摘要
目的:观察采用牙体分割微创法拔除前牙区残根残冠的临床效果。方法:选取2018年1月~2019年8月收治的须拔除残根残冠患者218例(残根残冠260颗)为研究对象,随机分为研究组和对照组,各109例。研究组采用牙体分割微创法拔除残根残冠,对照组采用普通锤凿法拔除残根残冠。对比两组拔牙时间、拔牙窝形变率、牙龈撕裂率、手术满意度及术后并发症发生情况。结果:研究组拔牙时间短于对照组,拔牙窝形变率、牙龈撕裂率及术后并发症发生率明显低于对照组,手术满意度高于对照组,差异有统计学意义(P<0.05)。结论:采用牙体分割微创法拔除前牙区残根残冠,临床效果明显,可缩短拔牙时间,降低拔牙窝形变率、牙龈撕裂率及并发症发生率,提高手术满意度。
Objective:To observe the clinical effects of minimally invasive method of tooth segmentation in the removal of the residual roots and crowns of anterior teeth.Methods:From January 2018 to August 2019,218 patients(260 residual roots and crowns)whose residual roots and crowns of anterior teeth had to be removed were randomly divided into research group and control group,each group with 109 patients.In the research group,the residual roots and crowns were extracted by the minimally invasive method of tooth segmentation,and in the control group,the residual roots and crowns were extracted by the common hammer chisel method.The time of extraction,deformation rate of extraction socket,tear rate of gingiva,satisfaction degree of operation and postoperative complications were compared between the two groups.Results:The extraction time of the research group were shorter than that of the control group,the deformation of the extraction socket,the rate of gingival tear and the incidence of postoperative complications were significantly lower than that of the control group,the satisfaction of the operation was higher than that of the control group,all differences were statistically significant(P<0.05).Conclusion:The clinical effect of minimally invasive method of tooth segmentation to treat the removal of the residual roots and crowns of anterior teeth is obvious,it can shorten the extraction time,reduce the deformation rate of extraction socket,the rate of gingival tear and the incidence of complications,and improve the satisfaction of the operation.
作者
翟敏
蔡建英
汤华山
ZHAI Min;CAI Jian-ying;TANG Hua-shan(Heqing Community Health Service Center of Pudong New Area,Shanghai 201201;The People's Hospital ofPudong New Area,Shanghai 201200)
出处
《实用中西医结合临床》
2020年第8期3-4,31,共3页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
基金
上海市浦东新区卫生和计划生育委员会社区卫生项目(编号:PW2017C-5)。
关键词
残根残冠
牙体分割
微创拔牙
Residual roots and crowns
Tooth segmentation
Minimally invasive tooth segmentation
