舌侧楔形分牙法拔除下颌水平阻生第三磨牙的效果评价

doi:10.19439/j.sjos.2023.04.010

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (4): 391-394.doi: 10.19439/j.sjos.2023.04.010

舌侧楔形分牙法拔除下颌水平阻生第三磨牙的效果评价

荆恒¹, 吕东升¹, 周贤¹, 李凯¹, 李宁毅²

1.天津市口腔医院/南开大学口腔医院口腔颌面外科,天津 300041;
2.青岛大学口腔医学院口腔颌面外科,山东青岛 266000

收稿日期:2022-12-05 修回日期:2023-03-05 发布日期:2023-09-07
通讯作者: 荆恒,E-mail: 108966463@qq.com
作者简介:荆恒（1982-）,男,硕士,主治医师
基金资助:
天津市医学重点学科（专科）建设项目（HWZX016）

Application of lingual wedge shaped coronectomy in extraction of horizontally impacted mandibular third molars

JING Heng¹, LYU Dong-sheng¹, ZHOU Xian¹, LI Kai¹, LI Ning-yi²

1. Department of Oral And Maxillofacial Surgery, Tianjin Stomatological Hospital, Affiliated Stomatological Hospital of Nankai University. Tianjin 300041;
2. Department of Oral and Maxillofacial Surgery, School of Stomatology, Qingdao University. Qingdao 266000, Shandong Province, China

Received:2022-12-05 Revised:2023-03-05 Published:2023-09-07

摘要/Abstract

摘要： 目的评价舌侧楔形分牙法在微创拔除下颌水平阻生第三磨牙中的临床效果。方法选择172例行下颌水平阻生第三磨牙拔除术的患者,随机分为2组,每组86例。试验组采用舌侧楔形分牙法,常规组采用传统T形分牙法。对2组患者的手术时间、术后反应及并发症分别进行比较,采用SPSS 26.0软件包对数据进行统计学处理。结果试验组的拔牙时长显著短于常规组（P<0.05）;试验组舌侧骨板损伤、断根率、术后肿胀及疼痛均小于常规组,差异有统计学意义（P<0.05）。结论使用舌侧楔形分牙法拔除下颌水平阻生第三磨牙,可以缩短手术时间,保护舌侧骨板,减少断根发生,并能够减轻术后肿胀、疼痛等反应。

关键词: 下颌阻生牙, 拔牙, 舌侧分牙, 楔形分牙法

Abstract: PURPOSE: To investigate the effect of lingual wedge shaped coronectomy in extraction of horizontally impacted mandibular third molar(HIMTM). METHODS: A total of 172 patients with HIMTM were randomly divided into experimental group and routine group with 86 cases in each group . Lingual wedge-shaped coronectomy was applied in the experimental group and T-shaped coronectomy was applied in routine group. Operation time, intraoperative and postoperative complications were compared between the two groups.The data were analyzed by using SPSS 26.0 software package. RESULTS: The operation time of the experimental group was significantly shorter than that of the control group (P<0.05). The rate of swelling, pain, lingual bone plate injury and broken root of the experimental group were separately lower than that of the control group, and the difference was statistically significant(P<0.05). CONCLUSIONS: Lingual wedge shaped coronectomy of HIMTM has significant advantages in the extraction of HIMTM. It can reduce operation time, broken roots, fracture of lingual plate, postoperative swelling, pain and other surgical complications.

Key words: Impacted mandibular teeth, Tooth extraction, Lingual coronectomy, Wedge shaped coronectomy

中图分类号:

R739.8

荆恒, 吕东升, 周贤, 李凯, 李宁毅. 舌侧楔形分牙法拔除下颌水平阻生第三磨牙的效果评价[J]. 上海口腔医学, 2023, 32(4): 391-394.

JING Heng, LYU Dong-sheng, ZHOU Xian, LI Kai, LI Ning-yi. Application of lingual wedge shaped coronectomy in extraction of horizontally impacted mandibular third molars[J]. Shanghai Journal of Stomatology, 2023, 32(4): 391-394.

