[1]王笑梅.高速涡轮牙钻联合微创拔牙刀在阻生智齿拔除术中的应用效果[J].医学信息,2023,36(21):118-121.[doi:10.3969/j.issn.1006-1959.2023.21.027]
　WANG Xiao-mei.Application Effect of High-speed Turbine Dental Drill Combined with Minimally Invasive Tooth Extraction Knife in Impacted Wisdom Tooth Extraction[J].Journal of Medical Information,2023,36(21):118-121.[doi:10.3969/j.issn.1006-1959.2023.21.027]
点击复制

高速涡轮牙钻联合微创拔牙刀在阻生智齿拔除术中的应用效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年21期
页码:
118-121
栏目:
论著
出版日期:
2023-11-01

文章信息/Info

Title:
Application Effect of High-speed Turbine Dental Drill Combined with Minimally Invasive Tooth Extraction Knife in Impacted Wisdom Tooth Extraction
文章编号:
1006-1959（2023）21-0118-04
作者:
王笑梅
（婺源县妇幼保健院口腔科，江西 婺源 333200）
Author(s):
WANG Xiao-mei
(Department of Stomatology,Wuyuan County Maternal and Child Health Hospital,Wuyuan 333200,Jiangxi,China)
关键词:
阻生智齿拔除术; 高速涡轮牙钻; 微创拔牙刀; 拔牙完整性
Keywords:
Impacted wisdom tooth extraction; High-speed turbine drill; Minimally invasive tooth extraction knife; Tooth extraction integrity
分类号:
R783.5
DOI:
10.3969/j.issn.1006-1959.2023.21.027
文献标志码:
A
摘要:
目的 探讨高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的临床作用。方法 纳入2021年9月-2022年9月婺源县妇幼保健院口腔科收治的72例阻生智齿患者，按照随机数字表法分为对照组（36例）和观察组（36例）。对照组行传统智齿拔除术，观察组则应用高速涡轮牙钻联合微创拔牙刀完成智齿拔除，比较两组手术指标（手术时间、张口受限度、拔牙完整性、断根率）、患者术后肿胀度、疼痛度[视觉模拟评分（VAS）]及畏惧度[牙科恐惧症调查量表（DFS）]、术后并发症、拔牙满意度。结果 观察组手术时间短于对照组，且张口受限度、拔牙完整性评分、断根率小于对照组（P＜0.05）；观察组术后肿胀度、VAS评分、DFS评分均小于对照组（P＜0.05）；观察组术后并发症发生率低于对照组（P＜0.05）；观察组拔牙满意度高于对照组（P＜0.05）。结论 高速涡轮牙钻联合微创拔牙刀可缩短阻生智齿拔除术的手术时间，提高拔牙完整性，降低患者的张口受限度及断根风险，对患者术后肿胀、疼痛及恐惧心理均具有积极改善作用，且术后并发症少，患者满意度高。
Abstract:
Objective To investigate the clinical effect of high-speed turbine dental drill and minimally invasive tooth extraction knife in the extraction of impacted wisdom teeth.Methods A total of 72 patients with impacted wisdom teeth admitted to the Department of Stomatology, Wuyuan County Maternal and Child Health Hospital from September 2021 to September 2022 were included and divided into control group (36 patients) and observation group (36 patients) according to the random number table method. The control group was treated with traditional wisdom tooth extraction, while the observation group was treated with high-speed turbine dental drill combined with minimally invasive tooth extraction knife to complete wisdom tooth extraction. The surgical indexes (operation time, mouth opening limit, tooth extraction integrity, root breaking rate), postoperative swelling degree, pain degree [visual analogue scale (VAS)] and fear degree [dental phobia survey scale (DFS)], postoperative complications and tooth extraction satisfaction were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group, and the mouth opening limit, tooth extraction integrity score and root breaking rate were lower than those of the control group (P<0.05). The postoperative swelling degree, VAS score and DFS score of the observation group were lower than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group (P<0.05). The satisfaction of tooth extraction in the observation group was higher than that in the control group (P<0.05).Conclusion High-speed turbine dental drill combined with minimally invasive tooth extraction knife can shorten the operation time of impacted wisdom tooth extraction, improve the integrity of tooth extraction, reduce the patient’s mouth opening limit and the risk of root fracture, and have a positive effect on postoperative swelling, pain and fear, with fewer postoperative complications and high patient satisfaction.

