摘要
目的埋伏下颌阻生智齿多由颌骨发育减退不能容纳全部牙齿造成,可导致颌骨囊肿、骨髓炎和冠周炎等,影响患者日常生活。本研究分析传统骨凿法与45°仰角气动式外科专用手机拔除埋伏下颌阻生智齿临床效果。方法选择2017-03-04-2019-02-01滑县人民医院收治的埋伏下颌阻生智齿患者为研究对象,在患者知情同意前提下,根据性别、年龄、与下颌升支关系及倾斜方向等因素两组均衡可比的原则,选择观察组和对照组,各53例53颗患牙。对照组采用传统骨凿法,观察组采用45°仰角气动式外科专用手机拔除,比较两组拔牙时间、术后肿胀消退时间、术后24h疼痛视觉模拟评分(visual analogue scale,VAS)、面部肿胀程度、术后1个月张口受限程度和并发症。结果观察组拔牙时间为(21.45±4.91)min,短于对照组的(32.08±6.85)min,t=9.182,P<0.001;术后肿胀消退时间为(3.04±0.59)d,短于对照组的(5.65±0.88)d,t=17.935,P<0.001;术后24h VAS评分为(3.49±0.94)分,低于对照组的(6.05±0.86)分,t=14.628,P<0.001;面部肿胀程度为(1.54±0.35)mm,低于对照组的(3.91±0.42)mm,t=31.559,P<0.001。观察组术后1个月张口度Ⅰ度占比为77.36%,高于对照组的54.72%,χ^2=6.057,P=0.014;Ⅲ度占比为1.89%,低于对照组的15.09%,χ^2=4.371,P=0.037。观察组并发症发生率为7.55%,低于对照组的26.42%,χ^2=6.692,P=0.010。结论埋伏下颌阻生智齿采用45°仰角气动式外科专用手机拔除,可缩短拔牙时间,减轻患者疼痛程度、术后张口受限程度,促进术后肿胀消退,减少并发症发生。
OBJECTIVE Impacted mandibular impacted wisdom teeth are mostly caused by jaw bone development and inability to accommodate all teeth,which can cause jaw cysts,osteomyelitis,and pericoronitis,which affect patients’daily lives.This study analyzes the clinical effects of traditional osteotome and 45°elevation pneumatic pneumatic mobile phone for removing impacted mandibular impacted wisdom teeth.METHODS The patients with ambushed mandibular impacted wisdom teeth admitted to our hospital from March 4,2017 to February 1,2019 were studied.With the patients infromed consent,according to the gender,age,relationship with the mandibular ascending branch,and the direction of inclination,the observation group and the control group were selected,and 53 cases of 53 teeth in each group.The control group was treated with traditional osteotome.The observation group was removed with a 45°elevation angle pneumatic surgical special mobile phone.The time of tooth extraction,postoperative swelling regression time,24 hours postoperative pain visual analogue scale(VAS),facial swelling degree,limitation of mouth opening 1 month after operation and complication were compared.RESULTS The time of tooth extraction was(21.45±4.91)min in the observation group,which was shorter than that in the control group(32.08±6.85)min,t=9.182,P<0.001.The postoperative swelling regression time was(3.04±0.59)d,which was shorter than the control group’s(5.65±0.88)d,t=17.935,P<0.001;the VAS score of the observation group at 24 hafter surgery was(3.49±0.94)points,which was lower than that of the control group(6.05±0.86)points,t=14.628,P<0.001;the degree of facial swelling was(1.54±0.35)mm,which was lower than that of the control group(3.91±0.42)mm,t=31.559,P<0.001.In the observation group,the degree ofⅠdagree of mouth opening 1 month after surgery was 77.36%,which was higher than the control group(54.72%),χ^2=6.057,P=0.014;the degree ofⅢdegrees was 1.89%,which was lower than the control group(15.09%),χ^2=4.371,P=0.037.The incidence of compli
作者
贺振永
朱蓬
韩世权
HE Zhen-yong;ZHU Peng;HAN Shi-quan(Department of Stomatology,Hua Xian People's Hospital,Huaxian 452370,P.R.China)
出处
《社区医学杂志》
2020年第2期102-105,共4页
Journal Of Community Medicine
关键词
45°仰角气动式外科专用手机
埋伏下颌阻生智齿
微创拔牙法
安全性
45°elevation angle special mobile phone for pneumatic surgery
impacted mandibular impacted wisdom teeth
minimally invasive extraction method
safety
