微创拔牙术在下颌埋伏阻生智齿拔除中的应用及对患者术后疼痛和美观满意度的影响

Application of Minimally Invasive Tooth Extraction in the Removal of Impacted Mandibular Wisdom Teeth and Its Influence on Postoperative Pain and Aesthetic Satisfaction

目的:分析微创拔牙技术用于下颌埋伏阻生智齿拔除后患者疼痛及美观满意度。方法:选定庐江县人民医院口腔科2017年1月-2022年3月101例下颌埋伏阻生智齿患者,按拔牙方法不同将其分为微创组(n=58,使用微创拔牙技术拔除)、劈冠组(n=43,使用凿骨劈冠法拔除)。比较两组手术指标,术后疼痛、张口受限及美观满意度情况,围术期并发症。结果:微创组手术时间、术中出血量及骨愈合时间均少于劈冠组,差异均有统计学意义(P<0.05)。微创组术后疼痛与张口受限程度0度+Ⅰ度比例均高于劈冠组,差异均有统计学意义(P<0.05)。微创组术后总满意度96.55%(56/58)高于劈冠组83.72(36/43),围术期总并发症率10.34%(6/58)低于劈冠组27.91%(12/58),差异均有统计学意义(P<0.05)。结论:微创拔牙技术用于下颌埋伏阻生智齿拔除的手术效率高,并能减轻术后疼痛及张口受限程度,患者美观满意度高且围术期并发症少。

Objective Analysis of minimally invasive extraction techniques for patient pain and aesthetic satisfaction after extraction of impacted wisdom teeth embedded in the mandible.Methods 101 patients with impacted wisdom teeth embedded in the mandible from January 2017 to March 2022 in the Department of Stomatology,Lujiang County People's Hospital were selected and divided into minimally invasive group(n=58,extracted by minimally invasive extraction technique)and spltting crown group(n=43,extracted by chiseling bone splitting crown method)according to the extraction method.Comparison of surgical indications,postoperative pain,mouth opening restriction and aesthetic satisfaction,perioperative complications of different extraction method.Results The operative time,intraoperative bleeding and bone healing time were less in the minimally invasive group than in the spliting crown group,all with statistically significant differences(P<0.05).The postoperative pain and mouth opening restriction O degree+I degree ratio were higher in the minimally invasive group than in the splitting crown group,all with statistically significant differences(P<0.05).The postoperative overall aesthetic satisfaction rate in the minimally invasive group was 96.55%(56/58)higher than that in the splitting crown group 83.72(36/43),and the perioperative overall complication rate was 10.34%(6/58)lower than that in the spliting crown group 27.91%(12/58),all with statistically significant differences(P<0.05).Conclusion Minimally invasive extraction teeth technique for the removal of impacted wisdom teeth embedded in the mandible has high surgical eficiency,and reduce postoperative pain and mouth opening restrictions of patients with high aesthetic satisfaction and few perioperative complications.