反角涡轮钻在下颌低位水平阻生牙拔除中的改良应用初步探讨.pdf

《反角涡轮钻在下颌低位水平阻生牙拔除中的改良应用初步探讨.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、齐齐哈尔医学院学报2014年第35卷第l4期JournalofOiqiharUniversityofMedicine，2014，Vo1．35，No．14·2057·．经验交流．反角涡轮钻在下颌低位水平阻生牙拔除中的改良应用初步探讨曹发明王小平马腾飞黄珊珊赵利韩良徐文华【摘要】目的比较传统口腔高速涡轮钻法与反角涡轮钻潜钻法配合j三角切龈在相对复杂阻生下颌第三磨牙拔除中的效果。方法随机选择64例水平低位阻生下颌第三磨牙，分为实验组和对照组两组，每组32例。对照组采用传统口腔高速涡轮钻拔牙方法，实验组采用

2、三角形切开牙龈后反角涡轮钻潜钻法拔除水平低位阻生下颌第三磨牙，记录拔牙手术时问及术后相关并发症等，并对其行统计学分析。结果实验组与对照组的平均手术时间分别为26．1分钟和36．3分钟。两组在手术时间、术后疼痛、术后肿胀、张口受限等方面，实验组均优于对照组(P<0．05)。两组在术后出血、牙龈撕裂等方面无明显差异(P>0．05)。结论反角涡轮钻潜钻法配合三角形切开牙龈是对传统口腔高速涡轮钻拔牙方法的有效改进、可缩短手术时间、减少术后疼痛、肿胀及张口受限。【关键词】下颌阻生第三磨牙；高速涡轮钻；拔牙；潜

3、钻法ImprovedapplicationofangleturbinedrillinlowerimpactedwisdomtoothextractionCAOFa—ming，eta1．DepartmentofStomatology，CaohuHospitalAfiliatedtOAnhuiMedicalUniversity，Hefei，Anhui230001，China．【Abstract】0bjectiveTocomparetheeffectoftraditionalturbinedrilling

4、applicationsandsubmersibledrillingconjunctionwithtriangulargingivaicuttingincomplexwisdomtoothextraction．MethodsSixty—fourcasesoflowerimpactedwisdomteethwererandomlydividedintotwogroupsof32：Experimentalandcontro1．Thetraditionalturbinedrillextractionmet

5、hodwasusedinthecontrolgroup，whereassubmersibledrillingconjunctionwithtriangulargingivalcuttingwasemployedintheexperimentalgroup．Surgicaltimeandpostoperativecomplicationswererecordedforstatisticalanalysis．ResultsTheaverageoperativetimesfortheexperimenta

6、landcontrolgroupswere26。1and36．3min，respectively．Asignificantdifferenceinthetimeofsurgery，postoperativepain，postoperativeswelling，andtrismuswasfoundbetweentheexperimentalandcontrolgroups(尸<0．05)．Resultsshowedthattheexperimentalgrouphadbetteroutcomethan

7、thecontrolgroup．Conversely，nosignificantdifferenceinpostoperativegumbleedingandtearingwasfoundbetweenthetwogroups(P>0．05)．ConclusionsSubmersibledrillingconjunctionwithtriangulargingivalcuttingisaneffectivemethodofcompleximpactedwisdomtoothextractionbec

8、auseitcansho~entheoperationtime，lessenpostope。rativepainandswelling，andlimitmouthopening．【Keywords】Impactedwisdomteeth；High—speedturbinedrill；Extraction；Submersibledrilling在与传统牙凿去骨法的相比较，应用45。角高速涡轮钻拔牙的手段和方法。以三角形切开牙龈代替大面积软组织翻拔除下颌第三磨牙在减少术后