中国实用口腔科杂志

中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (08): 488-490.

• 论著 • 上一篇    下一篇

下颌阻生智齿两种拔除方法疗效比较

  

  1. 解放军第359医院口腔科，江苏  镇江  212001
  • 收稿日期:2011-06-10 修回日期:2011-08-01 出版日期:2011-08-15 发布日期:2011-09-07

  • Received:2011-06-10 Revised:2011-08-01 Online:2011-08-15 Published:2011-09-07

摘要：

目的    微创拔牙法和传统凿骨劈冠法对下颌阻生智齿拔除效果的比较。方法    对1999年6月至2011年5月在解放军第359医院口腔科须要拔除单侧下颌阻生齿的患者270例，随机分成A、B两组，每组135例，A组采用微创拔牙法，B组采用凿骨劈冠法，对拔牙时间及术中、术后并发症进行观察和统计分析。结果    A组（微创拔牙法）平均拔牙时间为（20.83±8.07）min，显著短于B组（凿骨劈冠法）平均拔牙时间（ 24.82±12.29）min（P < 0.05），A组术中、术后的并发症显著少于B组。结论    微创拔牙法拔除下颌阻生智齿，可以缩短拔牙时间，减轻手术创伤，减少术中、术后并发症的发生，值得临床推广使用。

关键词: 下颌阻生齿, 拔牙, 微创, 凿骨劈冠

Abstract:

Objective    To study the feasibility of extracting impacted mandibular wisdom teeth by using minimally traumatic extraction technique. Methods    A total of 270 patients with impacted mandibular wisdom teeth who were required extraction at least one side were divided into 2 groups. Group A received minimally traumatic extraction technique and group B traditional extraction to extract the aim tooth. The operation time， intraoperative and postoperative complications were recorded to assess the effects of two methods. Results    The mean operation time of group A was significantly shorter than that of group B （P < 0.05）. The intraoperative and postoperative complication incidence in group A was significantly lower than that of group B （P < 0.05）. Conclusion    The minimally traumatic extraction technique is superior to the traditional extraction in the extraction of impacted mandibular wisdom teeth.

Key words: mandibular impacted teeth ； extraction ；minimally traumatic； traditional extraction