锥形束CT联合超声骨刀微创法在拔除上颌埋伏多生牙中的临床应用效果

Clinical Application Effect of Cone Beam CT Combined with Ultrasonic Bone Knife Minimally Invasive Method in the Extraction of Maxillary Embedded Supernumerary Teeth

目的探讨锥形束CT联合超声骨刀微创法在拔除上颌埋伏多生牙中的临床应用效果。方法选取60例上颌埋伏多生牙患者随机分为观察组(30例)和对照组(30例)。对照组采用传统方法拔牙,观察组采用锥形束CT联合超声骨刀微创法拔牙,比较两组的牙槽完整度、术后即刻疼痛程度、张口受限度及牙齿美观度。结果观察组牙槽完整度评分、术后即刻VAS评分以及张口受限度中度、重度占比低于对照组,张口受限度0度占比、牙齿美观度评分高于对照组(P<0.05)。结论锥形束CT联合超声骨刀微创法在拔除上颌埋伏多生牙中应用效果显著,可明显减轻患者术后疼痛程度,改善其张口受限度,提升患者牙槽完整度和牙齿美观度。

Objective To explore the clinical application effect of cone beam CT combined with ultrasonic bone knife minimally invasive method in the extraction of maxillary embedded supernumerary teeth.Methods 60 cases of patients with maxillary embedded supernumerary teeth were randomly divided into two groups,with 30 cases in each group.The control group used traditional method for tooth extraction,and the observation group used cone beam CT combined with ultrasonic bone knife minimally invasive method for tooth extraction.The alveolar integrity,immediate postoperative pain,mouth opening limit and tooth aesthetics were compared between the two groups.Results The alveolar integrity score,immediate postoperative VAS score,moderate and severe proportion of mouth opening limit in the observation group were lower than those in the control group,and the proportion of mouth opening limit 0 degree and tooth aesthetics score were higher than those in the control group(P<0.05).Conclusions Cone beam CT combined with ultrasonic bone knife minimally invasive method has significant application effect in the extraction of maxillary embedded supernumerary teeth,which can significantly reduce the postoperative pain degree of patients,improve the mouth opening limit,alveolar integrity and tooth aesthetics.