高速涡轮牙钻联合微创拔牙刀拔除治疗对阻生智齿患者拔牙完整性、张口受限度的影响  

Effect of High Speed Turbo-Drill Combined with Minimally Invasive Knife Extraction on the Integrity and Mouth Opening of Impacted Wisdom Teeth Patients is Limited

作　　者：张宝荣 赵立平 ZHANG Baorong;ZHAO Liping(Department of Stomatology,Bincheng District Municipal Hospital in Binzhou City,Binzhou 256600,China;Department of Internal Medicine,Bincheng District Municipal Hospital in Binzhou City,Binzhou 256600,China)

机构地区：[1]滨州市滨城区市立医院口腔科,山东滨州256600 [2]滨州市滨城区市立医院内科,山东滨州256600

出　　处：《反射疗法与康复医学》2025年第2期124-127,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的分析高速涡轮牙钻联合微创拔牙刀拔除治疗对阻生智齿患者拔牙完整性、张口受限度的影响。方法回顾性分析滨州市滨城区市立医院2022年7月—2024年7月收治的100例阻生智齿患者的临床资料,按治疗方法不同将其分为对照组和观察组,各50例。对照组采用传统凿骨劈冠法拔除治疗,观察组采用高速涡轮牙钻联合微创拔牙刀拔除治疗。比较两组的拔牙相关指标、龈沟液指标及并发症发生情况。结果两组拔牙完整率比较,差异无统计学意义(P>0.05);观察组张口受限度、面颊肿胀程度均优于对照组,出血量少于对照组,拔牙时间短于对照组,牙窝损伤评分低于对照组,组间差异有统计学意义(P<0.05)。拔牙后3d,观察组前列腺素E2、白细胞介素-6、白细胞计数水平均低于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为2.00%,低于对照组的16.00%,差异有统计学意义(P<0.05)。结论阻生智齿患者应用高速涡轮牙钻联合微创拔牙刀拔除治疗可有效降低其龈沟液炎症因子水平,且拔牙完整性较好,术后张口受限程度轻,并发症发生率较低。Objective To analyze the effect of high speed turbo-drill combined with minimally invasive knife extraction on the integrity and mouth opening of impacted wisdom teeth.Methods Clinical data of 100 patients with impacted wisdom teeth admitted to Bincheng District Municipal Hospital in Binzhou City from July 2022 to July 2024 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,with 50 cases in each group.The control group was treated with traditional chisel split-crown method,and the observation group was treated with high speed turbo-drill combined with minimally invasive tooth extraction knife.Compare the extraction related indicators,gingival crevicular fluid indicators,and occurrence of complications between two groups.Results Comparison of complete tooth extraction rates between two groups,the difference was not statistically significant(P>0.05);the limited mouth opening and the degree of cheek swelling in the observation group were better than those in the control group,the amount of bleeding was less than that of the control group,tooth extraction time was shorter than that of the control group,the tooth socket injury score was lower than that of the control group,the differences between the groups were statistically significant(P<0.05).Three days after tooth extraction,the levels of prostaglandin E2,interleukin-6,and white blood cell count in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 2.00%,which was lower than the 16.00%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of high speed turbo-drill combined with minimally invasive tooth extraction knife in the treatment of obstructed wisdom teeth patients can effectively reduce the level of gingival crevicular fluid inflammatory factors,and the integrity of tooth extraction is goo

关 键 词：阻生智齿 高速涡轮牙钻 微创拔牙刀 拔牙完整性 张口受限度 并发症 

分 类 号：R782.11[医药卫生—口腔医学]