锤凿劈冠法与微创拔牙治疗下颌低位阻生智齿的临床效果及安全性对比

Clinical Effect and Safety Comparison of Hammer Chiseling Crown and Minimally Invasive Extraction for Mandibular Lower Impacted Wisdom Teeth

目的对比分析锤凿劈冠法与微创拔牙在临床中治疗下颌低位阻生智齿的效果以及安全性情况。方法选择于2017年4月-2018年11月时段到该院接受治疗的100例下颌低位阻生智齿患者,将随机数字表法作为分组依据,划分为参照组(n=50)与实验组(n=50),参照组患者均接受锤凿劈冠法方式进行治疗,实验组患者均接受微创拔牙方式进行治疗,观察统计两组患者手术时间、治疗前后VAS评分、术中并发症发生情况以及术后并发症发生情况,并予以对比分析。结果治疗前,参照组与实验组患者组间对比VAS评分分别为(6.45±1.02)分、(6.46±1.02)分,对比差异无统计学意义(t=0.049,P=0.961),治疗后,两组患者组间对比VAS评分以及手术时间情况,结果显示实验组显著优于参照组差异有统计学意义(P<0.05);参照组与实验组术中并发症发生率分别为14.00%、2.00%,组间对比结果显示实验组更低,差异有统计学意义(χ^2=9.783,P=0.002);参照组与实验组术后并发症发生率分别为20.00%、4.00%,组间对比结果显示实验组更低,差异有统计学意义(χ^2=12.121,P=0.001)。结论对于下颌低位阻生智齿患者,行微创拔牙治疗的效果较锤凿劈冠法理想,可有效降低术中以及术后并发症发生率,缩短手术时间,缓解疼痛感,在临床中具有较高的应用价值,值得进一步推广与借鉴。

Objective To compare the effect and safety of mandibular lower position impacted wisdom teeth in the clinical practice of hammer chisel crown and minimally invasive extraction.Methods One hundred patients with lower jaw impacted wisdom teeth who were treated in the hospital from April 2017 to November 2018 were selected.The random number table method was used as a group basis and divided into reference group(n=50)and experimental group(n=50),the patients in the reference group were treated by hammering and sacral crown method.The patients in the experimental group were treated with minimally invasive extraction.The operation time,VAS score before and after treatment,and intraoperative complications were observed.The occurrence and the occurrence of postoperative complications were compared and analyzed.Results Before treatment,the VAS scores of the reference group and the experimental group were(6.45±1.02)points and(6.46±1.02)points,respectively.the difference was no statistically significant(t=0.049,P=0.961).After treatment,the comparison of VAS scores and operative time between the groups showed that the experimental group wasstatistically significantly better than the reference group(P<0.05).The intraoperative complication rates of the reference group and the experimental group were 14.00%and 2.00%,respectively.The experimental group was lower,the difference was statistically significant(χ^2=9.783,P=0.002);the postoperative complication rate of the reference group and the experimental group were 20.00%and 4.00%,respectively.The comparison between the groups showed that the experimental group was lower,the difference was statistically significant(χ^2=12.121,P=0.001).Conclusion For patients with lower jaw impacted wisdom teeth,the effect of minimally invasive extraction is better than that of hammering and sacral crown method,which can effectively reduce the incidence of intraoperative and postoperative complications,shorten the operation time,relieve pain,and have higher application value,which is worth further promotion and reference.