Chenchev Lyubomir, Ivanova Vasilena, Giragosyan Krikor, Gavrailov Tasho, Chenchev Ivan
Department of Oral Surgery, Faculty of Dental Medicine, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria.
Center of Dental Implantology, Research Institute, Medical University of Plovdiv, 4000 Plovdiv, Bulgaria.
Dent J (Basel). 2024 Jul 24;12(8):234. doi: 10.3390/dj12080234.
Tooth extraction is one of the oldest and most well-known surgical procedures in dental medicine. It is still routinely performed by general practitioners and dental undergraduates. The Benex extraction system allows for the extraction of teeth in a vertical direction, which avoids most trauma against surrounding alveolar bone and soft tissues. The study included 56 patients who were recruited from the Department of Oral Surgery, Medical University-Plovdiv. The patients were split into two groups of 28 patients-Group I (control group) and Group II (study group). For each group, the success of the extraction, buccal cortical plate preservation, pain experience and early wound healing were assessed. There was no statistical significance between the success of the extractions in both groups. The Benex extractions preserved the buccal cortical plate in 95% of the cases, whereas the forceps extractions preserved it in only 71.8%, which is statistically significant. On the seventh day, patients in Group II reported less pain, without a significant difference. There was a significantly bigger number of completely healed extraction wounds on the 10th day. Atraumatic extractions allow for more hard and soft tissues to be preserved in the extraction site. This is essential for a successful outcome and the aesthetically pleasing results of the following dental restoration.
拔牙是牙医学中最古老且最广为人知的外科手术之一。全科医生和牙科本科生仍经常进行此项操作。贝内克斯拔牙系统能够垂直方向拔牙，这避免了对周围牙槽骨和软组织的大部分创伤。该研究纳入了56名从普罗夫迪夫医科大学口腔外科招募的患者。患者被分为两组，每组28名患者——第一组（对照组）和第二组（研究组）。对每组患者的拔牙成功率、颊侧皮质骨板保留情况、疼痛体验和早期伤口愈合情况进行了评估。两组拔牙成功率之间无统计学意义。贝内克斯拔牙法在95%的病例中保留了颊侧皮质骨板，而钳拔法仅在71.8%的病例中保留了该骨板，这具有统计学意义。在第七天，第二组患者报告的疼痛较轻，但差异不显著。在第十天，完全愈合的拔牙伤口数量明显更多。无创拔牙能够在拔牙部位保留更多的软硬组织。这对于成功的治疗结果以及后续牙齿修复的美观效果至关重要。
