下颌近中阻生齿拔除中微创拔牙技术的应用效果分析  

Analysis of the practical effect of minimally invasive tooth extraction technique in mandibular mesioimpacted tooth extraction

作　　者：洪宝花 陈春凤 章超 HONG Bao-hua;CHEN Chun-feng;ZHANG Chao(The Second People's Hospital of Panyu District,Guangzhou 511430,China;不详)

机构地区：[1]广州市番禺区第二人民医院,511430 [2]广州市番禺区市桥医院口腔科,511400 [3]广州市优典口腔,510000

出　　处：《中国实用医药》2023年第24期69-72,共4页China Practical Medicine

摘　　要：目的分析在下颌近中阻生齿拔除中运用微创拔牙技术的临床效果。方法92例下颌近中阻生齿患者,随机分为对照组和观察组,每组46例。对照组应用传统拔牙方法,观察组应用微创拔牙技术。比较两组患者的手术指标、疼痛程度、术中及术后并发症发生情况。结果观察组患者手术时间(13.20±3.02)min短于对照组的(24.36±4.11)min,张口受限度(3.78±0.82)mm、肿胀度(13.23±1.77)mm小于对照组的(9.20±1.32)、(17.68±2.42)mm,拔牙窝完整性评分(1.82±0.62)分低于对照组的(3.56±0.87)分,差异具有统计学意义(P<0.05)。观察组患者疼痛程度低于对照组,差异具有统计学意义(P<0.05)。观察组患者术中并发症发生率为6.52%,低于对照组的28.26%,差异具有统计学意义(P<0.05)。观察组患者术后并发症发生率为4.35%,低于对照组的26.09%,差异具有统计学意义(P<0.05)。结论微创拔牙技术能够降低下颌近中阻生齿拔除中的组织创伤,减轻张口受限、肿胀、疼痛程度,维持拔牙窝完整,降低术中及术后并发症发生率,具有明显的应用优势。Objective To analyze the clinical effect of minimally invasive tooth extraction technique in mandibular meso-impacted tooth extraction.Methods A total of 92 patients with mandibular mesio-impacted teeth were randomly divided into a control group and an observation group,with 46 cases in each group.The control group was treated with traditional extraction,and the observation group was treated with minimally invasive extraction.The surgical indicators,pain intensity,intraoperative and postoperative complications were compared between the two groups.Results The operative time of(13.20±3.02)min in the observation group was shorter than that of(24.36±4.11)min in the control group;the mouth opening limitation of(3.78±0.82)mm and swelling degree of(13.23±1.77)mm in the observation group were smaller than those of(9.20±1.32)and(17.68±2.42)mm in the control group;the score of integrity of extraction sockets of(1.82±0.62)points in the observation group was lower than that of(3.56±0.87)points in the control group;the difference were statistically significant(P<0.05).The pain intensity in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of intraoperative complications in the observation group was 6.52%,which was lower than that of 28.26%in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 4.35%,which was lower than that of 26.09%in the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive tooth extraction technique has advantages in mandibular mesio-impacted tooth extraction,which can reduce tissue trauma,reduce mouth opening limitation,swelling,pain,maintain the integrity of extraction sockets,reduce the rate of intraoperative and postoperative complications.

关 键 词：微创拔牙技术 下颌 阻生齿 效果 并发症 

分 类 号：R782.11[医药卫生—口腔医学]