下颌阻生智牙不翻瓣拔除的临床效果观察

目的 探讨中位下颌阻生智牙不翻瓣拔除的疗效。方法 98例拔除下颌阻生智牙的患者,共计112颗患牙纳入研究,分为不翻瓣组和翻瓣组。不翻瓣组采用横断法或T形截断法将牙分割后拔除,翻瓣组采用角形切口翻瓣的方法拔除。对2组患者术后1 d、3 d、1周时的并发症进行观察并记录,采用SPSS 17.0软件包进行统计学分析。结果 不翻瓣组术后1 d、3 d出血、肿胀、疼痛及开口受限、对生活的影响等并发症显著低于翻瓣组(P<0.05),但2组平均手术时间无统计学差异(P>0.05)。结论 对于下颌中位阻生智牙,采用不翻瓣方法拔除,有助于减轻患者术后并发症,提高生活质量。

Clinical evaluation of mandibular impacted third molar removed without surgical flaps

PURPOSE: To evaluate the effect of impacted mandibular third molars extracted without surgical flaps.METHODS: Ninety-eight patients with impacted mandibular third molars were collected. A total of 112 teeth were divided into non-surgical flap group and surgical flap group. In non-surgical flap group, the teeth were removed by transection method or T-shaped truncation method, and triangular flaps were designed in the surgical flap group.Postoperative complications at 1 day, 3 days, and 1 week after operation were recorded, and statistical analysis was performed using SPSS 17.0 software package. RESULTS: Complications such as hemorrhage, swelling, pain, mouth opening limitation and impact on daily life at postoperative 1 day and 3 day in non-surgical flap group were significantly lower than in surgical flap group(P<0.05).There was no significant difference in average operation time between the two groups(P>0.05). CONCLUSIONS: Impacted mandibular third molar can be removed without surgical flaps in selected patients. It helps alleviate patients’ postoperative complications and improve their quality of life.