高速涡轮牙钻与微创拔牙刀在阻生牙拔除术中临床应用.docVIP

高速涡轮牙钻与微创拔牙刀在阻生牙拔除术中临床应用 　　【摘要】 目的：探讨高速涡轮牙钻与微创拔牙刀在阻生牙拔除术中的应用和传统拔牙器械的临床应用比较。方法选择，临床需要拔除的阻生牙168例，按随机数字表达随机分为2组，每组84例，分别用高速涡轮牙钻与微创拔牙刀和传统拔牙器械拔除患牙，比较二者的断根率、拔牙窝不完整率、敲击增隙率和患者畏惧率。高速涡轮牙钻与微创拔牙刀组的断根率、拔牙窝不完整率、敲击增隙率、患者畏惧率明显低于传统组。高速涡轮牙钻与微创拔牙刀具有很好的临床使用价值。结论:在行高速涡轮牙钻与微创拔牙刀拔牙术中,良好的配合能有效地缩短手术时间,减少并发症的发生 　　【关键词】 微创；高速涡轮牙钻；微创拔牙刀；阻生牙；传统拔牙器械 　　 　　 　　Original Luxator technique the clinical application Department of Stomatology, Jin-tang Xian People￠s Hospital 　　Hu Xing-zhou 　　【Abstract】Objectives: high-speed turbine drill and original Luxator with a sword in the application and traditional art tooth equipment of clinical application comparison. Methods the clinical needs pull out of choice, fracture molar90 cases, according to random number expressions randomly divided into two groups, each group 45 examples, respectively for high speed turbine drill and original Luxator dao and traditional instruments supernumerary tooth with teeth, comparison of root-cutting rate, tooth nest incomplete rate, striking increase gap rate and patients fear rate. High speed turbine drill and original Luxator knife group of root-cutting rate, tooth nest incomplete rate, striking increase gap rate, patients fear rate obviously lower than traditional group. Their differences are significant. High speed turbine drill and original Luxator sword clinical use value. Conclusion: on high speed turbine drill and original Luxator knife tooth intraoperatie, good cooperation can effectively reduce the timing of the operation, decrease complications. 　　【Key words】minimally invasive high-speed turbine drill original Luxatortooth instrument. Traditional 　　 　　 　　1资料与方法 　　1.1临床资料 　　168例中男性88例、女性80例。高速涡轮牙钻与微创拔牙刀组和传统拔牙器械组各占50%。年龄20岁～58岁，平均39岁，168例中垂直阻生28例占16.67%；倒置??生20例占11.9%，水平阻生18例占10.71%，；近中阻生20例占11.9%；远中阻生24例占14.29%；颊向阻生32例占19.05%；舌向阻生26例占15.48%，其中埋伏阻生26例占15.48%，随机分为治疗Ⅰ组（高速涡轮牙钻与微创拔牙刀组）、治疗Ⅱ组（传统拔牙组）。 　　1.2材料 　　涡轮机、微创拔牙刀、口镜、镊子、探针、牙钳、牙挺、组织剪、刀柄、11号手术刀片、持针器、一次性缝线、气钻一只、无菌吸唾器。 　　1.3手术方法 　　1％碘伏消毒术区及口腔，2％利多卡因+肾上腺素神