Clinical Study of Ultrasonic Osteotome Combined With Corticotomy in Traction of Maxillary Impacted Canines
Objective To explore the clinical effect of ultrasonic osteotome combined with corticotomy in orthodontic traction treatment of maxillary impacted canines.Methods A total of 64 patients diagnosed with maxillary impacted canines requiring orthodontic traction treatment from July 2020 to September 2023 in Stomatological Hospital of Xiamen Medical College were selected as the research subjects.The patients were randomly divided into control group and testing group,with 32 cases in each group.The control group underwent bone corticotomy using a 45° angulated turbine handpiece,while the testing group underwent bone corticotomy using ultrasonic osteotome.The results of the total effective rate,psychological state,postoperative pain,swelling degree of face were compared between the two groups.Results The total effective rate of treatment in the experimental group was 100%,higher than that in the control group,which was 96.88%,with no statistically significant difference(P=1.000).The psychological state during surgery in the experimental group was better than that in the control group,with a statistically significant difference(P=0.009).The pain level in the experimental group was lower than that in the control group 24 hours after surgery,and the facial swelling level was less server than that in the control group 48 hours after surgery,with a statistically significant difference(P<0.05).Conclusion Although the orthodontic traction treatment of maxillary ambushing fangs by Ultrasound osteoto me combined with corticotomy could not significantly improve significantly effect,it could not improve significantly the total effective rate of treatment,but can effectively relieve the psychological pressure on patients,and relieve postoperative pain and facial swelling symptoms,which is worthy of popularization and application.