冠周炎初期微创拔除下颌智齿对患者生存质量的影响

目的：探讨微创拔牙法治疗冠周炎初期患者对其口腔健康相关生存质量的影响。方法以72例局限型智齿冠周炎初期患者为研究对象，采用微创拔牙法拔除患者下颌第三磨牙，采用口腔健康影响程度量表（OHIP-14）中文版评价治疗前及治疗后1周患者生存质量的变化。结果共拔除72例患者的72颗第三磨牙。72例治疗后OHIP-14总分比治疗前低，比较差异有统计学意义（P＜0．05）。治疗前及治疗后“出现过明显疼痛”、“吃什么东西都不舒服”、“对自己的饮食很不满意”3个条目以及“生理性疼痛”领域的经历负面影响的个体所占百分比比较差异均有统计学意义（P均＜0．05）。结论微创拔牙治疗冠周炎初期患者，能明显改善患者生存质量。

Influence of minimally invasive extraction of mandibular wisdom tooth upon quality of life in patients with early pericoronitis

Objective To evaluate the effect of minimally invasive tooth extraction upon dental health-related quality of life in patients with early pericoronitis. Methods A total of 72 patients with early wis-dom tooth pericoronitis were enrolled in this study. The lower third molar was removed by minimally invasive tooth extraction. The Chinese version of oral health impact profile-14 （OHIP-14）was adopted to evaluate the changes in quality of life of the pateints before and 1 week after treatment. Results In total,72 third molars were removed from 72 patients. OHIP-14 total score after treatment in 72 cases was significantly lower com-pared with that before treatment （P〈0. 05 ）. The percentage of patients experiencing“serious pain”,“feeling uncomfortable after eating”“unsatisfied with diet”and “physiological pain”significantly differed before and after treatment （all P〈0. 05 ）. Conclusion Minimally invasive tooth extraction significantly improves the quality of life in patients with early pericoronitis.