Zhang Kai, Wang Xing, Zhang Wei, Zhao Ji-zhi, Dong Hui
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2012 Apr;47(4):199-202. doi: 10.3760/cma.j.issn.1002-0098.2012.04.002.
To investigate the effect of the traditional Chinese medicine Yunan Baiyao on the socket healing of impacted mandibular third molar extraction.
A total of 200 patients requiring extractions of impacted mandibular wisdom teeth were randomized into the treatment group and the control group in a double-blinded manner, and Yunan Baiyao capsules or placebo capsules (2 g/d) were orally administered for 28 days after the operation. Dental quantitative CT scan was performed, and the volume and density of new bone at the extraction site were measured two month after operation.
A total of 188 patients completed the study. No adverse events related to the medication occurred. The volume of new bone was (477.39 ± 166.47) mm(3) in the treatment group and (442.65 ± 143.58) mm(3) in the control group, which was not significantly different between the two groups. The density of new bone was (296.90 ± 37.94) mg/cm(3) in the treatment group and (298.54 ± 40.21) mg/cm(3) in the control group, which was not significantly different between the two groups. The number of the teeth root, the impacted conditions, whether or not retainning the alveolar septum, suturing soft tissues of the extraction site and blood clot formation within 1 week after operation were significantly correlated with the volume of new bone.
Yunnan Baiyao capsules has no effect on the volume and density of new bone at the extraction site two months after operation following extractions of impacted mandibular third molars.
探讨中药云南白药对下颌阻生第三磨牙拔除术后拔牙创愈合的影响。
将200例需要拔除下颌阻生智齿的患者采用双盲法随机分为治疗组和对照组,术后口服云南白药胶囊或安慰剂胶囊(2g/d),共28天。术后2个月进行牙科定量CT扫描,测量拔牙创部位新骨的体积和密度。
共有188例患者完成研究。未发生与用药相关的不良事件。治疗组新骨体积为(477.39±166.47)mm³,对照组为(442.65±143.58)mm³,两组间差异无统计学意义。治疗组新骨密度为(296.90±37.94)mg/cm³,对照组为(298.54±40.21)mg/cm³,两组间差异无统计学意义。牙根数目、阻生情况、是否保留牙槽间隔、拔牙创软组织缝合情况及术后1周内血凝块形成情况与新骨体积显著相关。
下颌阻生第三磨牙拔除术后2个月,云南白药胶囊对拔牙创部位新骨的体积和密度无影响。