微创拔牙技术在阻生齿拔除中的临床应用  

Clinical Application of Atraumatic Tooth Extraction in Extraction of Impacted Tooth

作　　者：李建民[1] 赵庆扬[1] 谢伟珍 乔春暖[1] 晋素丽 汪莉[1] 曾雨新 

机构地区：[1]广东省深圳市平湖人民医院口腔科,518111

出　　处：《中华全科医学》2012年第11期1710-1710,1780,共2页Chinese Journal of General Practice

摘　　要：目的观察微创拔牙刀结合高速涡轮牙钻拔牙法在阻生齿拔除术中的实际运用效果,通过临床应用,以期达到使用微创拔牙术拔除阻生齿优于常规拔牙术的目标。方法选择需要拔除阻生智齿的患者160例,随机分成两组,每组80例,分别用Original luxato微创拔牙刀结合高速轮牙钻去冠和常规拔牙器械拔除,比较每组的断根率、拔牙窝完整性,畏惧、肿胀的差异。结果微创拔牙刀与高速涡轮牙钻组的断根率、拔牙窝的不完整率、畏惧率、术后肿胀率明显低于传统组(P<0.05)。结论微创拔牙刀结合高速涡轮牙钻拔除阻生齿,可达到无痛、安全、微创的目的。对于恐惧拔牙、较难拔除的患牙及年老体弱或患有心血管疾病的患者,有了更好的手术方法选择。因此,在临床上具有很好的使用价值。Objective To observe the practical clinical application effect of the Luxator extraction instruments combined with high-speed turbine dental drills in the extraction of impacted tooth. Methods Total 160 patients undergoing the removal of im- pacted wisdom tooth were randomly divided into two groups with 80 cases in each group. Group A were treated by using the Lux- ator extraction instruments combined with high-speed turbine dental drills, Group B using the traditional tooth extraction with tra- ditional instruments. The difference in root fracture rate, integrity of the extraction socket, postoperative swelling incidence rate and the patients＇ terror were compared. Results The difference in root fracture rate, integrity of the extraction socket, postoperative swelling incidence rate and the patients＇ terror of group A were obviously lower than those of group B （ P 〈 0.05 ）. Conclusion The Luxator extraction instruments combined with high-speed turbine dental drills is with superiority in painlessness, safety and minimally invasive. There is better surgical option for patients who fear of tooth extraction, or bard to extract it, and also for the elderly and infirm patients or the ones with cardiovascular disease. Therefore, it has a very good value in clinical applications.

关 键 词：微创拔牙刀 高速涡轮牙钻 阻生齿 常规拔牙器械 

分 类 号：R782.11[医药卫生—口腔医学] R781.21[医药卫生—临床医学]