微创拔牙术和传统拔牙术在上颌磨牙拔除中的研究对比

Comparison of study effect between minimally invasive extraction and traditional extraction in the removal of maxillary molars

目的探讨微创拔牙术和传统拔牙术在上颌磨牙拔除中的效果。方法将本院2013年1月至2015年12月收治的174例行上颌磨牙拔除的患者随机均分为对照组和观察组,各87例。对照组实施传统拔牙术,观察组实施微创拔牙术,比较两组患者畏惧程度、牙槽完整度和术后不良反应发生情况。结果观察组患者的畏惧程度和牙槽窝完整程度明显优于对照组(P<0.05),且观察组患者疼痛、张口困难和牙龈肿胀等术后不良反应明显少于对照组(P<0.05)。结论相比于传统拔牙术,采用微创拔牙技术实施上颌磨牙拔除的手术效果明显更佳,术中对牙槽窝损伤少,术后不良反应低,可以减少患者对手术的不良心理反应,安全有效。

Objective To invesligale the ejects of minimally invasive exlraclion and Iradilional exlraclion in maxillary molar removal. Methods A lolal of 174 palienls undergoing maxillary molars removal lrealmenl in our hospilal from January 2013 lo December 2015 were randomly divided inlo conlrol group and observalion group, wilh 87 cases in each group. The conlrol group was lrealed wilh lradilional loolh exlraclion, lhe observalion group was lrealed wilh minimally invasive exlraclion. The fear exlenl, inlegrily degree of alveolar sockel and posloperalive adverse reaclions were compared belween lhe lwo groups. Results The fear exlenl and lhe inlegrily degree of alveolar sockel in lhe observalion group were significanlly beller lhan lhose in lhe conlrol group （ P〈0.05）, and lhe pain, moulh opening difficully and gingival swelling of lhe palienls in lhe observalion group were significanlly less lhan lhose in lhe conlrol group （ P〈0.05）. Conclusion Compared wilh lradilional exlraclion, minimally invasive loolh exlraclion in maxillary molar removal is more effeclive, il has fewer injuries lo lhe alveolar sockel during operalion and less posloperalive adverse reaclions, and could reduce lhe palienl＇s adverse psychological reaclion lo lhe operalion, lhe lrealmenl is safe and effeclive.