Song Yong, Li Xiang, Cai Man, Wang Yao-Hui
Department of Stomatology, Suqian People's Hospital, Nanjing Drum Tower Hospital Group. Suqian 223800, Jiangsu Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2019 Dec;28(6):632-635.
To observe the effects of immediate implantation combined with high-speed turbine minimally invasive technology and traditional technology on postoperative analgesia, mouth opening and alveolar bone resorption after removal of complex impacted teeth.
Eighty patients with impacted teeth treated in our hospital from January 2014 to December 2018 were randomly divided into 2 groups: experimental group and control group with 40 cases in each group. Patients in the experimental group were treated with high-speed turbine minimally invasive surgery combined with immediate implantation, while patients in the control group were treated with traditional surgery combined with immediate implantation. Differences in alveolar bone resorption, pain, swelling, limited mouth opening, intact extraction socket and complications were compared between the two groups. SPSS 19.0 software package was used to perform statistical analysis.
Three months after operation, the implant height of the maxillary anterior teeth, maxillary molar, mandibular anterior teeth and mandibular molar areas in the experimental group was significantly lower than that in the control group. One day after operation, the VAS score of the experimental group was significantly lower than that of the control group (P<0.05). Three months after operation,there was no significant difference in VAS score between the two groups (P>0.05); but intact extraction socket, swelling degree and mouth opening limitation of the experimental group were significantly lower than those of the control group. The root fracture, adjacent teeth loosening, gingival tear, lingual bone plate fracture of the experimental group were significantly lower than those of the control group.
High-speed turbine minimally invasive treatment combined with immediate implantation after extraction of complex impacted teeth can significantly increase alveolar bone resorption, relieve swelling and preserve intact extraction socket, reduce pain and complications after operation. It is recommended to be popularized in clinic.
观察高速涡轮微创技术联合即刻种植与传统技术在复杂阻生齿拔除术后镇痛、张口度及牙槽骨吸收方面的效果。
选取2014年1月至2018年12月在我院治疗的80例阻生齿患者，随机分为2组：试验组和对照组，每组40例。试验组患者采用高速涡轮微创手术联合即刻种植治疗，对照组患者采用传统手术联合即刻种植治疗。比较两组患者牙槽骨吸收、疼痛、肿胀、张口受限、拔牙创完整性及并发症的差异。采用SPSS 19.0软件包进行统计分析。
术后3个月，试验组上颌前牙区、上颌磨牙区、下颌前牙区及下颌磨牙区种植体高度显著低于对照组。术后1天，试验组视觉模拟评分（VAS）显著低于对照组（P<0.05）。术后3个月，两组VAS评分差异无统计学意义（P>0.05）；但试验组拔牙创完整性、肿胀程度及张口受限程度显著低于对照组。试验组牙根折断、邻牙松动、牙龈撕裂、舌侧骨板骨折发生率显著低于对照组。
复杂阻生齿拔除后采用高速涡轮微创治疗联合即刻种植可显著增加牙槽骨吸收，减轻肿胀，保持拔牙创完整性，减轻术后疼痛及并发症。建议在临床推广应用。
