拔除下颌智齿手术时不同牙冠切割方式对手术时间及术后创伤的影响分析  

Effect of Different Crown Cutting Methods on Operation Time and Postoperative Trauma in Extraction of Mandibular Wisdom Teeth

作　　者：晏祥任 洪卓酌 霍小玲 YAN Xiang-ren;HONG Zhuo-zhuo;HUO Xiao-ling(Department of Stomatology,the Affiliated Shunde Hospital of Jinan University,Shunde 528305,Guangdong,China)

机构地区：[1]暨南大学附属顺德医院口腔科,广东顺德528305

出　　处：《医学信息》2022年第22期115-117,共3页Journal of Medical Information

摘　　要：目的观察拔除下颌智齿手术时不同的牙冠切割方式对手术时间及术后创伤的影响。方法选取2020年5月-2021年5月在我院诊治的54例下颌智齿患者为研究对象,采用随机数字表法分为对照组和观察组,各27例。对照组采用常规劈冠法,观察组采用高速涡轮牙钻磨裂沟法,比较两组手术指标、术后并发症发生率、拔除效果、患者治疗满意度及疼痛和肿胀评分。结果观察组手术时间、术中出血量、张口受限程度均小于对照组(P<0.05);观察组术后并发症发生率为7.41%,低于对照组的18.52%(P<0.05);观察组拔除智齿优良率为96.30%,高于对照组的81.48%(P<0.05);观察组治疗满意度为100.00%,高于对照组的88.89%(P<0.05);观察组疼痛评分、肿胀评分均低于对照组(P<0.05)。结论拔除下颌智齿手术时选择不同的牙冠切割方式会对手术指标造成影响,相对而言采用高速涡轮牙钻磨裂沟法手术时间短,可提高拔除优良率,降低术后疼痛、肿胀以及并发症发生率,患者满意度高,有效性和安全性良好。Objective To observe the effect of different crown cutting methods on the operation time and postoperative trauma during mandibular wisdom tooth extraction.Methods A total of 54 patients with mandibular wisdom teeth diagnosed and treated in our hospital from May 2020 to May 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 27 cases in each group.The control group was treated with conventional crown splitting method,and the observation group was treated with high-speed turbine drill grinding fissure method.The surgical indicators,postoperative complication rate,removal effect,patient satisfaction and pain and swelling scores were compared between the two groups.Results The operation time,blood loss and limitation of mouth opening in the observation group were less than those in the control group(P<0.05).The incidence of postoperative complications in the observation group was 7.41%,which was lower than 18.52%in the control group(P<0.05).The excellent and good rate of wisdom tooth extraction in the observation group was 96.30%,which was higher than 81.48%in the control group(P<0.05).The treatment satisfaction of the observation group was 100.00%,which was higher than 88.89%of the control group(P<0.05).The pain score and swelling score of the observation group were lower than those of the control group(P<0.05).Conclusion The selection of different crown cutting methods during the extraction of mandibular wisdom teeth will affect the surgical indicators.Relatively speaking,the use of high-speed turbine tooth drill grinding ditch method has a short operation time,which can improve the excellent and good rate of extraction,reduce the incidence of postoperative pain,swelling and complications.Patient satisfaction ishigh,effectiveness and safety are good.

关 键 词：下颌智齿 牙冠切割方式 劈冠法 高速涡轮牙钻磨裂沟法 

分 类 号：R782.11[医药卫生—口腔医学]