中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
24期
62-64
,共3页
第三磨牙阻生%高速涡轮牙钻%骨凿辅助%干槽症
第三磨牙阻生%高速渦輪牙鑽%骨鑿輔助%榦槽癥
제삼마아조생%고속와륜아찬%골착보조%간조증
Impacted mandibular third molar%High speed turbine drill%Chisel assistance%Dry socket
目的：比较高速涡轮牙钻与常规骨凿辅助拔除阻生第三磨牙的临床效果。方法选取2012年2月~2014年3月在本院口腔科进行下颌阻生第三磨牙拔除的患者192例，随机分为微创组(n=96)和传统组(n=96)，微创组采取高速涡轮牙钻去除骨阻力和牙体组织辅助拔除，传统组采取骨凿去骨劈冠辅助拔除，记录两组的手术时间及术后疼痛、张口受限、面部肿胀和干槽症等发生情况。结果微创组手术时间为(29.4±6.8)h，短于传统组的(41.2±9.7)h，差异有统计学意义(P<0.05)；微创组患者干槽症发生率为2.1%，低于传统组的11.5%，差异有统计学意义(P<0.05)；微创组患者术后疼痛、张口受限、面部肿胀严重程度远低于传统组，差异有统计学意义(P<0.05)。结论相对于常规骨凿辅助拔除，高速涡轮牙钻辅助拔除阻生第三磨牙能有效缩短手术时间，减少干槽症的发生，降低术后不良反应发生，安全有效。
目的：比較高速渦輪牙鑽與常規骨鑿輔助拔除阻生第三磨牙的臨床效果。方法選取2012年2月~2014年3月在本院口腔科進行下頜阻生第三磨牙拔除的患者192例，隨機分為微創組(n=96)和傳統組(n=96)，微創組採取高速渦輪牙鑽去除骨阻力和牙體組織輔助拔除，傳統組採取骨鑿去骨劈冠輔助拔除，記錄兩組的手術時間及術後疼痛、張口受限、麵部腫脹和榦槽癥等髮生情況。結果微創組手術時間為(29.4±6.8)h，短于傳統組的(41.2±9.7)h，差異有統計學意義(P<0.05)；微創組患者榦槽癥髮生率為2.1%，低于傳統組的11.5%，差異有統計學意義(P<0.05)；微創組患者術後疼痛、張口受限、麵部腫脹嚴重程度遠低于傳統組，差異有統計學意義(P<0.05)。結論相對于常規骨鑿輔助拔除，高速渦輪牙鑽輔助拔除阻生第三磨牙能有效縮短手術時間，減少榦槽癥的髮生，降低術後不良反應髮生，安全有效。
목적：비교고속와륜아찬여상규골착보조발제조생제삼마아적림상효과。방법선취2012년2월~2014년3월재본원구강과진행하합조생제삼마아발제적환자192례，수궤분위미창조(n=96)화전통조(n=96)，미창조채취고속와륜아찬거제골조력화아체조직보조발제，전통조채취골착거골벽관보조발제，기록량조적수술시간급술후동통、장구수한、면부종창화간조증등발생정황。결과미창조수술시간위(29.4±6.8)h，단우전통조적(41.2±9.7)h，차이유통계학의의(P<0.05)；미창조환자간조증발생솔위2.1%，저우전통조적11.5%，차이유통계학의의(P<0.05)；미창조환자술후동통、장구수한、면부종창엄중정도원저우전통조，차이유통계학의의(P<0.05)。결론상대우상규골착보조발제，고속와륜아찬보조발제조생제삼마아능유효축단수술시간，감소간조증적발생，강저술후불량반응발생，안전유효。
Objective To compare the clinical effect of high speed turbine drill or conventional bone chisel as assis-tance on extracting impacted mandibular third molar so as to provide basis for clinical application. Methods One hun-dred and ninety-two patients who accepted impacted mandibular third molar extraction from February 2012 to March 2014 in department of stomatology in our hospital were selected,and were evenly divided into minimally invasive group and traditional group.In the minimally invasive group,high speed turbine drill as assistant extraction to remove bone re-sistance and dental tissues was adopted,while in the traditional group,assistant extraction of bone-removing and crown-splitting by chisel was applied.The operation time,postoperative pain,restriction of mouth opening,face swelling,and dry socket were recorded in both groups. Results In the minimally invasive group,the operation time was (29.4±6.8) h,short-er than (41.2±9.7) h in the traditional group,with statistical difference (P<0.05).The incidence of dry socket in the mini-mally invasive group was 2.1%,lower than 11.5%in the traditional group,which displayed statistical difference (P<0.05). Degrees of postoperative pain,restriction of mouth opening,and face swelling were lower than those in the traditional group,with statistical differences (P<0.05). Conclusion Compared with the conventional bone chisel,assistant extraction of high speed turbine drill on impacted mandibular third molar can effectively shorten operation time,reduce occurrence of dry socket,and decrease the postoperative adverse reaction,which is safe and effective.
