胶原蛋白海绵在阻生牙拔除后应用效果.docVIP

胶原蛋白海绵在阻生牙拔除后应用效果 　　[摘要] 目的 探讨胶原蛋白海绵在阻生牙拔除后的应用效果。 方法 选取2011年1月～2012年2月我院就诊的280例牙拔除患者，随机分为实验组和对照组，每组140例，实验组采取术后拔牙创内填塞胶原蛋白海绵的方法，对照组术后则不应用药物或材料，观察分析两组患者的临床效果。 结果 实验组干槽症发生率和其他合并症发生率明显低于对照组，实验组治疗总有效率87.1%，明显高于对照组总有效率60%，差异有统计学意义（P0.05）。结论 胶原蛋白海绵预防阻生牙拔除后干槽症有较好的临床效果，可降低干槽症发生率，值得在临床研究中大力推广和广泛应用。 　　[关键词] 胶原蛋白海绵；阻生牙；干槽症 　　[中图分类号] R782.1 [文献标识码] A [文章编号] 1674-4721（2016）01（b）-0079-03 　　Application effect of collagen sponge in after remoal of maxillary teeth 　　ZHANG Yuan 　　Department of Stomatology，Tiefa Coal Group General Hospital of Diaobingshan in Liaoning Province，Diaobingshan 112700，China 　　[Abstract] Objective To discuss the application value of collagen sponge in after remoal of maxillary teeth. Methods 280 dental extraction patients from January 2011 to February 2012 of our hospital were selected.Patients were randomly divided into experimental group and control group，and each group was140 cases.Patients in experimental group were filled the collagen sponge after dental extraction.Patients in control group were not given any drugs or material.Clinical effect in two groups were observed and analyzed. Results The incidence of alveolalgia and other complications in experimental group were significantly lower than that of control group.The total effective rate in experimental group was 87.1% significantly higher than that was 60% in control group，and the difference was statistical significance （P0.05）. Conclusion Collagen sponge has good clinical effect in prevention alveolalgia after remoal of maxillary teeth.It can decrease the incidence of alveolalgia and worth to energeticallypopularize and extensive application in clinical. 　　[Key words] Collagen sponge；Maxillary teeth；Alveolalgia 　　干槽症多出现在阻生牙拔除后，主要是由口腔细菌感染所导致。现阶段多数医者认为引起干槽症的主要原因是创伤和细菌感染，因此，为进一步避免干槽症的产生，拔牙手术中要缩小创伤率，避免牙龈受到伤害，缝合时要注意紧密度，防止牙龈出现水肿现象。患者在拔牙前可做好准备工作，如适量服用抗生素，起到预防感染的效果，干槽症属于拔牙创急性感染的症状，多产生于下颌牙，尤其是下颌阻生第三磨牙拔除滞后发生率较高，或是发生在下颌第一磨牙和下颌第二磨牙，其他牙则少有发生，前牙基本不发生[1]。本篇文章着重研究分析了胶原蛋白海绵预防阻生牙拔除后干槽症的临床效果，具体报道如下。 　　1 资料与