两种微动力系统在下颌阻生牙拔除中的临床效果比较
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摘要
目的比较超声骨刀与高速涡轮钻拔除下颌阻生牙的临床效果。方法选择144例需拔除下颌阻生牙患者,随机分成两组,分别采用超声骨刀法和高速涡轮拔除患牙。比较两组患者平均手术时间,术中牙科恐惧度,术后疼痛评分、张口受限和面部肿胀等并发症发生情况。结果与高速涡轮组相比,超声骨刀组平均手术时间缩短(P<0.05);术后疼痛评分、张口受限、面部肿胀和患者牙科恐惧度在超声骨刀组的发生均显著降低,差异有统计学意义(P<0.05)。结论相较于高速涡轮法,采用超声骨刀拔牙法拔除下颌阻生牙手术时间短,减轻患者对拔牙的恐惧感,降低术后并发症的发生,是一种值得推广的拔牙方法。
Objective To compare and analyze the clinical effect of piezosurgery and high-speed turbine in extracting impacted mandibular teeth.Methods A total of 144 patients with impacted mandibular teeth were randomly divided into two groups and were extracted by piezosurgery and high-speed turbine respectively.The average operation time,dental fear during operation,postoperative pain score,limited mouth opening,facial swelling and other complications were compared between the two groups.Results Compared with the high-speed turbine group,the average operation time in the piezosurgery group was shorter(P<0.05).The incidence of postoperative pain score,limited mouth opening,facial swelling and dental fear of the patients were significantly reduced,and the difference was statistically significant(P<0.05).Conclusion Compared with the high-speed turbine method,the extraction of mandibular impacted teeth with piezosurgery extraction method is short, reduces the incidence of postoperative complications, reduces the fear of tooth extraction,and is a method worthy of promotion.
Objective To compare and analyze the clinical effect of piezosurgery and high-speed turbine in extracting impacted mandibular teeth.Methods A total of 144 patients with impacted mandibular teeth were randomly divided into two groups and were extracted by piezosurgery and high-speed turbine respectively.The average operation time,dental fear during operation,postoperative pain score,limited mouth opening,facial swelling and other complications were compared between the two groups.Results Compared with the high-speed turbine group,the average operation time in the piezosurgery group was shorter(P<0.05).The incidence of postoperative pain score,limited mouth opening,facial swelling and dental fear of the patients were significantly reduced,and the difference was statistically significant(P<0.05).Conclusion Compared with the high-speed turbine method,the extraction of mandibular impacted teeth with piezosurgery extraction method is short, reduces the incidence of postoperative complications, reduces the fear of tooth extraction,and is a method worthy of promotion.
引文
[1]邱蔚六.口腔颌面外科学[M].6版.北京:人民卫生出社,2008,5(1):64-66.
[2]AGARWAL E,MASAMATTI SS,KUMAR A.Escalating role of piezosurgery in dental therapeutics[J].J Clin Diagn Res,2014,8(10):8-11.
[3]邱蔚六,张震康.口腔颌面外科学[M].5版.北京:人民卫生出版社,2004:48-53.
[4]H ansson P,Ekblom A,Th omsson M,et al.Pain development and consumption of analgesics after oral surgery inrelation to personality ch aracteristics[J].Pain,1989,37(3):271-277.
[5]李晓光,赵峰,王艳春,等.下颌阻生智齿涡轮钻法与锤凿法拔除的临床比较[J].上海口腔医学,2002,11(1):79-81.
[6]PavlíkováG,Foltán R,HorkáM,et al.Piezosurgery in oral and maxillofacial surgery[J].Int J Oral Maxillofac Surg,2011,40(5):451-457.
[7]Siervo S,Ruggli-Milic S,Radici M,et a1.Piezoelectric s u rgery.An alternative meth od of minimally invasive surgery[J].Sch w eiz Monatssch r Rrh rZah nmod,2004,114(4):365-377.
[2]AGARWAL E,MASAMATTI SS,KUMAR A.Escalating role of piezosurgery in dental therapeutics[J].J Clin Diagn Res,2014,8(10):8-11.
[3]邱蔚六,张震康.口腔颌面外科学[M].5版.北京:人民卫生出版社,2004:48-53.
[4]H ansson P,Ekblom A,Th omsson M,et al.Pain development and consumption of analgesics after oral surgery inrelation to personality ch aracteristics[J].Pain,1989,37(3):271-277.
[5]李晓光,赵峰,王艳春,等.下颌阻生智齿涡轮钻法与锤凿法拔除的临床比较[J].上海口腔医学,2002,11(1):79-81.
[6]PavlíkováG,Foltán R,HorkáM,et al.Piezosurgery in oral and maxillofacial surgery[J].Int J Oral Maxillofac Surg,2011,40(5):451-457.
[7]Siervo S,Ruggli-Milic S,Radici M,et a1.Piezoelectric s u rgery.An alternative meth od of minimally invasive surgery[J].Sch w eiz Monatssch r Rrh rZah nmod,2004,114(4):365-377.