社区医生使用高速涡轮机在拔除下颌阻生智齿中临床应用.docVIP

社区医生使用高速涡轮机在拔除下颌阻生智齿中临床应用 　　[摘要] 目的:对比高速涡轮钻法与传统的劈冠法在中、低位下颌阻生智齿拔除术中的临床效果,评价涡轮钻法的临床可行性和优越性。方法:对232例中低位水平或近中阻生的下颌阻生智齿,随机采用高速涡轮钻法(实验组)或劈冠法(对照组)去除阻力两种方法拔除,进行临床观察,记录智齿拔除时间、术后患者疼痛程度、张口受限程度及干槽症的发生情况。结果:实验组手术时间明显短于对照组(t=8.33,P0.05)。两组患者术后疼痛程度和张口受限程度比较有非常显著性差异(χ2值分别为14.27、23.90,均P0.01)。两组干槽症的发生率实验组明显低于对照组,两组比较有显著性差异(χ2=3.98,P0.05)。结论:高速涡轮钻法拔除下颌阻生智齿能显著缩短手术时间,减轻患者术后并发症,值得临床推广。 　　[关键词] 高速涡轮钻法;劈冠法;下颌阻生智齿 　　[中图分类号] R782.11 [文献标识码]A [文章编号]1673-7210(2010)06(b)-028-03 　　 　　Clinical application of high-speed turbine drill in extraction of impacted mandibular third molars by community doctors 　　ZHANG Jianru, CHEN Jingjing 　　(The Community Health Service Center of Qiaozi Town in Huairou District, Beijing 101402) 　　[Abstract] Objective: To compare the effects of high-speed turbine drill and traditional chisel in the extraction of impacted mandibular third molars and to evaluate the clinical feasibility or superiority and the high-speed turbine drill. Methods: 232 impacted mandibular third molars to be extracted were randomly divided into two groups: one (test group) by high-speed turbine drill, and the other (control group) by traditional chisel. Then the duration of the extraction, opening of mouth, incidence of dry socket were observed and recorded. Results: The average surgery time of test group was shorter than that of control group (t=8.33, P0.05), there were significant difference about the degree of postoperative pain and restriction of mouth opening between two groups(χ2 valuses were 14.27 and 23.90, all P0.01), and there was a significant difference about incidence of dry socket between two groups (χ2=3.98, P0.05). Conclusion: High-speed turbine drill when applied in the extraction of impacted mandibular third molars, could efficiently cut down duration of extraction, reduce the incidence of complication and is therefore recommendable in clinical practice. 　　[Key words] High-speed turbine drill; Traditional chisel; Impacted mandibular third molars 　　 　　人类的进化过程导致了咀嚼器官