首页|新型微创拔牙术和传统拔牙术在阻生齿拔除后的疗效观察

新型微创拔牙术和传统拔牙术在阻生齿拔除后的疗效观察

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目的 探讨传统方法牙拔除术和使用新型微创牙钳对阻生齿拔除后的临床疗效的影响。方法 选取2020年1月-2023年1月于河南省直第三人民医院口腔颌面外科门诊收治的以"下颌阻生齿"为主诉就诊的120例患者作为研究对象。将这些患者随机分成2组,对照组60例,使用传统牙拔除法;试验组60例,使用新型微创拔牙钳拔除法。比较两组不同手术方法拔牙所用时间、术后疼痛视觉模拟量表(VAS)评分、术中并发症(出血、舌侧骨板骨折、根折、牙龈撕裂)和术后并发症(干槽症、术后感染、张口受限程度、面部肿胀)的差异。结果 使用传统方法的拔牙时间高于使用新型微创牙钳组,且术后VAS疼痛评分高于使用新型微创牙钳组。另外,使用传统拔牙方法的术中和术后并发症的发生几率和张口受限程度都远高于使用新型微创牙钳组(P<0。05)。结论 针对下颌阻生牙患者,在拔除方法的选择上,采用新型微创牙钳,可以有效的缩减手术操作时间和减少患者疼痛感,并且有效的减少术中和术后并发症的发生几率。
Clinical observation of new minimally invasive tooth extraction and traditional tooth extraction in the extraction of impacted teeth
Objective To investigate the effect of traditional tooth extraction and the use of new minimally invasive dent-al forceps on the clinical effect of impacted tooth extraction.Methods From January 2020 to January 2023,totally 120 patients with impacted mandibular teeth were treated in the Department of Oral and Maxillofacial Surgery of the Third People's Hospital of Henan Province.These patients were randomly divided into two groups:the control group(n=60)treated with traditional tooth extraction and the experimental group(n=60)treated with new minimally invasive tooth extraction.The extraction time,postoperative visual analog scale(VAS)score,intraoperative complications(bleeding,lingual plate fracture,root fracture,gum tear)and postoperative complications(dry groove,postoperative infection,mouth restriction,facial swelling)were compared between the two groups with different surgical methods.Results The duration of tooth extraction using traditional methods was longer than that using the new minimally invasive dental forceps group,and the postoperative VAS pain score was higher than that using the new minimally invasive dental forceps group.In addition,the incidence of intraoperative and postoperative complications and the limitation of mouth opening were sig-nificantly higher in the group using traditional extraction methods than in the group using the new minimally invasive dental forceps(P<0.05).Conclusion For mandibular impacted teeth,new minimally invasive dental forceps tooth extraction can effectively reduce the operation time and pain of patients and the incidence of intraoperative and postopera-tive complications.

Tooth extractionNew minimally invasiveDental forcepsComplications

王祥军

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河南省直第三人民医院口腔科,郑州 450000

拔牙术 新型微创 拔牙钳 并发症

河南省医学科技攻关计划联合共建项目

LHGJ20200236

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(17)
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