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使用压电外科手术拔除下颌第三磨牙后的牙槽窝修复:一项前瞻性临床随机双盲双侧对照研究

Alveolar repair after the use of piezosurgery in the removal of lower third molars: a prospective clinical, randomised, double-blind, split-mouth study.

作者信息

de Freitas Silva L, Ribeiro de Carvalho Reis E N, Oliveira Souza B C, Egas L S, Aranega A M, Ponzoni D

机构信息

The Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

The Department of Surgery and Integrated Clinic, São Paulo State University (UNESP), School of Dentistry, Araçatuba, São Paulo, Brazil.

出版信息

Br J Oral Maxillofac Surg. 2019 Dec;57(10):1068-1073. doi: 10.1016/j.bjoms.2019.09.017. Epub 2019 Oct 10.

Abstract

The objective of this study was to evaluate the use of piezosurgery for osteotomy and odontosection in the repair of the alveoli four months after exodontia. Fifteen young patients who needed third molars extracted were included. During the extractions, one of the teeth was included in the Piezo group, in which ultrasound motor tips were used in both procedures. The other tooth was removed with a conventional rotary instrument. The values of density of the repair regions of the right and left third molars were compared using digital panoramic radiographs. There were no significant differences (p>0.05): piezo group mean (SD) 125.7 (15.4) and control group 126.7 (21.2). The bone density of the alveoli after extraction of the lower third molars with rotary instruments and surgical ultrasound was similar in both groups.

摘要

本研究的目的是评估在拔牙后四个月的牙槽修复中使用超声骨刀进行截骨术和牙体切割的效果。纳入了15名需要拔除第三磨牙的年轻患者。在拔牙过程中,其中一颗牙齿被纳入超声骨刀组,在这两个操作过程中均使用超声马达刀头。另一颗牙齿则用传统旋转器械拔除。使用数字化全景X线片比较左右第三磨牙修复区域的密度值。两组之间无显著差异(p>0.05):超声骨刀组均值(标准差)为125.7(15.4),对照组为126.7(21.2)。在两组中,使用旋转器械和手术超声拔除下颌第三磨牙后牙槽的骨密度相似。

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