超声骨刀法联合涡轮钻治疗下颌阻生牙对创伤及并发症的影响  

Effect of ultrasonic bone knife combined with turbodrill on mandibular impacted teeth on trauma and complications

作　　者：林波 应于康 LIN Bo;YING Yukang(Department of Stomatology,Taizhou Central Hospital(Taizhou University Hospital),Taizhou 318000,Zhejiang,China)

机构地区：[1]台州市中心医院(台州学院附属医院)口腔科,浙江台州318000

出　　处：《中国现代医生》2024年第26期46-49,66,共5页China Modern Doctor

摘　　要：目的研究超声骨刀法联合涡轮钻治疗下颌阻生牙对创伤及并发症的影响。方法选取2019年2月至2022年1月在台州市中心医院(台州学院附属医院)就诊的下颌近中低位水平前倾阻生牙患者122例,采用随机数字表法将所有患者分为涡轮钻组与联合治疗组,每组61例。两组患者均进行常规麻醉,口腔锥形束CT检查。涡轮钻组患者在常规基础上行涡轮钻治疗,联合治疗组患者采用超声骨刀法联合涡轮钻治疗。观察拔牙时间、术中出血量、张口受限、肿胀程度、疼痛程度。比较两组患者的创伤发生率及并发症发生率,采用健康调查简表(item short from health survey,SF-36)对生活质量进行评分。结果联合治疗组患者术中出血量及拔牙时间均低于涡轮钻组,差异有统计学意义(P<0.05)。联合治疗组患者张口受限、肿胀及疼痛程度均低于涡轮钻组,差异有统计学意义(P<0.05)。联合治疗组患者术后牙根移位、牙槽骨骨折、软组织损伤及牙根骨折发生率均低于涡轮钻组,差异有统计学意义(P<0.05)。联合治疗组术后干槽症、出血及严重肿胀发生率均低于涡轮钻组,差异有统计学意义(P<0.05)。联合治疗组术后SF-36评分高于涡轮钻组,差异有统计学意义(P<0.05)。结论超声骨刀法联合涡轮钻治疗下颌阻生牙疗效显著,手术创伤小,减少术中出血量、拔牙时间及并发症发生率,提高患者生活质量。Objective To study the effect of ultrasonic bone knife combined with turbodrill on mandibular impacted teeth on trauma and complications.Methods A total of 122 patients with mandibular proximal and low level forward impacted teeth who were treated in our Taizhou Central Hospital(Taizhou University Hospital)from February 2019 to January 2022 were selected and divided into turbodrill group(61 cases)and combined treatment group(61 cases)according to random table method.Both groups underwent conventional anesthesia and conical beam CT examination.The patients with vorticity were treated with turbodrill on a conventional basis.Patients in combined treatment group were treated with ultrasonic bone knife combined with turbodrill.The extraction time,intraoperative blood loss,mouth opening limitation,swelling degree and pain degree were observed.The incidence of trauma and complications were measured,and the quality of life was scored by item short from health survey(SF-36)scale.Results The intraoperative blood loss and tooth extraction time of combined treatment group were lower than those of the turbodrill group(P<0.05).Patients in combined treatment group had lower mouth opening,swelling,and pain than those in boneknife group(P<0.05).The incidence of postoperative tooth root displacement,alveolar bone fracture,soft tissue injury and tooth root fracture in combined treatment group were lower than those in boneknife group(P<0.05).The incidence of postoperative dry groove lbleeding and severe swelling in combined treatment group were lower than those in turbodrill group(P<0.05).The SF-36 score of the postoperative combined treatment group were higher than that of turbodrill group(P<0.05).Conclusion The combination of ultrasonic bone knife and turbodrill have significant therapeutic effects on mandibular impacted teeth,with minimal surgical trauma,reduced bleeding,extraction time,and incidence of complications,and improved patient quality of life.This plan has certain clinical application value.

关 键 词：超声骨刀法 涡轮钻 下颌阻生牙 并发症 

分 类 号：R456[医药卫生—治疗学]