十字形分牙法在下颌水平低位阻生齿拔除中的临床效果分析  

Clinical Effect Analysis of the Cruciform Tooth Division Method in the Mandibular Level and Low Impacted Tooth Extraction

作　　者：王芳芳 苗喜顺 孙小艳[1] 霍静利[1] WANG Fangfang;MIAO Xishun;SUN Xiaoyan;HUO Jingi(Department of Stomatology,The Second People’s Hospital of Jiaozuo,Jiaozuo Henan 454000,China)

机构地区：[1]焦作市第二人民医院口腔科,河南焦作454000

出　　处：《临床研究》2024年第10期56-59,共4页Clinical Research

摘　　要：目的 分析下颌水平低位阻生齿患者拔牙中使用十字形分牙法的效果。方法 随机从焦作市第二人民医院口腔科2021年6月至2022年6月治疗的下颌水平低位阻生齿患者中抽取65例,按照拔牙方法分组,A组(31例,常规微创拔牙法)、B组(34例,十字形分牙法),对比两组牙科畏惧调查量表(DFS)评分、术后并发症发生率、血压和心率、张口受限和肿胀程度、生活质量评定量表(SF-36)评分。结果 B组DFS评分、术后并发症发生率低于A组,差异有统计学意义(P <0.05);两组术前5 min、术后10 min心率对比差异无统计学意义(P> 0.05),拔牙时B组心率低于A组,差异有统计学意义(P <0.05);两组术前5 min、拔牙时、术后10 min血压对比差异无统计学意义(P> 0.05);B组张口受限0度占比高于A组、Ⅲ度占比低于A组,差异有统计学意义(P <0.05),两组Ⅰ度和Ⅱ度占比比较差异无统计学意义(P> 0.05);B组肿胀程度“无”占比高于A组、“重度”占比低于A组,差异有统计学意义(P <0.05),两组“轻度”和“中度”占比比较差异无统计学意义(P> 0.05);术后1个月B组SF-36评分高于A组,差异有统计学意义(P <0.05)。结论 下颌水平低位阻生齿患者拔牙中使用十字形分牙法,能降低患者对治疗的畏惧程度,对血压心率的影响较小,安全性高,术后张口受限和肿胀程度较低,快速恢复生活质量。Objective To analyze the effect of using the cruciform tooth division method in the Mandibular Level and Low Impacted Tooth Extraction.Methods A total of 65 Mandibular Level and Low Impacted Tooth Extraction patients treated at the Department of Stomatology,The Second People’s Hospital of Jiaozuo,from June 2021 to June 2022 were randomly selected and divided into groups according to the extraction method.Group A(31 cases)received conventional minimally invasive tooth extraction,while Group B(34 cases)received the cruciform tooth division method.The Dental Fear Survey(DFS)scores,postoperative complication rates,blood pressure and heart rate,mouth opening limitation and swelling degree,and SF-36 quality of life scores were compared between the two groups.Results The DFS scores and postoperative complication rates in Group B were lower than those in Group A,with statistically significant differences(P<0.05).There were no statistically significant differences in heart rate between the two groups 5 minutes before surgery and 10 minutes after surgery(P>0.05).However,the heart rate during tooth extraction in Group B was lower than that in Group A,with statistically significant differences(P<0.05).There were no statistically significant differences in blood pressure between the two groups 5 minutes before surgery,during tooth extraction,and 10 minutes after surgery(P>0.05).The proportion of patients with no mouth opening limitation in Group B was higher than that in Group A,and the proportion of patients with grade III limitation was lower than that in Group A,with statistically significant differences(P<0.05).There were no statistically significant differences in the proportions of patients with grade I and grade II limitations between the two groups(P>0.05).The proportion of patients with no swelling in Group B was higher than that in Group A,and the proportion of patients with severe swelling was lower than that in Group A,with statistically significant differences(P<0.05).There were no statistically significant dif

关 键 词：十字形分牙法 下颌水平低位阻生齿 DFS评分 术后并发症发生率 

分 类 号：R782.11[医药卫生—口腔医学]