高速涡轮机联合微创拔牙刀治疗阻生智齿患者的效果  

Effects of high-speed turbine combined with minimally invasive tooth extraction knife in treatment of patients with impacted wisdom teeth

作　　者：刘书松 LIU Shusong(Department of Stomatology of Ruyang County People’s Hospital,Luoyang 471200 Henan,China)

机构地区：[1]汝阳县人民医院口腔科,河南洛阳471200

出　　处：《中国民康医学》2024年第4期77-79,83,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察高速涡轮机联合微创拔牙刀治疗阻生智齿患者的效果。方法:回顾性分析2020年5月至2023年2月该院收治的126例阻生智齿患者的临床资料,按照治疗方法不同将其分为对照组和观察组各63例。对照组采用凿骨劈冠法治疗,观察组采用高速涡轮机联合微创拔牙刀治疗。比较两组拔牙相关指标(拔牙时间、牙窝损伤评分、张口受限度、面颊肿胀度)水平、拔牙后不同时间疼痛[视觉模拟评分法(VAS)]评分、拔牙前后龈沟液指标[前列腺素E_(2)(PGE_(2))、5-羟色胺(5-HT)、白细胞介素-6(IL-6)]水平,并发症发生率和伤口愈合优良率。结果:观察组拔牙时间短于对照组,牙窝损伤评分、张口受限度、面颊肿胀度均低于对照组,差异有统计学意义(P<0.05);拔牙后24、48、72 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);拔牙后,两组龈沟液PGE_(2)、5-HT、IL-6水平均高于拔牙前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为7.94%(5/63),低于对照组的25.40%(16/63),差异有统计学意义(P<0.05);观察组伤口愈合优良率为93.65%(59/63),高于对照组的80.95%(51/63),差异有统计学意义(P<0.05)。结论:高速涡轮机联合微创拔牙刀治疗阻生智齿患者可改善拔牙相关指标水平,降低疼痛评分、龈沟液指标水平和并发症发生率,提高伤口愈合优良率,效果优于凿骨劈冠法治疗。Objective:To observe effects of high-speed turbine combined with minimally invasive tooth extraction knife in treatment of patients with impacted wisdom teeth.Methods:The clinical data of 126 patients with impacted wisdom teeth admitted to this hospital from May 2020 to February 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,63 cases in each group.The control group was treated with chisel osteotomy,while the observation group was treated with high-speed turbine combined with minimally invasive tooth extraction knife.The levels of tooth extraction related index levels(extraction time,dental fossa injury score,mouth opening limit,cheek swelling degree),the pain[visual analogue scale(VAS)]scores at different time after tooth extraction,the gingival crevicular fluid indexes[prostaglandin E_(2)(PGE_(2)),5-hydroxytryptamine(5-HT),interleukin-6(IL-6)]levels before and after tooth extraction,the incidence of complications,and the excellent and good rate of wound healing were compared between the two groups.Results:The extraction time of the observation group was shorter than that of the control group,the dental fossa injury score,the mouth opening limit and the cheek swelling degree were lower than those of the control group,and the differences were statistically significant(P<0.05).24,48 and 72 h after tooth extraction,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After tooth extraction,the levels of PGE_(2),5-HT and IL-6 in gingival crevicular fluid of the two groups were higher than those before tooth extraction,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 7.94%(5/63),which was lower than 25.40%(16/63)in the control group,and the difference was statistically significant(P<0.05).Further,th

关 键 词：阻生智齿 高速涡轮机 微创拔牙刀 疼痛 龈沟液 并发症 伤口愈合 

分 类 号：R782[医药卫生—口腔医学]