超声骨刀法与凿骨劈冠法用于拔除下颌低位阻生智齿的临床观察.docVIP

精品论文 参考文献 超声骨刀法与凿骨劈冠法用于拔除下颌低位阻生智齿的临床观察 杨春丽 （绵阳市中心医院口腔科 四川绵阳 621000） 【摘要】目的：对比观察超声骨刀法与传统的凿骨劈冠法用于拔除下颌低位阻生智齿的临床效果。方法：对2009年10月至2012年8月间本院口腔科门诊患者要求拔出且符合低位阻生智齿患者128例，将纳入病例128例患者随机分为两组，观察组(超声骨刀法组)选择超声骨刀法拔出低位阻生智齿 (病例数=68，牙数=69)，对照组(凿骨劈冠法组)采用凿骨劈冠法 (病例数=60，牙数=62)。随访7天，观察并对比两组拔牙时间、手术前后疼痛、面部肿胀情况、张口受限情况、下唇麻木、伤口感染的发生情况。结果：观察组拔牙时间平均为(28.8plusmn;8.6)分钟，明显短于传统拔牙方法的平均时间，差异有统计学意义(P＜0.05)。使用超声骨刀拔牙患者术中及术后疼痛评分明显低于凿骨劈冠拔除者，差异有统计学意义(P＜0.05)。术后第7天组观察组面部肿胀、张口受限程度明显低于对照组 (P＜0.05)。在下颌低位阻生智齿拔除术后，凿骨劈冠法出现2例下唇麻木、3例创面感染等并发症，经治疗后治愈。结论：超声骨刀法用于拔除下颌低位阻生智齿效果显著，能够最大程度减少患者痛苦，降低术后并发症的发生率，值得临床推广应用。 【关键词】下颌阻生智齿 超声骨刀法 凿骨劈冠法 牙拔除术 疗效 【中图分类号】R782【文献标识码】A【文章编号】2095-1752（2012）32-0101-02 Comparison of the effect of piezosurgery and chisel osteotomy in the extraction of mandibular impacted third molars 【Abstract】 OBJECTIVE: To compare the effect of piezosurgery and chisel osteotomy in the extraction of mandibular impacted third molars. METHODS: One hundred and twenty-eight patients aged 12 to 26 years receiving extraction of mandibular impacted third molars were divided into two groups. Patients in trial group were treated with piezosurgery and in control group were treated with chisel osteotomy. Surgery time and pain, restriction of mouth opening and facial swelling after surgery were observed and compared between the two groups. RESULTS: The surgery time, score of pain, degree of facial swelling and restriction of mouth opening in trial group were lower than those in control group. Conclusion: Compared with chisel osteotomy, the average surgery time with piezosurgery was significantly shorter and the complications are obviously reduced. 【Key words】Mandibular impacted third molars piezosurgery chisel osteotomy tooth extraction therapeutic effect 下颌阻生智齿是由于各种原因只能部分萌出或完全不能萌出的下颌第三磨牙，常常引起反复发作的冠周炎，破坏邻牙和骨组织，造成不可修复牙齿龋损[1]，若牙齿本身具有龋损，有可能引起感染、囊肿等，通常建议拔除。但随着下颌低位阻生智齿拔除技术的发展，有研究发现超声骨刀法同样能达到拔除下颌低位阻生智齿的临床效果，且因其操作相对于传统凿骨劈冠法更简捷、创伤更小，术后患者疼痛、面部肿胀及张口受限等并发症慢性降低。本研究对本院口腔科2009年10月至2012年8月间纳入128例患者