首页|高速涡轮机微创拔牙法与传统凿骨劈冠法拔除治疗复杂阻生牙的临床效果及安全性比较

高速涡轮机微创拔牙法与传统凿骨劈冠法拔除治疗复杂阻生牙的临床效果及安全性比较

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目的 分析对比高速涡轮机微创拔牙法与传统凿骨劈冠法拔除对复杂阻生牙患者的效果.方法 选取2020 年3 月—2023年 3 月兰陵县人民医院收治的 82例复杂阻生牙患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 41 例.对照组行传统凿骨劈冠法,观察组行高速涡轮机微创拔牙法.对比两组的手术情况、疼痛程度、疼痛介质水平、并发症发生情况、满意度.结果 观察组手术时间为(14.36±1.56)min,短于对照组的(20.59±2.47)min,张口受限程度为(4.21±0.72)mm,肿胀程度为(14.37±1.49)mm,均小于对照组的(7.53±1.69)mm、(19.86±2.26)mm,牙槽窝完整性评分为(1.59±0.37)分,并发症发生率为 4.88%,均低于对照组的(3.21±0.54)分、21.95%,满意度为 95.12%,高于对照组的 80.49%,组间差异有统计学意义(P<0.05);术前,两组疼痛视觉模拟评分(VAS)、5-羟色胺(5-HT)、P物质(SP)相比,组间差异无统计学意义(P>0.05);术后,观察组VAS评分为(1.79±0.36)分,低于对照组的(3.24±0.57)分,5-HT为(2.54±0.58)μmol/L,SP为(270.54±20.43)pmol/L,均低于对照组的(3.79±0.87)μmol/L、(319.87±23.56)pmol/L,组间差异有统计学意义(P<0.05).结论 高速涡轮机微创拔牙法的术式时间短于传统凿骨劈冠法,可减轻复杂阻生牙张口受限度与肿胀度,缓解疼痛,降低并发症发生率,提高满意度.
Comparison of Clinical Efficacy and Safety Between High-Speed Turbine Minimally Invasive Tooth Extraction Method and Traditional Chiseling and Crown Chopping Method in the Treatment of Complex Impacted Teeth
Objective To analyze and compare the effects of high-speed turbine minimally invasive tooth extraction method and traditional bone chiseling and crown splitting method on patients with complex impacted teeth.Methods 82 patients with complex impacted teeth admitted to Lanling County People's Hospital from March 2020 to March 2023 were selected as the research subjects,divided into a control group and an observation group using a random number table method,with 41 cases in each group.The control group underwent traditional bone chiseling and crown chopping extraction,while the observation group underwent high-speed turbine minimally invasive tooth extraction.Compare the surgical situation,pain level,pain mediator level,complications,and satisfaction between the two groups.Results The surgical time in the observation group was(14.36±1.56)min,which was shorter than the control group's(20.59±2.47)min.The degree of mouth opening restriction was(4.21±0.72)mm,and the degree of swelling was(14.37±1.49)mm,which was smaller than the control group's(7.53±1.69)mm and(19.86±2.26)mm.The integrity score of the alveolar fossa was(1.59±0.37)points,and the incidence of complications was 4.88%,which was lower than the control group's(3.21±0.54)points,21.95%,satisfaction was 95.12%,and higher than the control group's 80.49%,the differences between groups were statistically significant(P<0.05);before surgery,Visual Analogue pain Scores(VAS),5-hydroxytryp tamine(5-HT)and P substance(SP)of two groups were compared,there were no statistically significant difference between groups(P>0.05);after surgery,the VAS score of the observation group was(1.79±0.36)points,lower than the control group's(3.24±0.57)points,and the 5-HT score was(2.54±0.58)μmol/L and SP were(270.54±20.43)pmol/L,lower than the control group's(3.79±0.87)μmol/L,(319.87±23.56)pmol/L,the differences between groups were statistically significant(P<0.05).Conclusion The operation time of the high-speed turbine minimally invasive tooth extraction method is shorter than that of the traditional bone chiseling and crown chopping method,which can reduce the limitation and swelling of complex impacted teeth,alleviate pain,reduce the incidence of complications,and improve satisfaction.

Complex impacted teethHigh-speed turbine minimally invasive tooth extraction methodComplicationSatisfaction

王健华、付玉平

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兰陵县人民医院口腔科,山东临沂 277700

兰陵县妇幼保健院产后康复科,山东临沂 277700

复杂阻生牙 高速涡轮机微创拔牙法 并发症 满意度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(2)
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