Evaluation of the effect of cruciform tooth division and T-type crown amputation in extraction of mandibular middle and low impacted teeth

doi:10.19439/j.sjos.2025.03.009

Abstract

Abstract: PURPOSE: To evaluation the effect of cruciform tooth division and T-type crown amputation in extraction of mandibular middle and low impacted teeth. METHODS: A total of 81 patients with mandibular middle and low impacted teeth treated in Bozhou People's Hospital from September to November 2024 were selected. According to the different extraction methods,they were divided into the control group(n=40, T-type crown amputation) and experimental group(n=41, cross tooth extraction). The operative time, intraoperative complications(anxiety, broken root), postoperative complications (pain, swelling and restricted mouth opening), healing of tooth extraction socket 1 week after surgery, and quality of life before and 1 week after surgery[oral health impact scale 14(OHIP-14)] were compared between the two groups. RESULTS: The operative time of the experimental group was significantly shorter than that of the control group, the total incidence of intraoperative complications(4.88%) was significantly lower than that of the control group (20.00%), the score of postoperative pain and mouth opening restriction was significantly lower than that of the control group, the degree of postoperative swelling was significantly less than that of the control group, and the total incidence of postoperative complications(4.88%) was significantly lower than that of the control group(32.43%). The healing score of tooth socket 1 week after operation was significantly lower than that of the control group (P<0.05). One week after surgery,the OHIP-14 score of both groups was decreased,and the experimental group was significantly lower than the control group(P<0.05). CONCLUSIONS: Compared with T-type crown amputation, cruciform tooth division can shorten the operation time of mandibular middle and low impacted tooth extraction, reduce the occurrence of intraoperative anxiety, broken root, postoperative pain, swelling and restricted mouth opening, and is conducive to the healing of tooth extraction wound.

Key words: Cruciform tooth division, T-type crown amputation, Mandible, Middle and low impacted teeth, Tooth extraction

CLC Number:

R782.1

Liu Jie, Wang Ying, Liu Zhenfei. Evaluation of the effect of cruciform tooth division and T-type crown amputation in extraction of mandibular middle and low impacted teeth[J]. Shanghai Journal of Stomatology, 2025, 34(3): 271-275.

References

[1] Sánchez Jorge MI, Ocaña RA, Valle Rodríguez C, et al.Mandibular third molar extraction: perceived surgical difficulty in relation to professional training[J]. BMC Oral Health, 2023,23(1):485.
[2] 储德强, 赵君, 叶虎. T形截冠法在下颌水平阻生齿拔除中的应用效果[J]. 安徽医学, 2020, 41(1): 20-22.
[3] 王哲, 赵天江. 十字形分牙法与常规微创拔牙法在下颌阻生齿拔除术中的应用效果比较[J]. 河南医学研究, 2024, 33(4): 641-644.
[4] 刘建伟, 王一夫, 乌力吉图. 超声骨刀与横T形截冠法在下颌水平阻生智齿拔除术中的效果比较[J]. 中国现代医学杂志, 2023, 33(4): 1-5.
[5] 杜文斌, 曹玮奇, 姚国华, 等. 十字形分牙法对复杂下颌水平低位阻生齿拔除患者预后的影响[J]. 中国美容医学, 2023, 32(3): 128-131.
[6] 张卫兵, 严斌. 阻生牙的诊断与正畸治疗[M]. 南京: 江苏科学技术出版社, 2020.
[7] Hoshyari N, Zamanian A, Samii A, et al.In-vitro comparison of occluding effect of fluoride varnish and diode laser irradiation with fluoride varnish and Er,Cr:YSGG laser irradiation on dentinal tubules of the cervical root area of the tooth[J]. Maedica(Bucur), 2023, 18(2): 257-265.
[8] Sourvanos D, Lander B, Sarmiento H, et al.Photobiomodulation in dental extraction therapy: postsurgical pain reduction and wound healing[J]. J Am Dent Assoc, 2023, 154(7): 567-579.
[9] 陆洲, 鲁旭飞, 赵阳, 等. 三种不同截冠方式对下颌近中或水平阻生第三磨牙拔除的临床效果比较[J]. 中国医刊, 2021, 56(9): 1020-1023.
[10] 王雪涛, 李璁, 李芳凝. 截冠留根法拔除下颌第三磨牙时对下牙槽神经损伤的影响[J]. 河北医科大学学报, 2020, 41(5): 579-581, 586.
[11] 王芳芳, 苗喜顺, 孙小艳, 等. 十字形分牙法在下颌水平低位阻生齿拔除中的临床效果分析[J]. 临床研究, 2024, 32(10): 56-59.
[12] 陈炼,余京泓,曾梦琴,等. 壳聚糖海绵填充用于下颌阻生齿拔除术后疗效及对术后并发症的影响[J]. 中国医药导报,2024,21(15):109-111,118.
[13] Kunusoth R, Colvenkar S, Alwala AM, et al.A simple technique to manage anxiety during tooth extraction[J]. Cureus, 2022, 14(9): e29275.
[14] Hao T, Pang J, Liu Q, et al.A systematic review and network meta-analysis of virtual reality, audiovisuals and music interventions for reducing dental anxiety related to tooth extraction[J]. BMC Oral Health, 2023, 23(1): 684-697.
[15] Taheri A, Sepehrmand S.Is trigeminal neuralgia the only definitive diagnosis for pain in a tooth extraction site?[J]. BMC Oral Health, 2021, 21(1): 291-294.
[16] Baqer FF, Abdulrazaq SS.The effect of the blue-violet light emitting diode (led) irradiation on the bleeding and pain following tooth extraction[J]. J Craniofac Surg, 2022, 33(7): e738-e740.
[17] Kokash M, Darwich K, Ataya J.The effect of hyaluronic acid addition to collagen in reducing the trismus and swelling after surgical extraction of impacted lower third molars:a split-mouth,randomized controlled study[J]. Clin Oral Investig, 2023, 27(8): 4659-4666.
[18] Sifuentes-Cervantes JS, Carrillo-Morales F, Castro-Núñez 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.
[19] Duarte-Rodrigues L, Miranda EFP, Souza TO, et al.Third molar removal and its impact on quality of life: systematic review and meta-analysis[J]. Qual Life Res, 2018,27(10):2477-2489.
[20] Gojayeva G, Tekin G, Saruhan Kose N, et al.Evaluation of complications and quality of life of patient after surgical extraction of mandibular impacted third molar teeth[J]. BMC Oral Health, 2024, 24(1):131.