参考文献/References:

[1]周蕾,王传江.两种微动力系统在上颌中高位近中阻生智齿拔除中的应用研究[J].口腔医学研究,2022,38(9):859-862.[2]曹媛媛.微创拔牙术在下颌阻生智齿拔除中的应用[J].皖南医学院学报,2022,41(4):376-378.[3]李振权,康景营,邱佩娥.超声骨刀微创拔牙术治疗下颌低位水平阻生智齿患者的疗效及安全性研究[J].实用中西医结合临床,2021,21(15):124-126,130.[4]贾朝清,王惠敏.微创拔牙法在低位阻生智齿拔除术中的应用效果分析[J].现代口腔医学杂志,2021,35(2):102-104.[5]吴国荣.低速直机配合高速涡轮机微创拔牙法治疗复杂阻生牙患者的临床疗效[J].中国药物与临床,2021,21(4):674-676.[6]邹弘驹,李永生.高速涡轮牙钻联合微创拔牙刀拔除阻生智齿后局部炎症应激反应及疼痛介质分泌的评价[J].海南医学院学报,2018,24(4):523-526.[7]邓志武.微创拔牙术治疗下颌低位阻生智齿的疗效观察[J].实用临床医药杂志,2020,24(22):90-92.[8]雷飞,倪菁,王丹杨.微创拔牙技术在下颌埋伏阻生智齿拔除过程中的应用研究[J].临床口腔医学杂志,2020,36(6):338-341.[9]肖佳灵,徐国超.超声骨刀与高速涡轮钻拔除下颌中低位水平阻生智齿的比较[J].实用医学杂志,2020,36(11):1483-1487.[10]武长伟,聂小敬,孙晓功,等.高速涡轮机结合微创拔牙刀应用于下颌阻生牙患者的效果[J].安徽医学,2018,39(10):1206-1208.[11]李阿峰,董建伟,陈萌,等.微创拔牙术对下颌低位阻生智齿的疗效及血清抗PgIgG、TNF-α、IL-6的影响[J].西部医学,2019,31(8):1256-1259,1268.[12]谢梦兰,杨素真,蔡墅曼,等.仰角高速涡轮机在下颌埋伏智齿拔除中的临床应用[J].中国医刊,2019,54(10):1134-1136.[13]Parkins G,Blankson PK,Ampadu MK,et al.Mandibular wisdom teeth impactions and the risk factors that are associated with complications following surgery[J].East African Medical Journal,2020,97(9):3050.[14]钟进,危凯,郝静华.微创技术用于拔除阻生智齿对局部炎症反应及疼痛的影响[J].局解手术学杂志,2019,28(1):38-42.[15]Pathak N,Shukla D,Shringarpure K,et al.Physiodispenser versus conventional rotary instrument in transalveolar extraction of impacted mandibular third molars- A randomized controlled clinical trial[J].Journal of Evolution of Medical and Dental Sciences,2018,7(48):5197-5202.[16]刘朝阳,唐璟,唐祎,等.超声骨刀联合45°反角涡轮钻拔除下颌复杂阻生智齿的临床疗效观察[J].临床口腔医学杂志,2018,34(8):495-498.[17]朱凌,薛浩伟,赵丽,等.四种方法拔除下颌低位阻生智齿的效果观察[J].中国中西医结合耳鼻咽喉科杂志,2018,26(4):287-289.[18]赵庆扬,乔春暖,谢伟珍,等.两种拔牙法拔除下颌水平阻生智齿的疗效评价[J].海南医学,2018,29(8):1172-1173.[19]尹颂豪,曾榕,朱洁琼,等.高速涡轮牙钻联合微创拔牙刀对下颌近中阻生智齿的疗效及龈沟液前列腺素E2、降钙素基因相关肽水平的影响[J].广西医科大学学报,2019,36(10):1668-1672.[20]杜岩,赵湘,常攀辉.涡轮手机法与传统劈凿法在下颌阻生智齿拔除术中下牙槽神经损伤情况的比较[J].现代口腔医学杂志,2021,35(3):191-194.[21]姜辉,修力军,朱光来.微创拔牙与传统拔牙方法对阻生智齿拔除的疗效比较[J].川北医学院学报,2022,37(5):575-577,592.[22]李晨,汪大林.高速涡轮牙钻及微创拔牙刀在阻生智齿拔除术中的应用效果[J].第二军医大学学报,2019,40(4):455-458.

更新日期/Last Update: 1900-01-01