Therapeutic Effect of Minimally Invasive Extraction with High-speed Turbine Combined with Ultrasonic Bone Knife in the Treatment of Complex Obstructed Teeth and Its Effect on the Level of Pain Mediators and Inflammatory Factors
Objective:To explore the therapeutic effect of ultrasonic bone knife combined with high-speed turbine minimally invasive tooth extraction and its effect on the level of pain mediators and inflammatory factors.Methods:A total of 200 patients with complex impacted teeth treated in hospital(January 2023 to January 2024)were included as the study objects,divided into study group(101 cases)and control group(99 cases).The grouping method was random number table.The control group was given high-speed turbine minimally invasive tooth extraction,and in the control group,the study group was combined with ultrasonic bone knife to compare the relevant indicators of the two groups.Results:Compared with the control group,the study group had high maximum mouth opening,short operation time and low intraoperative bleeding(P<0.05);the serum substance P(SP),serotonin(5-HT)levels of serum tumor necrosis factor(TNF-α),and anti-gingival antibody(PgG)were higher than the preoperative levels,while the study group was lower than the control group(P<0.05);there was no difference during the study period(P>0.05).Conclusion:The application of ultrasonic bone knife combined with high-speed turbine minimally invasive tooth extraction treatment for complex impacted teeth can reduce the intraoperative blood loss,improve the limit of mouth opening,reduce the pain symptoms and inflammatory reaction,and do not increase the risk of complications.