不翻瓣下使用45°高速手机拔除下颌中高位阻生第三磨牙的临床效果  

Clinical Effects of Middle and High Impacted Mandibular Third Molars Extraction with 45°High-speed Handpiece without Flaps

作　　者：林继超 王清联 LIN Jichao;WANG Qinglian(Xiamen Branch of Zhongshan Hospital of Fudan University,Xiamen 361015,China;不详)

机构地区：[1]复旦大学附属中山医院厦门医院,福建厦门361015

出　　处：《中外医学研究》2022年第24期155-158,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨不翻瓣下使用45°高速手机拔除下颌中高位阻生第三磨牙的临床效果。方法:收集2021年9月-2022年5月就诊于复旦大学附属中山医院厦门医院的140例患者共140颗下颌中高位阻生第三磨牙纳入研究,根据是否翻瓣分为观察组和对照组,各70例,两组均使用45°高速手机去除牙冠近中阻力,观察组不翻瓣盲视下进行阻生牙拔除,对照组切开翻瓣直视下拔除阻生牙,比较两组手术时间、术中和术后并发症情况。结果:观察组、对照组手术时间分别为(13.24±2.57)、(13.43±2.60)min,差异无统计学意义(P>0.05)。两组患者术中并发症发生率对比差异均无统计学意义(P>0.05)。观察组术后发生中度或者重度疼痛、肿胀、张口受限发生率显著低于对照组,差异有统计学意义(P<0.05)。两组术后干槽症发生率比较差异无统计学意义(P>0.05)。结论:不翻瓣下使用45°高速手机拔除下颌中高位阻生第三磨牙,可以获得与切开翻瓣相似的临床效果,并且能够降低术后并发症的发生率,值得临床推广。Objective:To discuss the clinical effects of extraction of middle and high impacted mandibular third molars with 45°high-speed handpiece without flaps.Method:A total of 140 patients(140 middle and high impacted mandibular third molars)hospitalized to Xiamen Branch of Zhongshan Hospital of Fudan University from September 2021 to May 2022 were selected.They were divided into observation group and control group according to flap or not,70 cases in each group.Both groups used 45°high-speed handpiece to remove the mesial resistance of the crown.The affected teeth were extracted in the observation group under blind vision without flap,and the affected teeth were extracted in the control group under direct vision with open flap.The operation time and intraoperative or postoperative complications were compared between the two groups.Result:The operation time of observation group and control group was(13.24±2.57)min and(13.43±2.60)min,respectively,and the difference was not statistically significant(P>0.05).There were no significant differences in the incidence of intraoperative complications between the two groups(P>0.05).The incidence of moderate or severe pain,swelling and mouth opening restriction in the observation group was significantly lower than those in the control group,and the differences were statistically significant(P<0.05),there was no significant difference in the incidence of dry socket between the two groups(P>0.05).Conclusion:The use of 45°high-speed handpiece without flap can achieve similar clinical effects as flap extraction,and can reduce the incidence of postoperative complications,which is worthy of clinical promotion.

关 键 词：阻生牙拔除 不翻瓣 术后并发症 微创 

分 类 号：R782.11[医药卫生—口腔医学]