摘要
目的:探讨中位下颌阻生智牙不翻瓣拔除的疗效。方法:98例拔除下颌阻生智牙的患者,共计112颗患牙纳入研究,分为不翻瓣组和翻瓣组。不翻瓣组采用横断法或T形截断法将牙分割后拔除,翻瓣组采用角形切口翻瓣的方法拔除。对2组患者术后1 d、3 d、1周时的并发症进行观察并记录,采用SPSS 17.0软件包进行统计学分析。结果:不翻瓣组术后1 d、3 d出血、肿胀、疼痛及开口受限、对生活的影响等并发症显著低于翻瓣组(P<0.05),但2组平均手术时间无统计学差异(P>0.05)。结论:对于下颌中位阻生智牙,采用不翻瓣方法拔除,有助于减轻患者术后并发症,提高生活质量。
PURPOSE: To evaluate the effect of impacted mandibular third molars extracted without surgical flaps.METHODS: Ninety-eight patients with impacted mandibular third molars were collected. A total of 112 teeth were divided into non-surgical flap group and surgical flap group. In non-surgical flap group, the teeth were removed by transection method or T-shaped truncation method, and triangular flaps were designed in the surgical flap group.Postoperative complications at 1 day, 3 days, and 1 week after operation were recorded, and statistical analysis was performed using SPSS 17.0 software package. RESULTS: Complications such as hemorrhage, swelling, pain, mouth opening limitation and impact on daily life at postoperative 1 day and 3 day in non-surgical flap group were significantly lower than in surgical flap group(P<0.05).There was no significant difference in average operation time between the two groups(P>0.05). CONCLUSIONS: Impacted mandibular third molar can be removed without surgical flaps in selected patients. It helps alleviate patients’ postoperative complications and improve their quality of life.
作者
周俊波
吴妍慧
张舜初
汪铭
韩源
ZHOU Jun-bo;WU Yan-hui;ZHANG Shun-chu;WANG Ming;HAN Yuan(Department of Stomatology,Nanjing Integrated Traditional Chinese and Western Medicine Hospital,Affiliated Hospital of Nanjing University of Chinese Medicine.Nanjing 210014;Department of Stomatology,Jiangsu cancer Hospital.Nanjing 210009,Jiangsu Province,China)
出处
《上海口腔医学》
CAS
CSCD
北大核心
2020年第2期221-224,共4页
Shanghai Journal of Stomatology
关键词
阻生牙
不翻瓣
并发症
拔牙
Impacted teeth
Non-surgical flap
Complications
Extraction of teeth
