超声骨刀联合45°反角涡轮钻拔除下颌阻生智齿的临床应用

doi:10.13701/j.cnki.kqyxyj.2020.07.015

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (7): 674-677.DOI: 10.13701/j.cnki.kqyxyj.2020.07.015

超声骨刀联合45°反角涡轮钻拔除下颌阻生智齿的临床应用

向国林^*, 李林林, 魏钰璋, 李永梅, 张乐

中国科学院大学武汉存济口腔医院颌面外科湖北武汉 430024

收稿日期:2020-02-14 出版日期:2020-07-28 发布日期:2020-07-24
通讯作者: 向国林,E-mail:xiang_guolin@163.com
作者简介:向国林(1973~),男,湖北孝感人,副主任医师,博士,研究方向:牙槽外科,面部创伤及颞下颌关节疾病。

Application of Piezosurgery Combined with 45 Degree Contra-angle Turbo Drill in Extraction of Mandibular Impacted Wisdom Teeth

XIANG Guolin^*, LI Linlin, WEI Yuzhang, LI Yongmei, ZHANG Le

Department of Oral and Maxillofacial Surgery, Wuhan Savaid Stomatology Hospital, University of Chinese Academy of Sciences, Wuhan 430024, China

Received:2020-02-14 Online:2020-07-28 Published:2020-07-24

摘要/Abstract

摘要： 目的: 探讨超声骨刀联合45°反角涡轮钻微创拔除下颌阻生智齿的临床应用。方法: 随机将470例下颌阻生智齿患者分为实验组与对照组,超声骨刀联合45°反角涡轮钻拔除下颌阻生智齿的251例患者为实验组,单纯使用45°反角涡轮钻拔除下颌阻生智齿的219例患者为对照组,观察两组患者的术中、术后并发症发生情况。结果: 实验组拔牙时间与对照组无显著统计学差异,实验组术中、术后并发症发生率均低于对照组,差异有统计学意义(P＜0.05)。结论: 超声骨刀联合 45°反角涡轮钻微创拔除下颌阻生智齿可降低术中、术后并发症的发生率,值得临床推广。

关键词: 阻生齿, 牙拔除, 超声骨刀, 反角涡轮钻

Abstract: Objective: To analyze the clinical effect of piezosurgery combined with 45 degree contra-angle turbo drill in the extraction of mandibular impacted wisdom teeth. Methods: Four hundred and seventy patients with mandibular impacted wisdom teeth were randomly divided into the experimental group and the control group. Two hundred and fifty-one patients with mandibular impacted wisdom teeth extracted by piezosurgery combined with 45 degree contra-angle turbo drill were listed as the experimental group. Two hundred and nineteen patients with mandibular impacted wisdom teeth extracted by 45 degree contra-angle turbo drill were listed as control group. The complications of intraoperative and postoperative between the two groups were compared. Results: There was no significant difference in the extraction time between experimental group and control group. The incidence of intraoperative and postoperative complications in the experimental group was lower than that in the control group (P<0.05). Conclusion: Piezosurgery combined with 45 degree contra-angle turbo drill in the extraction of mandibular impacted wisdom teeth can reduce the incidence of intraoperative and postoperative complications.

Key words: impacted tooth, tooth extraction, piezosurgery, contra-angle of turbo drill

向国林, 李林林, 魏钰璋, 李永梅, 张乐. 超声骨刀联合45°反角涡轮钻拔除下颌阻生智齿的临床应用[J]. 口腔医学研究, 2020, 36(7): 674-677.

XIANG Guolin, LI Linlin, WEI Yuzhang, LI Yongmei, ZHANG Le. Application of Piezosurgery Combined with 45 Degree Contra-angle Turbo Drill in Extraction of Mandibular Impacted Wisdom Teeth[J]. Journal of Oral Science Research, 2020, 36(7): 674-677.

