operation time,the lightest degree of swelling,the minimum restriction of mouth opening,the lightest degree of pain and the fasted recovery,followed by Group B and then Group A(P<0.05 or 0.01).The degree of fear and the total incidence of complications in Group A were significantly higher than those in Group B and C(P<0.05).Conclusion Piezosurgery combined with high-speed air turbine handpiece is the best method to extract HIMTM,followed by high-speed air turbine handpiece.Bother piezosurgery combined with high-speed air turbine handpiece and high-speed air turbine handpiece can alleviate the fear of patients and reduce the total incidence of complications.
作者
黄仁周
黄燕平
梁金宇
刘素玲
HUANG Ren-zhou;HUANG Yan-ping;LIANG Jin-yu;LIU Su-ling(Department of Stomatology,the Lianjiang People’s Hospital,Lianjiang 524400,China)
出处
《广东医科大学学报》
2020年第1期33-36,共4页
Journal of Guangdong Medical University
基金
湛江市科技计划项目(No.2017B01081)
关键词
第三磨牙
水平阻生
超声骨刀
高速涡轮机
畏惧程度
并发症
third molar
horizontally-impacted
piezosurgery
high-speed air turbine handpiece
surgical effects
fear
complications