参考文献

[1] Sifuentes-Cervantes JS, Carrillo-Morales F, Castro-Nunez J, et al.Third molar surgery: past, present, and the future[J].Oral Surg Oral Med Oral Pathol Oral Radiol, 2021, 132(5): 523-531.
[2] 吴幸晨, 李颖, 赵隽隽. 冠根分次去除法在疑或累及下牙槽神经的下颌第三阻生磨牙拔除术中的应用[J].上海口腔医学, 2019, 28(1): 85-88.
[3] 梁荣奇, 余飞. 不同方式分冠法拔除下颌阻生第三磨牙临床对比观察[J]. 口腔颌面外科杂志, 2015, 25(4): 300-303.
[4] 王鲲鹏, 袁逸杰, 朱嘉琪, 等. 2种T形切冠法在下颌阻生智牙拔除术中的效果比较[J].上海口腔医学, 2020, 29(5): 550-553.
[5] 杨擎天, 胡开进, 薛洋, 等.阻生下颌第三磨牙2种拔除方法的比较[J]. 实用口腔医学杂志, 2010, 26(1): 71-74.
[6] Ohnhaus E, Adler R.Methodological problems in the measurement of pain: a comparison between the verbal rating scale and the visual analogue scale[J]. Pain, 1975, 1(4): 379-384.
[7] Emes Y, Oncu B, Aybar B, et al.Measurement of the lingual position of the lower third molar roots using cone-beam computed tomography[J]. J Oral Maxillofac Surg, 2015, 73(1): 13-17.
[8] Ge J, Yang C, Zheng JW, et al.Four osteotomy methods with piezosurgery to remove complicated mandibular third molars: a retrospective study[J]. J Oral Maxillofac Surg, 2014, 72(11): 2126-2133.
[9] 丁红忠, 许从平, 丁晓燕, 等. 下颌阻生第三磨牙拔除中误入翼颌间隙的临床探讨[J].口腔颌面外科杂志, 2020, 30(1): 33-35.
[10] Behnia H, Kheradvar A, Shahrokhi M.An anatomic study of the lingual nerve in the third molar region[J]. J Oral Maxillofac Surg, 2000, 58(6): 649-651.
[11] 岳巍, 李宏权, 赵储欣, 等. 牙冠去除技术拔除邻近下牙槽神经的49例阻生智牙临床分析[J]. 中国口腔颌面外科杂志,2021,19(2):126-131.
[12] 华成舸. 微创拔牙的刚体力学分析[J].华西口腔医学杂志, 2017, 35(2): 119-123.
[13] 刘济远, 刘畅, 潘剑, 等. 远中三角瓣在下颌阻生第三磨牙拔除术中的应用[J]. 华西口腔医学杂志, 2021, 39(5): 598-604.
[14] 周俊波, 吴妍慧, 张舜初, 等.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.
[15] La Monaca G, Vozza I, Giardino R, et al.Prevention of neurological injuries during mandibular third molar surgery:technical notes[J]. Ann Stomatol (Roma), 2017, 8(2): 45-52.

舌侧楔形分牙法拔除下颌水平阻生第三磨牙的效果评价

Application of lingual wedge shaped coronectomy in extraction of horizontally impacted mandibular third molars

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	徐震, 贾国栋, 汪轶. 拔除下颌近中水平完全埋伏阻生牙保留颊侧骨板的效果探讨[J]. 上海口腔医学, 2024, 33(1): 97-100.
[2]	巨佳, 杨驰, 武和明, 赵吉宏, 成黎霏, 张欢, 冯斌, 胡开进. 黄牛煅烧骨填充材料用于拔牙后牙槽骨缺损修复的效果评价[J]. 上海口腔医学, 2023, 32(2): 198-202.
[3]	邵云, 崔啟春, 何欢, 程庆涛, 任嘉玮, 李晶, 朱微燕, 姜慕雅, 刘嘉靓. 氧化亚氮/氧吸入舒适化技术在老年高血压患者心电监护拔牙中的应用[J]. 上海口腔医学, 2023, 32(1): 97-100.
[4]	张怡雯, 邹多宏, 张志愿. 不同方式处理犬下颌磨牙区即刻种植间隙的效果评价[J]. 上海口腔医学, 2022, 31(4): 337-342.
[5]	江润洋, 康非吾. 唑来膦酸对小鼠下颌拔牙创早期修复过程的影响[J]. 上海口腔医学, 2022, 31(4): 349-353.
[6]	江银华, 商裕, 邹多宏, 陈露, 费晨艳, 梁凯. 大鼠同种异体骨髓间充质干细胞联合Bio-Oss骨粉-bFGF复合物促进拔牙窝愈合的micro-CT研究[J]. 上海口腔医学, 2022, 31(1): 38-43.
[7]	熊际文, 周巍. 拔牙位点保存术对不同类型骨缺损患者骨增量的差异分析[J]. 上海口腔医学, 2020, 29(6): 623-627.
[8]	王鲲鹏, 袁逸杰, 朱嘉琪, 李博龙, 孟昭松, 张婷婷. 2种T形切冠法在下颌阻生智牙拔除术中的效果比较[J]. 上海口腔医学, 2020, 29(5): 550-553.
[9]	雷杰, 肖遥, 罗茂璇, 徐晓梅. 12~14岁骨性Ⅱ类高角女性拔牙矫治前、后髁突位置与上气道结构变化[J]. 上海口腔医学, 2020, 29(3): 281-286.
[10]	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.
[11]	黄宁, 夏斐然, 张月. 微创拔牙后延期种植与即刻种植的效果评价[J]. 上海口腔医学, 2019, 28(6): 657-661.
[12]	陆璨, 吴晓珊, 翦新春. 阻生智牙拔除术后不同医嘱告知模式对[J]. 上海口腔医学, 2019, 28(5): 541-544.
[13]	王诗哲, 潘晓岗, 周可拓. 拔牙病例隐形矫治器设计的有限元分析[J]. 上海口腔医学, 2019, 28(3): 264-267.
[14]	陈威, 刘月华, 徐啟. 强支抗拔牙对双颌前突青少年上气道的影响[J]. 上海口腔医学, 2018, 27(4): 419-423.
[15]	许亮, 黄晓红, 林珊. 非减数治疗中不同托槽对牙弓三维方向的影响[J]. 上海口腔医学, 2018, 27(2): 176-180.