摘要
目的:探讨超声骨刀联合45°反角涡轮钻拔除下颌复杂中位水平阻生智齿的疗效。方法:选取预拔除下颌中位水平阻生智齿患者100例,随机分为对照组(n=50)和观察组(n=50);对照组患者给予45°反角涡轮钻拔方案,观察组患者给予超声骨刀联合45°反角涡轮钻拔方案,比较两组拔牙时间,术后第2 d视觉模拟量表(visual analogue scale/score,VAS)评分值,术中出血量、面部肿胀、张口受限程度及术后并发症的发生情况。结果:观察组拔牙时间及术中出血量水平较对照组显著降低,差异有统计学意义(P<0.05);术后第2 d观察组VAS评分,面部肿胀、张口受限程度及术后并发症的发生率均显著低于对照组,差异均有统计学意义(P<0.05)。结论:超声骨刀联合45°反角涡轮钻拔出下颌中位水平阻生智齿的疗效显著,具有一定临床应用价值。
Objective： To investigate the effect of ultrasound bone knife combined with 45 degree angle of turbine drill on the extraction of complicated mandibular median impacted wisdom tooth tooth. Methods： One hundred patients with mandibular median impacted wisdom tooth were enrolled in the study. According to the random data table method,they were divided into control group（ n = 50） and observation group（ n = 50）. The patients in the control group were treated with 45 degree angle of turbine drill drawing scheme,while the observation group with ultrasound bone knife combined with 45 degree angle of turbine drill drawing scheme. The operation time,the amount of intraoperative bleeding,the postoperative 2 d visual analogue scale/score（ VAS）,degree of facial swelling,opening restriction and postoperative complications were evaluated.Results： The time of extraction and the amount of bleeding in the observation group were significantly lower than those in the control group,and the difference was statistically significant（ P〈0. 05）. The VAS score on the 2 ndday after operation,the rate of facial swelling,the degree of mouth opening and the incidence of postoperative complications in the observation group were significantly lower than those of the control group,and the difference was statistically significant respectively（ P〈0. 05）. Conclusion： Ultrasound bone knife combined with 45 degree angle of turbine drill in the extraction of mandibular median impacted wisdom tooth,can significantly shorten the operation time,less bleeding,reduce the VAS score,facial swelling,trismus extent and the incidence of postoperative complications,which has a potential clinical value.
作者
刘朝阳
唐璟
唐祎
周江保
LIU Zhao-yang;TANG Jing;TANG Yi;ZHOU Jiang-bao(Department of Stomatology,Jingzhou Central Hospital,Hubei Jingzhou 434020,China;People＇s Hospital of Yingshan County,Hubei Yingsban 438700,China.)
出处
《临床口腔医学杂志》
2018年第8期495-498,共4页
Journal of Clinical Stomatology
关键词
下颌阻生智齿
超声骨刀
45°反角涡轮钻
临床疗效
Impacted wisdom teeth
Ultrasound bone knife
45 degree angle of turbine drill
Clinical effect
