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气态臭氧在减少外科第三磨牙拔除后干槽症发生方面的效果。

Efficiency of gaseous ozone in reducing the development of dry socket following surgical third molar extraction.

作者信息

Ahmedi Jehona, Ahmedi Enis, Sejfija Osman, Agani Zana, Hamiti Vjosa

机构信息

Department of Oral Surgery, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo.

Department of Prosthodontics, Faculty of Medicine, School of Dentistry, Prishtina, Kosovo.

出版信息

Eur J Dent. 2016 Jul-Sep;10(3):381-385. doi: 10.4103/1305-7456.184168.

Abstract

OBJECTIVE

The objective of this study was to assess the efficacy of ozone gas (O3) on the reduction of dry socket (DS) occurrence following surgical extraction of lower jaw third molars, influence of the indication for the extraction, and the difficulty of extraction on the incidence of DS.

MATERIALS AND METHODS

This study included thirty patients with bilaterally impacted third molars of mandible requiring surgical procedure for extraction. Following extraction, in the control group, saline solution was used for irrigation of extraction sockets and in the experimental group, intra-alveolar O3 was applied for 12 s (Prozone, W and H, UK, Ltd.). The surgeries were performed by the same oral surgeon. The follow-up visits were performed at 48 h and on day seven, postsurgery where the symptoms of DS were evaluated and intensity of pain has been recorded using visual analog scale 0-100.

RESULTS

In this pilot study, DS was present in 16.67% and 3.33% of cases in the control and experimental groups, respectively (P = 0.20).

CONCLUSION

The application of O3 may reduce the incidence of DS and accelerates the recovery period after the surgery. Prophylactic use of O3 may be suggested in all patients, especially in the patients at a risk of development of DS.

摘要

目的

本研究的目的是评估臭氧气体(O₃)在下颌第三磨牙手术拔除后减少干槽症(DS)发生的疗效、拔牙指征的影响以及拔牙难度对DS发生率的影响。

材料与方法

本研究纳入30例双侧下颌阻生第三磨牙需手术拔除的患者。拔牙后,对照组使用生理盐水冲洗拔牙窝,实验组采用牙槽内应用O₃ 12秒(Prozone,英国W和H有限公司)。手术由同一位口腔外科医生进行。术后48小时和第7天进行随访,评估DS症状,并使用0 - 100视觉模拟量表记录疼痛强度。

结果

在这项初步研究中,对照组和实验组DS的发生率分别为16.67%和3.33%(P = 0.20)。

结论

O₃的应用可能降低DS的发生率并加速术后恢复期。建议对所有患者预防性使用O₃,尤其是有发生DS风险的患者。

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