两种拔牙方法在下颌阻生第三磨牙拔除术中的应用比较  

Comparison of two methods in mandibular impacted third molar extraction

作　　者：袁春平[1,2] 彭辉 石玉[1,2] 王来杰[1,2] YUAN Chunping;PENG Hui;SHI Yu;WANG Laijie(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Nanjing 210029,China;Department of Fourth Clinic,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210011,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,江苏南京210029 [2]南京医科大学附属口腔医院第四门诊部,江苏南京210011

出　　处：《口腔生物医学》2018年第4期206-209,共4页Oral Biomedicine

基　　金：江苏高校优势学科建设工程资助项目(2014-37)

摘　　要：目的:比较高速涡轮机法与传统锤凿法在下颌阻生第三磨牙拔除术中的应用效果。方法:选取80例双侧基本对称的中、低位下颌近中斜位阻生第三磨牙患者,分别采用高速涡轮机法和传统锤凿法对同一患者两侧阻生牙分期进行拔除,记录两组手术时间,并嘱患者术后第2天、第5天复诊,检查并统计术后肿胀、疼痛、张口受限、干槽症、拔牙后出血和下唇麻木等术后并发症的发生情况,行统计学分析。结果:高速涡轮机组的平均手术时间为(12.40±3.85) min,显著低于传统锤凿组的(17.27±4.47) min(P<0.05);在术后肿胀、疼痛、张口受限发生率等方面,高速涡轮机组亦显著优于传统锤凿组(P<0.05);在干槽症、术后出血和下唇麻木发生率方面,两组差异无统计学意义(P>0.05)。结论:在拔除下颌中、低位近中斜位阻生第三磨牙时,高速涡轮机法较传统锤凿法具有创伤小、手术时间短、并发症少等优点。Objective:To compare the effect of high speed turbine method and traditional bone chisel method in mandibular impacted third molar extraction.Methods:Eighty patients with bilaterally symmetrical middle and low mesioangular impaction mandibular third molars were randomly divided into high-speed turbine method and traditional bone chisel method.The operative time were recorded.The patients were followed up for 2 and 5 days after operation.The postoperative complications such as swelling,pain,limitation of mouth opening,dry socket,numbness of lower lip were recorded.Results:The average operation time of the high speed turbine group was(12.40±3.85)min,which was significantly lower than that of the traditional method group by(17.27±4.47)min(P<0.05).High speed turbine group was also superior to the traditional bone chisel method group in postoperative pain,swelling and limitation of mouth opening(P<0.05).There was no statistical significance between the two groups in postoperative bleeding,dry socket and the lower lip numbness(P>0.05).Conclusions:High-speed turbine method has the advantages of less trauma,shorter operative time and less complications.

关 键 词：高速涡轮机法 传统锤凿法 下颌阻生第三磨牙 拔除术 术后并发症 

分 类 号：R782.1[医药卫生—口腔医学]