上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (1): 75-79.doi: 10.19439/j.sjos.2023.01.014

• 论著 • 上一篇    下一篇

Er:YAG激光与涡轮手机去骨拔除下颌低位水平阻生智牙的效果比较

张英豪1, 赵宁1, 赵爱杰3, 朱超1,2   

  1. 1.潍坊医学院口腔医学院 口腔颌面外科, 山东 潍坊 261000;
    2.临沂市人民医院 口腔颌面外科, 山东 临沂 276003;
    3.昌乐爱杰口腔医院 口腔颌面外科,山东 潍坊 261000
  • 收稿日期:2022-09-04 修回日期:2022-11-23 出版日期:2023-02-25 发布日期:2023-06-12
  • 通讯作者: 朱超,E-mail：zhuchao31400@163.com
  • 作者简介:张英豪（1997-）,男,硕士研究生, E-mail：linyi1291820324@163.com
  • 基金资助:
    山东省自然科学基金（ZR2021MH362）

Comparative study on extraction of impacted mandibular wisdom teeth by Er:YAG laser and turbine handpiece

ZHANG Ying-hao1, ZHAO Ning1, ZHAO Ai-jie3, ZHU Chao1,2   

  1. 1. Department of Oral and Maxillofacial Surgery,Weifang Medical University. Weifang 261000;
    2. Department of Oral and Maxillofacial Surgery, Linyi City People's Hospital. Linyi 276003;
    3. Department of Oral and Maxillofacial Surgery, Changle Aijie Stomatological Hospital. Weifang 261000, Shandong Province, China
  • Received:2022-09-04 Revised:2022-11-23 Online:2023-02-25 Published:2023-06-12

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摘要： 目的: 比较Er:YAG激光与涡轮手机去骨拔除下颌低位水平阻生智牙的临床效果,从手术时长、术后疼痛、面部肿胀、开口受限程度及并发症等5个方面进行评估。方法: 选择2020年3月—2022年5月在临沂市人民医院口腔颌面外科就诊的双侧下颌低位水平阻生智牙患者40例,双侧均为部分骨埋伏阻生,每例患者的双侧智牙分别采用一侧Er:YAG激光去骨和另一侧涡轮手机去骨的方法进行拔除,根据每侧去骨方式不同分为实验（激光）组和对照（涡轮手机）组。术后随访1周,比较2组的临床效果。采用SPSS 19.0软件包对数据进行统计学分析。结果: 实验组与对照组所用手术时长相近,差异无统计学意义（P>0.05）,实验组术后疼痛、面部肿胀、开口受限程度及并发症发生率显著低于对照组（P<0.05）。结论: Er:YAG激光去骨拔除下颌低位水平阻生智牙与涡轮手机所用手术时长相近,但可减轻术后反应、降低并发症发生率,患者易于接受,值得临床推广应用。

关键词: 下颌低位水平阻生智牙, Er:YAG激光, 涡轮手机

Abstract: PURPOSE: To compare the clinical effect of Er:YAG laser and turbine handpiece in the removal of lower horizontally impacted wisdom teeth, and to evaluate the operation time, postoperative pain, facial swelling, degree of mouth opening limitation and complications. METHODS: From March 2020 to May 2022, forty patients with bilateral lower mandibular horizontally impacted wisdom teeth in the Department of Oral and Maxillofacial Surgery of Linyi People's Hospital were selected,and all bilateral wisdom teeth were partially bone buried. The bilateral wisdom teeth of each patient were removed by Er:YAG laser on one side and turbine handpiece on the other side, respectively. The patients were divided into experimental(laser) group and control(turbine handpiece) group according to the ways of bone removal on each side. The clinical effect of the two groups was compared after a week of follow-up. Statistical analysis was performed with SPSS 19.0 software package. RESULTS: There was no significant difference between the two groups in operation time(P>0.05). The incidence of postoperative pain, facial swelling, mouth opening limitation and complications in the experimental group were significantly lower than those in the control group(P<0.05). CONCLUSIONS: The operation time of extraction with Er:YAG laser is similar to that with turbine handpiece, but laser can reduce postoperative reaction and the incidence of complications, which is easy to be accepted by patients and worthy of wide application.

Key words: Lower impacted wisdom teeth in the mandible, Er:YAG laser, Turbine handpiece

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