2种切开翻瓣法拔除下颌智牙的临床效果分析

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (2): 224-227.

2种切开翻瓣法拔除下颌智牙的临床效果分析

何锦泉^1,2,欧阳可雄²,张清彬²,周苗²,杨子楠²,朴正国²

1.南方医科大学口腔医院,广东广州 510280;
2.广州医科大学口腔医学院·附属口腔医院口腔医学重点实验室,广东广州 510140

收稿日期:2014-06-09 出版日期:2015-04-20 发布日期:2015-07-24
通讯作者: 朴正国,Fax：020-613559577,E-mail:zhengguopiao@hotmail.com
作者简介:何锦泉（1978-）,男,硕士,主治医师,E-mail:345782683@qq.com

Comparison of two different flap designs in removal of impacted wisdom tooth

HE Jin-quan^1,2,OUYANG Ke-xiong²,ZHANG Qing-bin²,ZHOU Miao²,YANG Zi-nan²,PIAO Zheng-guo²

1.Zhujiang Hospital of Souhern Medical University,Guangzhou 510280;
2.Key Laboratory of Oral Medicine, School and Hospital of Stomatology, Guangzhou Medical University. Guangzhou 510140, Guangdong Province, China

Received:2014-06-09 Online:2015-04-20 Published:2015-07-24

摘要/Abstract

摘要： 目的比较2种不同切开翻瓣法拔除水平阻生下颌第三磨牙的临床效果。方法选取水平阻生下颌第三磨牙患者400 例,随机分为A、B 2组。A组200 例,采用远中切口翻瓣法;B组200 例,采用常规角形切口翻瓣法,观察2组病例拔牙时间、干槽症发生率、术后疼痛、面部肿胀、开口受限等情况,应用SPSS 13.0软件包对数据进行统计学分析。结果A组手术时间比B组长。术后第3天,A组面部肿胀及开口受限均较B组轻,2组患者的疼痛程度无显著差异。术后第7天,2组术后疼痛、面部肿胀及开口受限无显著差异。结论远中切口法翻瓣较角形切口法明显减少患者术后肿胀及开口受限的程度。

关键词: 阻生牙, 拔牙术, 翻瓣术

Abstract: PURPOSE: The purpose of this study was to compare the effect of two different flap designs on surgical removal of impacted mandibular third molars. METHODS: Four hundred patients who required removal of impacted mandibular third molars were included in the study. They were divided into group A and group B randomly. Patients in group A received distal incision flap and group B underwent angular incision flap. The effect of flap design on surgical time, incidence of dry socket, pain, swelling and trismus was evaluated postoperatively. Data analysis was carried out with SPSS 13.0 software package. RESULTS: The surgical time was longer in group A than in group B 3 days postoperatively. Facial swelling and trismus were less in group A than in group B 3 days postoperatively. There was no significant difference in two groups 7 days postoperatively. CONCLUSIONS: The distal incision flap design can release facial swelling and trismus in surgical removal of impacted mandibular third molars.

Key words: Impacted tooth, Tooth extraction, Flap design

中图分类号:

R782.11

何锦泉,欧阳可雄,张清彬,周苗,杨子楠,朴正国. 2种切开翻瓣法拔除下颌智牙的临床效果分析[J]. 上海口腔医学, 2015, 24(2): 224-227.

HE Jin-quan,OUYANG Ke-xiong,ZHANG Qing-bin,ZHOU Miao,YANG Zi-nan,PIAO Zheng-guo. Comparison of two different flap designs in removal of impacted wisdom tooth[J]. Shanghai Journal of Stomatology, 2015, 24(2): 224-227.

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