上海口腔医学

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (6): 631-635.doi: 10.19439/j.sjos.2025.06.013

• 论著 • 上一篇    下一篇

外科导航结合CBCT拔除上颌前牙区完全骨埋伏多生牙的效果评价

郝兴科1,2,3, 王锦秀1,2,3, 蒙文蕊1,2,4, 韩密艳1,2,5, 张彬1,2,5   

  1. 1.西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室, 陕西 西安 710004;
    2.西安交通大学口腔医院陕西省牙颌疾病临床研究中心, 陕西 西安 710004;
    3.西安交通大学口腔医院 预检分诊中心, 4.儿童牙颌疾病诊疗专科, 5.特诊特需科, 陕西 西安 710004
  • 收稿日期:2024-09-12 修回日期:2024-11-01 发布日期:2025-12-30
  • 通讯作者: 张彬,E-mail：1041140908@qq.com
  • 作者简介:郝兴科（1991-）,男,硕士研究生,住院医师,E-mail：haoxingke166@163.com
  • 基金资助:
    陕西省重点研发计划项目(2021GXLH-Z-030)

Evaluation of the effect of surgical navigation combined with CBCT in removing supernumerary teeth with complete bone impaction in the anterior maxillary region

Hao Xingke1,2,3, Wang Jinxiu1,2,3, Meng Wenrui1,2,4, Han Miyan1,2,5, Zhang Bin1,2,5   

  1. 1. Key laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University. Xi'an 710004;
    2. Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, College of Stomatology, Xi'an Jiaotong University. Xi'an 710004;
    3. Pre-examination and Triage Center, College of Stomatology, 4. Pediatric Dentomaxillary Disease Diagnosis and Treatment Department, 5. Department of Special Clinic, College of Stomatology, Xi'an Jiaotong University. Xi'an 710004, Shaanxi Province, China
  • Received:2024-09-12 Revised:2024-11-01 Published:2025-12-30

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摘要： 目的:探讨外科导航结合CBCT拔除上颌前牙区完全骨埋伏多生牙的效果。方法:选择2023年1月—2024年6月行上颌前牙区完全骨埋伏多生牙拔除的82例患儿（82颗牙）,采用随机数字表法分为两组,对照组和试验组各41例（各41颗牙）。两组患儿术前拍摄CBCT,对照组行常规手术拔牙,试验组在外科导航系统辅助下拔牙。记录两组患儿的埋伏牙显露时间、手术时间和切口长度,通过儿童疼痛行为量表(face, legs, activity, cry, consolability,FLACC)评估患儿术后6、12、24 h疼痛情况,比较两组术前和术后24 h的炎性因子水平及并发症。结果:试验组显露患牙时间、手术时间和切口长度显著少于对照组,且试验组患儿术后1、6、12 h的FLACC评分及术后24 h炎性因子水平显著低于对照组,术后并发症显著下降（P<0.05）。结论:外科导航结合CBCT拔除上颌前牙区完全骨埋伏多生牙可缩短手术时间,减轻术后疼痛,降低术后并发症风险。

关键词: 外科导航, 口腔CBCT, 上颌, 多生牙, 骨埋伏

Abstract: PURPOSE: To investigate the effect of surgical navigation combined with CBCT in removing supernumerary teeth with complete bone impaction in maxillary anterior region. METHODS: A total of 82 children (82 teeth) with complete bone impaction in the anterior maxillary region were removed from January 2023 to June 2024, and were divided into 2 groups by random number table method, with 41 patients and 41 teeth in each group. CBCT was taken before operation in 2 groups,the control group underwent surgical extraction and the experimental group underwent dental extraction assisted by surgical navigation system. The exposure time of the impacted teeth, surgery duration and incision length were recorded. Postoperative pain at 1, 6, 12 and 24 hours was assessed using the face, legs, activity, cry, consolability (FLACC) scale. Inflammatory marker levels and complications were compared between the two groups preoperatively and 24 hours postoperatively. RESULTS: The exposure time, operation time and incision length of the experimental group were significantly lower than those of the control group, and the FLACC score and inflammatory factor level at 1, 6 and 12 h after surgery in the experimental group were significantly lower than those in the control group, and the postoperative complications were also significantly decreased (P<0.05). CONCLUSIONS: Surgical navigation combined with CBCT can shorten the operation time, reduce postoperative pain and the risk of postoperative complications.

Key words: Surgical Navigation, CBCT, Maxilla, Supernumerary teeth, Bone impaction

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