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论文摘要

45°涡轮钻在第三磨牙拔除术中的改良应用

Improved application of a 45° angle turbine drill in impacted wisdom tooth extraction

作者:蔡勇涛1,2 罗顺云1 李旭艳2

Author:Cai Yongtao1,2, Luo Shunyun1, Li Xuyan2

收稿日期:2013-02-15          年卷(期)页码:2013,40(5):577-579

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:阻生第三磨牙,高速涡轮钻,拔牙,潜钻法,三角切龈,

Key words:impacted wisdom teeth,high-speed turbine drill,extraction,submersible drilling,triangular gingival cutting,

基金项目:

中文摘要

目的 比较传统涡轮钻法与潜钻法配合三角切龈在复杂阻生第三磨牙拔除中的效果。方法 将64颗水平低位阻生第三磨牙随机平分为试验组和对照组,每组各32例。对照组采用传统涡轮钻拔牙方法,试验组采用三角切龈并潜钻法拔除第三磨牙,记录手术时间及术后并发症等,并对其行统计学分析。结果 试验组与对照组的平均手术时间分别为26.1 min和36.3 min。两组在手术时间、术后疼痛、术后肿胀、张口受限方面,试验组均优于对照组(P0.05)。结论 潜钻法配合三角切龈是对传统涡轮钻拔牙方法的有效改进,可缩短手术时间,减少术后疼痛、肿胀及张口受限,减小创伤。

英文摘要

Objective To compare the effect of traditional turbine drilling applications and submersible drilling conjunction with triangular gingival cutting in complex wisdom tooth extraction. Methods Sixty-four cases of lower impacted wisdom teeth were randomly divided into two groups of 32: Experimental and control. The traditional turbine drill extraction method was used in the control group, whereas submersible drilling conjunction with triangular gingival cutting was employed in the experimental group. Surgical time and postoperative complications were recorded for statistical analysis. Results The average operative times for the experimental and control groups were 26.1 and 36.3 min, respectively. A significant difference in the time of surgery, postoperative pain, postoperative swelling, and trismus was found between the experimental and control groups(P0.05). Conclusion Submersible drilling conjunction with triangular gingival cutting is an effective method of complex impacted wisdom tooth extraction because it can shorten the operation time, lessen postoperative pain and swelling, and limit mouth opening.

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