口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 554-558.DOI: 10.13701/j.cnki.kqyxyj.2017.05.022

• 临床研究论著 • 上一篇    下一篇

2种微动力系统应用于下颌低位阻生智齿拔除术的比较研究

李向军,张晓燕,张晓,刘宇,张旭东*   

  1. 河北医科大学口腔医院口腔颌面外科 河北 石家庄 050017
  • 收稿日期:2017-01-22 出版日期:2017-05-20 发布日期:2017-05-26
  • 通讯作者: 张旭东,E-mail:zxdcrx@163.com
  • 作者简介:李向军(1973~ ),女,河北省石家庄市人,博士,副主任医师,主要从事口腔颌面外科的临床治疗工作。

Comparative Study on Extraction of Mandibular Deeply Impacted Wisdom Teeth Assisted by Two Kinds of Micro-dynamic System.

LI Xiang-jun, ZHANG Xiao-yan, ZHANG Xiao, LIU Yu, ZHANG Xu-dong*.   

  1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China
  • Received:2017-01-22 Online:2017-05-20 Published:2017-05-26

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摘要： 目的:比较电动式颌面微动力系统和高速气动外科手机在下颌低位阻生智齿拔除术中的应用效果。方法:将133 例下颌低位阻生智齿随机分成2组,分别使用电动式颌面微动力系统和高速气动外科手机进行手术,比较2组间拔牙时间和术后肿胀、疼痛、张口受限、干槽症、神经损伤、邻牙损伤情况,结果采用SPSS19.0软件包进行统计学分析。结果:电动式颌面微动力组的手术时间明显少于高速气动外科手机组,术后肿胀、疼痛、张口受限程度明显小于高速气动外科手机组(P＜0.05),干槽症、神经损伤发生率低于高速气动外科手机组,但差异无统计学意义。 结论:应用电动式颌面微动力系统拔除下颌低位阻生智齿具有良好的临床效果。

关键词: 电动式颌面微动力系统, 高速气动外科手机, 下颌低位阻生智齿, 拔牙术

Abstract: Objective: To compare the effects of electric micro-dynamic systems and high-speed air-turbine drill in the extraction of mandibular deeply impacted wisdom teeth, and to evaluate the advantages and short comings of each method. Methods: One hundred and thirty-three cases of mandibular deeply impacted wisdom teeth were randomly assigned to two groups:one group was extracted by using electric micro-dynamic systems (MDS Group),while the other was treated by using high-speed air-turbine drill (HST Group). Then the duration of operation, postoperative pain, swelling, trismus and the rate of dry socket,inferior alveolar nerve (IAN) injury, and damage to adjacent teeth were compared. The data were statistically analyzed with SPSS19.0 software package. Results: The data showed that the duration of operation of MDS group was shorter than HST group significantly. The occurrence of postoperative pain, swelling and trismus of MDS group was fewer than that of HST group statistically(P<0.05). The incidence rate of dry socket and IAN injury of MDS group was lower than that of HST group, but no statistical difference be found. Conclusion: Compared with high-speed air-turbine drill, electric micro-dynamic systems can obtain better clinical effect by cutting down duration of operation with minor wound and reducing the incidence of postoperative complications efficiently.

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