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| 无痛微创法与凿骨劈冠法拔除下颌阻生智齿的临床观察 | |
| 引用本文： | 李然,唐小剑,杨震,朱正宏. 无痛微创法与凿骨劈冠法拔除下颌阻生智齿的临床观察[J]. 口腔医学, 2012, 32(8): 491-494 |
| 作者姓名： | 李然 唐小剑 杨震 朱正宏 |
| 作者单位： | 南京同仁医院口腔科,南京,211102 |
| 摘 要： | 目的 观察无痛微创法和凿骨劈冠法拔除下颌阻生智齿的临床疗效。方法 306颗下颌阻生智齿随机分成2组，分别采用无痛微创法（实验组）和凿骨劈冠法（对照组）拔除患牙，记录2组平均拔除时间、术后肿胀、疼痛、张口受限、颞颌关节痛、干槽症等并发症发生情况及对拔牙的畏惧感。结果 实验组与对照组相比，平均拔除时间明显缩短（P<0.01）；术后疼痛、肿胀、张口受限、颞颌关节痛、干槽症等并发症发生率较对照组明显降低（P<0.01）；术前畏惧在术后的消失率和术前不畏惧在术后出现的畏惧率，均表明实验组优于对照组（P<0.001）。结论 随着社会-心理-生物医学模式的不断完善，拔牙手术正由传统的凿骨劈冠法向着无痛、微创、安全、规范、舒适、愉悦等人性化方向发展。 |
| 关 键 词： | 下颌阻生智齿 无痛微创拔牙法 凿骨劈冠法 |
Painless minimally invasive surgery versus chisel osteotomy in the extraction of impacted mandibular third molars |
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| LI Ran , TANG Xiao-jian , YANG Zhen , ZHU Zheng-hong. Painless minimally invasive surgery versus chisel osteotomy in the extraction of impacted mandibular third molars[J]. Stomatology, 2012, 32(8): 491-494 | |
| Authors: | LI Ran TANG Xiao-jian YANG Zhen ZHU Zheng-hong |
| Affiliation: | . (Department of Stomatology, Nanfing Tongren Hospital, Nanfing 211102, China) |
| Abstract: | Objective To compare the clinical effects of minimally invasive surgery （MIS） with those of traditional chisel osteotomy in the extraction of impacted mandibular third molars. Methods We extracted 306 impacted mandibular third molars by MIS （ experi- mental group） and traditional chisel osteotomy （control group） , respectively, and compared the two groups in the operation time, pa- tients1 fear of tooth extraction and postoperative complications, such as swelling, pain, limitation of mouth opening, sore temporoman- dibular joint and dry socket. Results Compared with the controls, the experimental group showed significantly shorter operation time, lower rates of pain, swelling, limitation, of mouth opening, sore temporomandibular joint, dry socket, and less fear of tooth extraction （P 〈 0.01 ）. Conclusions MIS is evidently superior over chisel osteotomy in the extraction of impacted mandibular third molars. With the development of the model of socio-psycho-bio-medicine, tooth extraction is assuming more humanized characteristics as pain- lessness, invasiveness, safety, comfort and normalization. |
| Keywords: | impacted mandibular third molar painless minimally invasive tooth extraction chisel osteotomy |
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