医用生物蛋白胶在埋伏下颌第三磨牙拔除术的应用  

Application of Medical Biogel in the Extraction of Totally Impacted Mandibular Third Molars.

作　　者：陶谦[1] 罗志斌[1] 秦蓉辉[1] 李京平[1] 

机构地区：[1]中山大学光华口腔医学院附属口腔医院,广东广州510060

出　　处：《广东牙病防治》2004年第3期182-183,共2页Journal of Dental Prevention and Treatment

摘　　要：目的　观察埋伏阻生牙拔除术应用医用生物胶止血、缓解疼痛及肿胀的效果。方法　在门诊患者中 ,依据曲面断层X线片选择两侧埋伏阻生程度相近者为研究对象 ,一侧创口术后即刻喷涂医用生物蛋白胶 ,另一侧进行常规处理。结果　拔牙创喷涂医用生物胶组 ,有 2 5例的出血时间少于 10min ,常规对照组仅为 2例 (P <0 .0 0 1) ;试验组中轻微疼痛者 19例 ,对照组为 4例 (P <0 .0 0 1) ;两组患者都以中或重度肿胀为常见 (P >0 .0 5 )。结论　埋伏阻生牙拔除术中应用医用生物胶 ,可以显著缩短术后出血时间、缓解术后疼痛 ,但对减轻术后肿胀的发生效果不明显。Objective To observe the clinical effects of biogel on the extraction of totally impacted third molars. Methods 30 patients with totally impacted third molars on both sides of mandible verified by X-ray were selected. After extaction of the teeth, the socket on one side was filled with biogel while the other side was treated regularly. Results In experimental group, bleeding from the socket wound ceased within 10 minutes after extraction in 25 patients, and 19 patients complained of mild pain. Moderate or severe swelling were not uncommon in both experimental and control groups. Conclusion The use of biogel in the extraction of totally impacted mandibular third molars shortened the bleeding time and reduced the severity of post-operative pain, but it showed no effect on relieving post-operative swelling.

关 键 词：医用生物蛋白胶 第三磨牙拔除术 阻生牙 止血 疼痛 肿胀 

分 类 号：R782.11[医药卫生—口腔医学]