摘要
目的 探讨基于锥形束CT (CBCT)与3D打印技术对完全性骨埋伏阻生牙患者术后视觉模拟评分法(VAS评分)、并发症和邻牙功能恢复的影响。方法 选取2021年9月至2022年9月洛阳市中心医院收治的130例完全性骨埋伏阻生牙患者纳入研究,按随机数表法1:1配对原则分为观察组和对照组各65例。术前对照组患者经CBCT数据进行3D可视化处理,通过3D可视化模型制定手术方案;观察组患者应用CBCT与3D打印技术,获取实体模型进行术前评估、制定手术计划。比较两组患者的治疗效果、手术时间、术中出血量、牙窝完整性、邻牙松动度;比较两组患者手术前后的VAS评分、肿胀程度、张口受限度、牙齿功能、术中不良反应及术后并发症;随访至术后1个月,评估两组患者的软组织美学效果[红色美学评分(PES)]、满意度和生活质量[口腔健康相关生活质量(OHRQOL)]。结果 观察组患者的治疗优良率为96.92%,明显高于对照组的86.15%,差异有统计学意义(P<0.05);观察组患者术中出血量Ⅲ级占比、邻牙松动度Ⅲ级占比分别为6.15%、0,明显低于对照组的12.31%、6.15%,差异均有统计学意义(P<0.05);观察组患者的手术时间、牙窝完整性分别为(27.82±4.58) min、(2.87±0.42)级,明显优于对照组的(31.04±5.43) min、(3.66±0.24)级,差异均有统计学意义(P<0.05);术后1 d、3 d、7 d,观察组患者的VAS评分分别为(5.22±0.62)分、(3.56±0.78)分、(2.26±0.73)分,明显低于对照组的(6.13±0.64)分、(4.86±0.75)分、(3.41±0.90)分,差异均有统计学意义(P<0.05);术后1 d、3 d、7 d,观察组患者肿胀程度分别为(3.72±1.14) mm、(2.61±0.73) mm、(1.73±0.52) mm,明显小于对照组的(4.42±1.19) mm、(3.58±0.80) mm、(2.39±0.64) mm,差异均有统计学意义(P<0.05);术后1 d、3 d、7 d,观察组患者张口受限度分别为(5.82±1.65) mm、(4.54±1.20) mm、(3.37±0.88) mm,明显小于对照组的(7.26±1.43) mm、(5.63±1.22) mm、(4
Objective To investigate the impact of cone-beam CT(CBCT) and 3D printing technology on the Visual Analogue Scale(VAS) score,complications,and functional recovery of adjacent teeth in patients with complete impacted bone-embedded teeth after surgery.Methods A total of 130 patients with complete impacted bone-embedded teeth admitted to Luoyang Central Hospital from September 2021 to September 2022 were selected for inclusion in the study.They were randomly divided into an observation group and a control group according to a 1:1 matching principle based on a random number table.Patients in the control group underwent 3D visualization processing of CBCT data before surgery,and the surgical plan was formulated based on the 3D visualization model.Patients in the observation group applied CBCT and 3D printing technology to obtain a solid model for preoperative evaluation and surgical planning.The therapeutic effects,operation time,intraoperative bleeding volume,dental socket integrity,and looseness of adjacent teeth were compared between the two groups of patients.The VAS scores,swelling degree,mouth opening limitation,dental function,intraoperative adverse reactions,and postoperative complications were compared between the two groups of patients before and after surgery.Follow-up was conducted until one month after surgery to evaluate the soft tissue aesthetic effect(pink esthetic score,PES),satisfaction,and quality of life(oral health-related quality of life,OHRQOL) of the two groups of patients.Results The excellent and good rate of treatment in the observation group was 96.92%,which was significantly higher than 86.15% in the control group(P<0.05).The proportions of patients with grade Ⅲ intraoperative bleeding and grade Ⅲ adjacent tooth mobility in the observation group were 6.15% and 0,respectively,which were significantly lower than 12.31% and 6.15% in the control group(P<0.05).The operation time and dental socket integrity in the observation group were(27.82±4.58) min and(2.87±0.42) grades,respectively,wh
作者
刘杰
邵贝贝
王伟涛
魏鹏飞
LIU Jie;SHAO Bei-bei;WANG Wei-tao;WEI Peng-fei(Department of Stomatology,Luoyang Central Hospital,Luoyang 471000,Henan,CHINA;Department of Stomatology,Luoyang Traditional Chinese Medicine Hospital,Luoyang 471000,Henan,CHINA;Department of Stomatology,Zhoushan Hospital of Luoyang City,Luoyang 471000,Henan,CHINA)
出处
《海南医学》
CAS
2024年第5期663-668,共6页
Hainan Medical Journal
