CAJ | 학술논문

目的比较传统涡轮钻法与潜钻法配合三角切龈在复杂阻生第三磨牙拔除中的效果。方法将64颗水平低位阻生第三磨牙随机平分为试验组和对照组，每组各32例。对照组采用传统涡轮钻拔牙方法，试验组采用三角切龈并潜钻法拔除第三磨牙，记录手术时间及术后并发症等，并对其行统计学分析。结果试验组与对照组的平均手术时间分别为26.1 min和36.3 min。两组在手术时间、术后疼痛、术后肿胀、张口受限方面，试验组均优于对照组（P<0.05）。在术后出血、牙龈撕裂方面，两组无明显差异（P>0.05）。结论潜钻法配合三角切龈是对传统涡轮钻拔牙方法的有效改进，可缩短手术时间，减少术后疼痛、肿胀及张口受限，减小创伤。
목적비교전통와륜찬법여잠찬법배합삼각절간재복잡조생제삼마아발제중적효과。방법장64과수평저위조생제삼마아수궤평분위시험조화대조조，매조각32례。대조조채용전통와륜찬발아방법，시험조채용삼각절간병잠찬법발제제삼마아，기록수술시간급술후병발증등，병대기행통계학분석。결과시험조여대조조적평균수술시간분별위26.1 min화36.3 min。량조재수술시간、술후동통、술후종창、장구수한방면，시험조균우우대조조（P<0.05）。재술후출혈、아간시렬방면，량조무명현차이（P>0.05）。결론잠찬법배합삼각절간시대전통와륜찬발아방법적유효개진，가축단수술시간，감소술후동통、종창급장구수한，감소창상。
Objective???To?compare?the?effect?of?traditional?turbine?drilling?applications?and?submersible?drilling?conjunction?with?triangular?gingival?cutting?in?complex?wisdom?tooth?extraction.?Methods ??Sixty-four?cases?of?lower?impacted?wisdom?teeth?were?randomly?divided?into?two?groups?of?32:?Experimental?and?control.?The?traditional?turbine?drill?extraction?method?was?used?in?the?control?group,?whereas?submersible?drilling?conjunction?with?triangular?gingival?cutting?was?employed?in?the?experimental?group.?Surgical?time?and?postoperative?complications?were?recorded?for?statistical?analysis. Results The?average?operative?times?for?the?experimental?and?control?groups?were?26.1?and?36.3?min,?respectively.?A?significant?difference?in?the?time?of?surgery,?postoperative?pain,?postoperative?swelling,?and?trismus?was?found?between?the?experimental?and?control?groups(P<0.05).?Results?showed?that?the?experimental?group?had?better?outcome?than?the?control?group.?Conversely,?no?significant?difference?in?postoperative?gum?bleeding?and?tearing?was?found?between?the?two?groups(P>0.05).?Conclusion ??Submersible?drilling?conjunction?with?triangular?gingival?cutting?is?an?effective?method?of?complex?impacted?wisdom?tooth?extraction?because?it?can?shorten?the?operation?time,?lessen?postoperative?pain?and?swelling,?and?limit?mouth?opening.