口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (9): 859-862.DOI: 10.13701/j.cnki.kqyxyj.2022.09.013

• 口腔颌面外科学研究 • 上一篇    下一篇

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

周蕾1, 王传江2*   

  1. 1. 湖北文理学院附属医院,襄阳市中心医院口腔科 湖北 襄阳 441021;
    2. 湖北文理学院附属医院,襄阳市中心医院 湖北 襄阳 441021
  • 收稿日期:2022-03-15 发布日期:2022-09-26

Study on Application of Two Microdynamic Systems in Extraction of Maxillary Mid-high Mesial Impacted Wisdom Teeth.

ZHOU Lei1, WANG Chuanjiang2*   

  1. 1. Department of Stomatology, Xiangyang Central Hospital, Affiliated to Hubei Academy of Arts and Sciences, Xiangyang 441021, China;
    2. Xiangyang Central Hospital, Affiliated to Hubei Academy of Arts and Sciences, Xiangyang 441021, China.
  • Received:2022-03-15 Published:2022-09-26

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摘要： 目的: 比较高速电动反角手机和超声骨刀配合反角涡轮手机两种方法在上颌中高位近中阻生智齿拔除中的应用效果。方法: 40例上颌中高位近中阻生智齿随机分成2组,分别使用高速电动反角手机和超声骨刀配合反角涡轮手机进行拔牙,比较两组间拔牙时间和术后肿胀、疼痛、张口受限、口角受伤情况,采用SPSS 26.0软件包进行统计分析。结果: 电动反角手机组的手术时间短于超声骨刀及反角涡轮机组,术后肿胀、疼痛、张口受限程度两组差异无统计学意义。结论: 电动反角手机拔除上颌近中中高位阻生智齿拔牙效率高,术后反应小,临床上可以推荐使用。

关键词: 超声骨刀, 反角高速电动外科手机, 上颌中高位近中阻生智齿

Abstract: Objective: To compare the application of high-speed electric contra-angle handpiece and ultrasonic osteotome with contra-angle turbine handpiece in the extraction of maxillary medium-high mesial obstructive wisdom teeth. Methods: Forty cases of maxillary medium-high mesial obstructive wisdom teeth were randomly divided into 2 groups and extracted with high-speed electric contra-angle handpiece and ultrasonic osteotome with contra-angle turbine handpiece, respectively. The extraction time and postoperative swelling, pain, mouth opening restriction, and orofacial injury were compared between two groups. Results: The operative time of electric contra-angle handpiece group was shorter than that of ultrasonic osteotome with contra-angle turbine group, and the postoperative swelling, pain, and degree of mouth opening restriction had no significant difference between two groups. Conclusion: Electric contra-angle handpieces are efficient and have little postoperative reaction when extracting maxillary mid-high mesial obstructive wisdom teeth, which can be recommended clinically.

Key words: ultrasonic osteotome, contra-angle high speed electric surgical handpiece, maxillary mid-high mesial impacted wisdom teeth