摘要
目的:分析高速涡轮牙钻联合牙挺法治疗下颌近中阻生齿的效果及安全性。方法:选择2017年9月-2019年2月笔者所在医院收治的85例下颌近中阻生齿患者,按随机数字表法将其分为对照组(42例)和研究组(43例),对照组接受常规拔牙器械拔除患牙,研究组采用高速涡轮牙钻联合牙挺法治疗。比较两组临床指标、并发症发生情况及满意度。结果:研究组手术时间、肿胀程度、张口受限程度和牙槽窝完整性分别为(13.10±2.23)min、(14.91±0.99)mm、(3.49±1.03)mm、(1.83±0.25)分,均优于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为4.65%,明显低于对照组的19.05%,差异有统计学意义(P<0.05)。研究组满意度为97.67%,高于对照组的80.95%,差异有统计学意义(P<0.05)。结论:高速涡轮牙钻联合牙挺法治疗下颌近中阻生齿,能减轻患者术后肿胀程度和张口受限程度,防止损伤牙槽窝完整性,术后并发症少,患者治疗满意度高,值得临床推广和使用。
Objective:To analyze the effect and safety of high-speed turbine dental drill combined with dental malleolus in the treatment of mandibular proximal and middle impacted teeth.Method:A total of 85 patients with mandibular proximal and middle impacted teeth admitted in our hospital from September 2017 to February 2019 were selected.They were divided into the control group(42 cases) and the study group(43 cases) according to the random number table method.The control group received conventional tooth extraction instruments,and the study group was treated with high-speed turbine dental drill combined with dental malleolus.The clinical indicators,complications and satisfaction of the two groups were compared.Result:The operation time,swelling degree,mouth opening restriction degree and alveolar socket integrity of the study group were(13.10±2.23)min,(14.91±0.99)mm,(3.49±1.03)mm,and(1.83±0.25)points,respectively,which were all better than those of the control group,and the differences were statistically significant(P<0.05).The complication rate of the study group was 4.65%,which was significantly lower than 19.05% of the control group,the difference was statistically significant(P<0.05).The satisfaction of the study group was 97.67%,which was higher than 80.95% of the control group,the difference was statistically significant(P<0.05).Conclusion:The high-speed turbine dental drill combined with dental malleolus for the treatment of mandibular proximal and middle impacted teeth can reduce the degree of postoperative swelling and mouth opening restriction degree,prevent damage to the integrity of alveolar socket,and reduce postoperative complications,and high satisfaction with the treatment of patients.It is worthy of clinical promotion and use.
作者
韦瑞丹
陈海明
任达培
WEI Ruidan;CHEN Haiming;REN Dapei(Chang’an Hospital of Dongguan City,Dongguan 523560,China)
出处
《中外医学研究》
2019年第27期41-43,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
高速涡轮牙钻
牙挺法
下颌近中阻生齿
治疗效果
安全性
High-speed turbine dental drill
Dental Malleolus
Mandibular proximal and middle impacted teeth
Therapeutic effect
Safety