微创拔牙术和传统拔牙术在下颌阻生智齿拔除患者中的临床应用效果

Clinical application effect of minimally invasive tooth extraction and traditional tooth extraction in patients with mandibular impacted wisdom teeth extraction

目的探讨微创拔牙术和传统拔牙术在下颌阻生智齿拔除患者中的临床应用效果。方法选取2018年11月~2019年12月于成都市妇女儿童中心医院收治的124例下颌阻生智齿拔除患者作为研究对象。按照入院先后顺序奇偶数分组方法将其分为两组,奇数为参照组(62例,62颗患牙),偶数为研讨组(62例,62颗患牙)。参照组采用传统拔牙术,研讨组采用微创拔牙术。比较两组患者拔牙后疼痛视觉模拟量表(VAS)评分、张口受限程度评级、拔牙全程时间、术中及术后并发症总发生率等指标。结果研讨组拔牙后VAS评分低于参照组,差异有统计学意义(P<0.05);研讨组患者的张口受限程度轻于参照组,差异有统计学意义(P<0.05);研讨组拔牙全程时间短于参照组,差异有统计学意义(P<0.05);研讨组术中并发症总发生率低于参照组,差异有统计学意义(P<0.05);研讨组术后并发症总发生率低于参照组,差异有统计学意义(P<0.05)。结论在下颌阻生智齿拔除时,微创拔牙术与传统拔牙术相比临床效果更为突出,且不论是术中并发症还是术后并发症,均有明显下降。

Objective To explore the clinical application effect of minimally invasive tooth extraction and traditional tooth extraction in patients with mandibular impacted wisdom teeth extraction.Methods A total of 124 patients with mandibular impacted wisdom teeth extraction who were admitted to Chengdu Women′s and Children′s Central Hospital from November 2018 to December 2019 were selected as the research subjects.They were divided into two groups according to the admission sequence by odd-even grouping method.The odd numbers were the reference group(62 cases,62 teeth)and the even numbers were the study group(62 cases,62 teeth).Patients in the reference group were treated with traditional tooth extraction,and in the study group,minimally invasive tooth extraction was used.After tooth extraction,visual analogue scale(VAS)score,mouth opening restriction rating,tooth extraction duration,and the total incidence of intraoperative and postoperative complications were compared between the two groups.Results The VAS score of the study group after tooth extraction was lower than that of the reference group,and the difference was statistically significant(P<0.05).The degree of mouth opening restriction of the study group was milder than that in the reference group,and the difference was statistically significant(P<0.05).The total extraction time of the study group was shorter than that of the reference group,and the difference was statistically significant(P<0.05).The total incidence of intraoperative complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion In the extraction of impacted mandibular wisdom teeth,minimally invasive tooth extraction obtains a more prominent clinical effect than traditional tooth extraction in regardless of significant reduction in the occurrenceboth intraoperative and postoperative complications.