超声骨刀、高速涡轮钻法和增隙后推旋法用于下颌阻生智齿拔除中的效果比较分析  

A Comparative Analysis of the Effects of Ultrasonic Osteotome,High-speed Yurbo Drill and Clearance Increasing Back Pushing and Rotating Method in the Extraction of Mandibular Impacted Wisdom Teeth

作　　者：扶晟[1] 蒋立辉 李欢 陈刚[1] FU Sheng;JIANG Lihui;LI Huan;CHEN Gang(Department of Stomatology,Xiaolan People's Hospital,Zhongshan,Guangdong 528415)

机构地区：[1]中山市小榄人民医院口腔科,广东中山528415

出　　处：《智慧健康》2023年第7期129-132,共4页Smart Healthcare

基　　金：中山市卫生健康局医学科研项目《超声骨刀、高速涡轮钻法和增隙后推旋法用于下颌阻生智齿拔除中的效果比较分析》(项目编号:2021J337)。

摘　　要：目的 探讨超声骨刀、高速涡轮钻法和增隙后推旋法用于下颌阻生智齿拔除中的效果。方法 选取2020年1月-2021年1月本院收治的120例下颌阻生智齿患者,根据治疗方法分为A组、B组、C组,各组40例,A组采用高速涡轮钻法,B组采用增隙后推旋法,C组采用超声骨刀法,对三组拔牙效果进行比较。结果 A组手术时间较B组、C组短,C组术后张口受限程度较A组、B组低,C组VAS评分较A组、B组低,C组颌面部肿胀程度较A组、B组低(P<0.05);治疗前,三组TNF-α、CRP、IL-6水平无明显差异(P>0.05),治疗后,与A组、B组相比,C组各指标更低(P<0.05);C组并发症发生率为5.00%,较A、B两组7.50%、22.50%低(P<0.05)。结论 与增隙后推旋法相比,高速涡轮钻法可缩短手术时间,减轻术后疼痛程度及炎症反应,减少术后并发症发生,超声骨刀与前两种方法相比,虽然手术时间更长,但术后疼痛程度及炎症反应更轻、并发症更少,可作为下颌阻生智齿拔除的首选方法。Objective To investigate the effect of ultrasonic osteotome,high-speed turbo drill and clearance increasing back push and rotation in the extraction of mandibular impacted wisdom teeth.Methods 120 patients with impacted mandibular wisdom teeth treated in our hospital from January 2020 to January 2021 were divided into group A,group B and group C according to the treatment methods.40 patients in each group were treated with high-speed turbo drill in group A,clearance increasing and back pushing and rotating in group B and ultrasonic bone knife in group C.the tooth extraction effects of the three groups were compared.Results The operation time in group A was shorter than that in group B and group C,the degree of mouth opening restriction in group C was lower than that in group A and group B,the VAS score in group C was lower than that in group A and group B,and the degree of maxillofacial swelling in group C was lower than that in group A and group B(P<0.05);Before treatment,three groups of TNF-α、There was no significant difference in the levels of CRP and IL-6(P>0.05).After treatment,compared with group A and group B,the indexes of group C were lower(P<0.05);The incidence of complications in group C was 5.00%,which was lower than 7.50%and 22.50%in groups A and B(P<0.05).Conclusion Compared with the method of increasing space and pushing back and rotating,the method of high-speed turbine drill can shorten the operation time,reduce the postoperative pain and inflammatory reaction,and reduce the occurrence of postoperative complications.Compared with the first two methods,the ultrasonic osteotome,although the operation time is longer,has less postoperative pain and inflammatory reaction,and fewer complications.It can be used as the preferred method for the extraction of mandibular impacted wisdom teeth.

关 键 词：超声骨刀 高速涡轮钻法 增隙后推旋法 下颌阻生智齿 拔除效果 

分 类 号：R782.11[医药卫生—口腔医学]