电动牙科手机与涡轮气动牙科手机在下颌阻生第三磨牙拔除术中的应用及术后反应比较  

A comparative study of the intraoperative and postoperative response of electric dental handpieces and turbo-pneumatic dental handpieces after mandibular third molar extraction

作　　者：张宏羽 苏莉雯 孙欢[1] 吴杨 ZHANG Hong-yu;SU Li-wen;SUN Huan;WU Yang(State Key Laboratory of Oral&Maxillofacial Reconstruction and Regeneration,Key Laboratory of Oral Biomedicine Ministry of Education,Hubei Key Laboratory of Stomatology,School&Hospital of Stomatology,Wuhan University.Wuhan 430079;Department of Oral and Maxillofacial Surgery,School&Hospital of Stomatology,Wuhan University.Wuhan 430079,Hubei Province,China)

机构地区：[1]口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院,湖北武汉430079 [2]武汉大学口腔医院口腔颌面外科,湖北武汉430079

出　　处：《中国口腔颌面外科杂志》2024年第5期440-445,共6页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金(31400836)。

摘　　要：目的:比较电动牙科手机与气动涡轮手机在拔除下颌阻生第三磨牙术中及术后反应方面的差异。方法:采用随机分组自身交叉对照设计方法,选择行下颌双侧近中埋伏阻生智齿拔除术的患者50例,分别使用牙科电动手机和气动涡轮手机分次拔除左右两侧下颌埋伏阻生智齿。收集术中手术时间、疼痛程度、并发症发生率,复诊时收集术后第1、3、7天时的疼痛、肿胀及开口受限程度。采用SPSS 19.0软件包对数据进行统计学分析。结果:与气动涡轮手机组相比,电动手机组手术时间、术后并发症无显著差异,但在减少术后疼痛、减轻术后肿胀反应、加速患者开口度恢复方面有显著优势。结论:电动牙科手机用于下颌阻生智齿拔除比传统气动涡轮手机更具优势,值得推广应用。PURPOSE:To compare the differences in intraoperative and postoperative response between electric dental handpieces and pneumatic turbine handpieces in the extraction of impacted mandibular third molars.METHODS:Using a randomized grouped self-crossover control design method,50 patients who underwent extraction of bilateral mandibular proximal-medial impacted wisdom teeth were selected,and the right and left mandibular impacted wisdom teeth were extracted with dental electric handpieces and pneumatic turbine handpieces,respectively.Intraoperative surgery time,pain degree,and complication rate were collected,and postoperative pain level,swelling level,and mouth opening restriction were recorded on the 1st,3rd,and 7th days after extraction,and the data of the two groups were compared.SPSS 19.0 software package was used for data analysis.RESULTS:Compared with the turbo-pneumatic dental handpieces group,the electric dental handpieces group had no significant difference in operation time and postoperative complications,but with significant advantages in reducing postoperative pain,postoperative swelling reaction,and accelerating the recovery of patients'mouth opening.CONCLUSIONS:Electric dental handpieces has more advantages than turbo-pneumatic dental handpieces in the extraction of mandibular impacted wisdom teeth,which is worthy of clinical application.

关 键 词：电动牙科手机 气动涡轮手机 阻生第三磨牙 拔牙术 

分 类 号：R782.11[医药卫生—口腔医学]