高速涡轮机微创拔牙法治疗复杂阻生牙的临床效果  

The Clinical Effect of High-speed Turbine Minimally Invasive Tooth Extraction Method in the Treatment of Complex Impacted Teeth

作　　者：靳志萌 马慧铭 郭威 吴斌[2] 乔义强 JIN Zhi-meng;MA Hui-ming;GUO Wei;WU Bin;QIAO Yi-qiang(Department of Oral and Maxillofacial Surgery,The Third People's Hospital of Puyang,Puyang 457000,Henan Province,China;School of Mechanical and Electronic Engineering,Nanjing Forestry University,Nanjing 210037,Jiangsu Province,China;Department of Stomatology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan Province,China)

机构地区：[1]濮阳市第三人民医院口腔颌面外科,河南濮阳457000 [2]南京林业大学机械电子工程学院,江苏南京210037 [3]郑州大学第一附属医院口腔科,河南郑州450052

出　　处：《罕少疾病杂志》2025年第3期43-45,共3页Journal of Rare and Uncommon Diseases

基　　金：国家自然科学基金项目(51305208);河南省医学科技攻关计划联合共建项目(LHGJ20190190)。

摘　　要：目的 探讨高速涡轮机微创拔牙法治疗复杂阻生齿的临床效果。方法 选取2023年4月至2024年4月濮阳市第三人民医院收治的复杂阻生齿患者500例进行回顾性分析。根据治疗方法的不同,将患者分为研究组(n=250)和对照组(n=250)。对照组采用传统凿骨劈冠法进行拔除治疗,研究组则进行高速涡轮机微创拔牙法治疗。比较两组的拔牙相关指标、疼痛程度、龈沟液指标水平、并发症及患者满意度。结果 与对照组相比,研究组的手术时间更短(P<0.05),张口受限程度、牙槽窝完整性、肿胀程度评分更低(P<0.05)。在拔牙后1d、2d、3d,均采用视觉模拟评分法(VAS)进行评分,结果显示两组的评分下降(P<0.05),且研究组的评分低于对照组(P<0.05)。此外,两组拔牙后肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)与白细胞介素-6(IL-6)水平均升高(P<0.05),但研究组的水平低于对照组(P<0.05)。统计并发症发生率,研究组为4.00%(10/250),明显低于对照组的12.00%(30/250)(P<0.05)。在患者满意度方面,研究组为98.00%(245/250),高于对照组的93.60%(234/250)(P<0.05)。结论 对复杂阻生齿患者采用高速涡轮机微创拔牙法治疗,能够改善拔牙相关指标与龈沟液指标水平,减轻疼痛程度及并发症发生率,提升患者满意度。Objective To explore the clinical effect of high-speed turbine minimally invasive tooth extraction in the treatment of complex impacted teeth.Methods 500 patients with complex impacted teeth admitted to The Third People's Hospital of Puyang from April 2023 to April 2024 were selected for retrospective analysis.According to different treatment methods,patients were divided into study group(n=250)and control group(n=250).The control group was treated with the traditional bone cutting and crown splitting method,while the research group was treated with the high-speed turbine minimally invasive tooth extraction method.The tooth extraction related indicators,pain levels,gingival crevicular fluid indicator levels,complications and patient satisfaction were compared between the two groups.Results Compared with the control group,the operation time of the study group was shorter(P<0.05),and the scores for mouth opening restriction,alveolar socket integrity,and swelling were lower(P<0.05).Visual analogue scale(VAS)was used for scoring on 1d,2d,and 3d after tooth extraction.The results showed that the scores of the two groups decreased(P<0.05),and the scores of the study group were lower than those of the control group(P<0.05).In addition,the levels of tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)and interleukin-6(IL-6)increased in both groups after tooth extraction(P<0.05),but the study The level of the group was lower than that of the control group(P<0.05).The incidence rate of complications in the study group was 4.00%(10/250),which was significantly lower than the 12.00%(30/250)in the control group(P<0.05).In terms of patient satisfaction,the research group was 98.00%(245/250),which was higher than the control group 93.60%(234/250)(P<0.05).Conclusion The high-speed turbine minimally invasive tooth extraction method for patients with complex impacted teeth can improve tooth extraction-related indicators and gingival crevicular fluid indicator levels,reduce pain and complication rates,and improve patient satisf

关 键 词：高速涡轮机微创拔牙法 复杂阻生牙 临床效果 

分 类 号：R782.11[医药卫生—口腔医学]