2种阻生牙拔除法联合即刻种植的效果评价  

Clinical application of two extraction methods of impacted teeth combined with immediate implantation

作　　者：宋勇[1] 李想[1] 蔡嫚 王耀辉[1] SONG Yong;LI Xiang;CAI Man;WANG Yao-hui(Department of Stomatology,Suqian People's Hospital,Nanjing Drum Tower Hospital Group,Suqian 223800,Jiangsu Province,China)

机构地区：[1]南京鼓楼医院集团宿迁市人民医院徐州医学院附属宿迁医院口腔科

出　　处：《上海口腔医学》2019年第6期632-635,共4页Shanghai Journal of Stomatology

摘　　要：目的 :评价高速涡轮机微创技术与传统技术联合即刻种植对阻生牙术后镇痛、开口度及牙槽骨吸收的效果。方法:选择2014年1月-2018年12月在宿迁市人民医院进行治疗的阻生牙患者80例作为研究对象,使用数字表将患者随机分为实验组和对照组,每组40例。实验组患者采取高速涡轮机微创手术联合即刻种植治疗,对照组患者采用传统手术联合即刻种植治疗,观察2组患者术后牙槽骨吸收、疼痛、肿胀、开口受限、拔牙窝完整性以及并发症之间的差异。采用SPSS 19.0软件包对数据进行统计学分析。结果:术后3个月,实验组患者的上颌前牙区、上颌磨牙区、下颌前牙区以及下颌磨牙区的种植体高度均显著低于对照组。术后1 d,实验组患者的VAS评分显著低于对照组(P<0.05);术后3个月,2组患者VAS评分之间的差异无统计学意义(P>0.05)。术后3个月,实验组患者的拔牙窝完整性、肿胀度以及开口受限程度显著低于对照组;实验组患者的术后牙根折断、邻牙松动、牙龈撕裂和舌侧骨板骨折均显著低于对照组。结论:阻生牙拔除术中采用高速涡轮机微创治疗联合即刻种植,患者术后牙槽骨吸收、肿胀以及拔牙窝完整性显著改变,术后疼痛感降低,并发症较少,值得推广应用。PURPOSE: To observe the effects of immediate implantation combined with high-speed turbine minimally invasive technology and traditional technology on postoperative analgesia, mouth opening and alveolar bone resorption after removal of complex impacted teeth. METHODS: Eighty patients with impacted teeth treated in our hospital from January2014 to December 2018 were randomly divided into 2 groups: experimental group and control group with 40 cases in each group. Patients in the experimental group were treated with high-speed turbine minimally invasive surgery combined with immediate implantation, while patients in the control group were treated with traditional surgery combined with immediate implantation. Differences in alveolar bone resorption, pain, swelling, limited mouth opening, intact extraction socket and complications were compared between the two groups. SPSS 19.0 software package was used to perform statistical analysis.RESULTS: Three months after operation, the implant height of the maxillary anterior teeth, maxillary molar, mandibular anterior teeth and mandibular molar areas in the experimental group was significantly lower than that in the control group.One day after operation, the VAS score of the experimental group was significantly lower than that of the control group(P<0.05). Three months after operation,there was no significant difference in VAS score between the two groups(P>0.05);but intact extraction socket, swelling degree and mouth opening limitation of the experimental group were significantly lower than those of the control group. The root fracture, adjacent teeth loosening, gingival tear, lingual bone plate fracture of the experimental group were significantly lower than those of the control group. CONCLUSIONS: High-speed turbine minimally invasive treatment combined with immediate implantation after extraction of complex impacted teeth can significantly increase alveolar bone resorption, relieve swelling and preserve intact extraction socket, reduce pain and complications after operati

关 键 词：即刻修复 高速涡轮微创治疗 开口受限 牙槽骨吸收 疼痛 

分 类 号：R782.1[医药卫生—口腔医学]