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目的:探讨下颌阻生智齿拔除中采用微创拔牙术的价值。方法:选取66例于2014年6月至2015年6月在东莞市东城医院接受下颌阻生智齿拔除的患者,根据拔牙方式的不同分为对照组与观察组,分别给予传统拔牙术和微创拔牙术治疗,观察两组手术时间、术中术后并发症及术后疼痛、张口受限情况。结果:观察组拔牙时间为(16.25±2.13)min,而对照组为(32.28±2.08)min,差异具有统计学意义(P<0.05)。同时观察组张口受限、术后疼痛情况均显著优于对照组(P<0.05);观察组邻牙松动、根折、舌侧骨板骨折发生率均显著低于对照组(P<0.05);观察组术后干槽症、术后感染、面部肿胀的总发生率显著低于对照组(P<0.05)。结论:下颌阻生智齿采取微创拔牙术拔除,局部创伤小,术后反应轻微,明显优于传统拔牙术。
Objective: To investigate the value of minimally invasive extraction of mandibular impacted wisdom teeth in extraction. Methods: Sixty-six patients undergoing mandibular impacted wisdom tooth extraction from June 2014 to June 2015 in Dongcheng Hospital of Dongguan City were enrolled in this study. The control group and observation group were divided into control group and observation group according to different extraction methods. Tooth extraction treatment, observation of two groups of operation time, intraoperative and postoperative complications and postoperative pain, limited mouth opening. Results: The tooth extraction time in the observation group was (16.25 ± 2.13) min, while that in the control group was (32.28 ± 2.08) min, the difference was statistically significant (P <0.05). In the observation group, the mouth opening was limited and the postoperative pain was significantly better than that in the control group (P <0.05). The incidence of adjacent tooth loosening, root fracture and lingual fracture were significantly lower in the observation group than those in the control group (P <0.05) . The incidence of postoperative dry socket, postoperative infection and facial swelling in the observation group was significantly lower than that in the control group (P <0.05). Conclusion: Impacted mandibular wisdom teeth extracted by minimally invasive extraction, local trauma, minor postoperative response, significantly better than the traditional extraction technique.