下颌阻生智牙不翻瓣拔除的临床效果观察

doi:10.19439/j.sjos.2020.02.0021

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (2): 221-224.doi: 10.19439/j.sjos.2020.02.0021

• 临床总结 • 上一篇

下颌阻生智牙不翻瓣拔除的临床效果观察

周俊波¹, 吴妍慧¹, 张舜初², 汪铭¹, 韩源¹

1.南京中医药大学附属南京市中西医结合医院口腔科,江苏南京 210014;
2.江苏省肿瘤医院口腔科,江苏南京 210009

收稿日期:2019-03-06 修回日期:2019-07-14 出版日期:2020-04-25 发布日期:2020-04-30
通讯作者: 周俊波,E-mail:zhoujunbo2@163.com
作者简介:周俊波,(1975-),男,学士,副主任医师

Clinical evaluation of mandibular impacted third molar removed without surgical flaps

ZHOU Jun-bo¹, WU Yan-hui¹, ZHANG Shun-chu², WANG Ming¹, HAN Yuan¹

1.Department of Stomatology, Nanjing Integrated Traditional Chinese and Western Medicine Hospital, Affiliated Hospital of Nanjing University of Chinese Medicine. Nanjing 210014;
2.Department of Stomatology, Jiangsu cancer Hospital. Nanjing 210009, Jiangsu Province, China

Received:2019-03-06 Revised:2019-07-14 Online:2020-04-25 Published:2020-04-30

摘要/Abstract

摘要： 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。

关键词: 阻生牙, 不翻瓣, 并发症, 拔牙

Abstract: 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.

Key words: Impacted teeth, Non-surgical flap, Complications, Extraction of teeth

中图分类号:

R782.1

周俊波, 吴妍慧, 张舜初, 汪铭, 韩源. 下颌阻生智牙不翻瓣拔除的临床效果观察[J]. 上海口腔医学, 2020, 29(2): 221-224.

ZHOU Jun-bo, WU Yan-hui, ZHANG Shun-chu, WANG Ming, HAN Yuan. Clinical evaluation of mandibular impacted third molar removed without surgical flaps[J]. Shanghai Journal of Stomatology, 2020, 29(2): 221-224.

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下颌阻生智牙不翻瓣拔除的临床效果观察

Clinical evaluation of mandibular impacted third molar removed without surgical flaps

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