参考文献

[1] 高丽荣.微创拔牙技术在阻生齿拔除中的应用及有效性评析[J].继续医学教育,2018,32(4):111-112.
[2] Romeo U, Galanakis A, Lerario F, et al. Subcutaneous emphysema during third molar surgery: a case report[J]. Braz Dent J, 2011, 22(1):83-86.
[3] 侯改改,尚政军.高速涡轮机拔牙术后并发颌面颈部广泛性皮下气肿1例[J].口腔医学研究,2019,35(12):1193-1194.
[4] 张卓,卢华, 张小冬,等.超声骨刀拔除下颌阻生智齿临床效果的Meta分析[J].临床口腔医学杂志,2017,33(10):616-620.
[5] 刘朝阳,唐璟,唐祎,等.超声骨刀联合45°反角涡轮钻拔除下颌复杂阻生智齿的临床疗效观察[J].临床口腔医学杂志,2018,34(8):495-498.
[6] Pavlikova G, Foltan R, Horka M, et al. Piezosurgery in oral and maxillofacial surgery[J]. Int J Oral Maxillofac Surg, 2011, 40(5):451-457.
[7] Eggers G, Klein J, Blank J, et al. Piezosurgery: an ultrasound device for cutting bone and its use and limitations in maxillofacial surgery[J]. Br J Oral Maxillofac Surg, 2004, 42(5):451-453.
[8] Rullo R, Addabbo F, Papaccio G, et al. Piezoelectric device vs.conventional rotative instruments in impacted third molar surgery: relationships between surgical difficulty and postoperative pain with histological evaluations[J]. J Craniomaxillofac Surg, 2013, 41(2):e33-e38.
[9] 孙睿,蔡育,赵吉宏.超声骨刀在口腔颌面外科的临床应用进展[J].中国口腔颌面外科杂志, 2018,16(1):89-92.
[10] Martini M, Rohrig A, Reich RH, et al. Comparison between piezosur ger yand convention alosteoto my in cranioplasty with fronto-orbital advancement[J]. J Craniomaxillofac Surg, 2017, 45(3): 395-400.
[11] Simons WF, De Smit M, Duyck J, et al. The proportion of cancellous bone as predictive factor for early marginal bone loss around implants in the posterior part of the mandible[J]. Clin Oral Implants Res, 2015, 26(9): 1051-1059.
[12] 乔峰, 陈刚.超声骨刀配合涡轮钻拔除下颌阻生智齿的临床研究[J].天津医科大学学报, 2011,17(4):525-527.
[13] 王子佳,黄谢山,韩静欣,等.口腔齿槽冰帽在下颌阻生智齿拔除术后的疗效评价[J].口腔医学研究,2018,34(10):1132-1135.
[14] Bovi M, Manni A, Mavriqi L, et al. The use of piezosurgery to mobilize the mandibular alveolar nerve followed immediately by implant insertion: a case series evaluating neurosensory disturbance[J].Int J Periodontics Restorative Dent, 2010,30(1):73-81.
[15] Kotrikova B, Wirtz R, Krempien R, et al. Piezosurgery--a new safe technique in cranial osteoplasty?[J]. Int J Oral Maxillofac Surg, 2006, 35(5):461-465.
[16] Blus C, Szmukler-Moncler S. Atraumatic tooth extraction and immediate implant placement with Piezosurgery: evaluation of 40 sites after at least 1 year of loading[J]. Int J Periodontics Restorative Dent, 2010, 30(4):355-363.
[17] Gulnahar Y, Huseyin KH, Tutar Y. A comparison of piezosurgery and conventional surgery by heat shock protein 70 expression[J]. Int J Oral Maxillofac Surg, 2013, 42(4):508-510.
[18] 高永波,蒋瑷,李伯友,等.超声骨刀与凿骨劈冠法拔除下颌阻生智齿的比较[J].华西口腔医学杂志, 2011,29(4):372-374.
[19] Schlee M, Steigmann M, Bratu E, et al. Piezosurgery: basics and possibilities[J]. Implant Dent, 2006,15(4):334-340.
[20] 赵吉宏,韩其滨.现代外科技术在复杂牙拔除术中的应用[J].中国实用口腔科杂志, 2010,3(10):589-592.
[21] Sohn DS, Ahn MR, Lee WH, et al. Piezoelectric osteotomy for intraoral harvesting of bone blocks[J]. Int J Periodontics Restorative Dent, 2007, 27(2):127-131.
[22] 周宏志,胡开进.下颌第三磨牙拔除术后疼痛的临床分析及预防[J].华西口腔医学杂志, 2010,28(2):153-157.
[23] 周宏志,胡开进.下颌阻生第三磨牙拔除创伤控制的相关研究[J].国际口腔医学杂志, 2010,37(4):470-473.
[24] 唐彧,朱亚琴.口腔门诊成人牙科焦虑症调查分析[J].上海口腔医学, 2013,22(6):695-697.
[25] 万阔.疼痛管理与镇静技术在牙拔除术中的应用[J].中国实用口腔科杂志, 2010,3(10):587-589.
[26] 胡永,赵大勇,马三成.全麻下拔除多个阻生第三磨牙200例临床分析[J].口腔颌面外科杂志, 2016,26(2):124-126.

超声骨刀联合45°反角涡轮钻拔除下颌阻生智齿的临床应用

Application of Piezosurgery Combined with 45 Degree Contra-angle Turbo Drill in Extraction of Mandibular Impacted Wisdom Teeth

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