高速涡轮手机联合气动拔牙挺在下颌阻生第三磨牙拔除术中的应用  

Clinical application of high-speed turbine combined with pneumatic tooth elevator on mandibular impacted third molar extraction

作　　者：芈大卫 周碧 彭勃[1] 阎旭[1] MI Dawei;ZHOU Bi;PENG Bo;YAN Xu(Department of Stomatology,Suzhou Hospital of Anhui Medical University,Suzhou 234000,China)

机构地区：[1]安徽医科大学附属宿州医院口腔诊疗中心,宿州234000

出　　处：《口腔颌面外科杂志》2023年第5期326-329,共4页Journal of Oral and Maxillofacial Surgery

基　　金：2021年宿州市科技计划项目(SZSKJJZC021)。

摘　　要：目的:探究微创拔牙工具在下颌阻生第三磨牙拔除过程中的应用效果。方法:选取2020年10月至2022年3月来我院口腔诊疗中心行下颌阻生第三磨牙拔除术的患者78例,采用随机数字表法将患者分为对照组(39例)与研究组(39例),对照组采取传统锤击牙挺联合微创高速涡轮手机的拔牙方法,研究组采取微创高速涡轮手机联合气动拔牙挺的拔牙方法。比较2组的手术指标(拔牙手术时间、拔牙窝的完整性),术中并发症(牙根折断、牙龈撕裂、舌侧骨板折断、邻牙损伤)和术后评价指标(疼痛程度、术后72 h张口度、术后72 h面部肿胀度)的情况。结果:研究组的拔牙时间和拔牙窝完整性显著优于对照组(P<0.05),研究组术中和术后的评价均显著优于对照组(P<0.05)。结论:下颌阻生第三磨牙拔除术中应用气动拔牙挺联合微创高速涡轮手机的治疗效果优于传统治疗方法,值得临床推广。Objective:To explore the application effect of a minimally invasive tooth extraction tool in the treatment of mandibular impacted third molar.Methods:Among the patients with mandibular impacted teeth admitted to our department of stomatology from October 2020 to March 2022,seventy-eight patients were selected and randomly divided into two groups:control group(39 cases)and research group(39 cases)according to the extraction method.The control group took traditional hammer elevator for tooth extraction with high-speed turbines.The research group used the pneumatic tooth elevator with highspeed turbines.The occurrence of surgical indicators(extraction time and socket integrity),the intraoperative evaluation indexes(root fracture,gingival tear,lingual plate fracture,adjacent tooth injury)and the postoperative evaluation indexes(pain level,mouth opening at 72 hours after surgery,facial swelling at 72 hours after surgery)were statistically compared.Results:The extraction time and the integrity of the extraction socket in the research group were significantly better than those in the control group(P<0.05),and the intraoperative and postoperative evaluation indexes in the research group were significantly better than those in the control group(P<0.05).Conclusion:The advent of pneumatic tooth extraction elevators in the treatment of mandibular impacted third molar combined with minimally invasive high-speed turbine provides new treatment options for managing patients with impacted third molars.

关 键 词：下颌阻生第三磨牙 高速涡轮手机 气动拔牙挺 应用效果 

分 类 号：R782[医药卫生—口腔医学]