微创拔牙技术在阻生齿拔除中的应用与可行性研究

赵悦涛

[摘要] 目的 探討微创拔牙技术在阻生齿拔除中的应用与可行性。方法 方便选择2015年2月—2018年4月收治的68例阻生齿患者随机数字表分组。对照组进行常规术式，微创拔牙组进行微创拔牙技术。分析效果，拔牙手术的疼痛程度、牙槽完整程度、手术的时间、拔牙窝平均愈合时间;施术前后患者心理恐惧积分、心理焦虑积分，并发症。结果 微创拔牙组手术效果100.00%高于对照组79.41%，差异有统计学意义（χ2=7.844，P<0.05）。施术前两组心理恐惧积分、心理焦虑积分相似，差异无统计学意义（P>0.05）;施术后微创拔牙组心理恐惧积分、心理焦虑积分（2.01±0.11）分、（23.15±1.16）分优于对照组（5.21±0.24）分、（35.13±2.28）分，差异有统计学意义（t=6.913、7.024，P<0.05）。微创拔牙组拔牙手术的疼痛程度、牙槽完整程度、手术的时间、拔牙窝平均愈合时间（3.02±0.12）、（95.02±0.12）、（15.24±2.61）min、（7.21±1.21）d优于对照组，差异有统计学意义（t=6.221、6.202、7.322、13.761，P<0.05）。微创拔牙组并发症发生率8.82%低于对照组26.47%，差异有统计学意义（χ2=4.955，P<0.05）。结论 阻生齿患者行微创拔牙技术效果确切，可有效减轻患者痛苦，减少并发症，加速拔牙窝愈合。

[关键词] 微创拔牙技术;阻生齿拔除;应用效果

[中图分类号] R322.4+1          [文献标识码] A          [文章编号] 1674-0742（2020）10（a）-0036-03

Application and Feasibility Study of Minimally Invasive Tooth Extraction Technology in Extraction of Impacted Teeth

ZHAO Yue-tao

Department of Stomatology， the First People's Hospital of Honghe Prefecture， Mengzi， Yunnan Province， 661199 China

[Abstract] Objective To explore the application and feasibility of minimally invasive tooth extraction technology in the extraction of impacted teeth. Methods A random number table of 68 patients with impacted teeth admitted from February 2015 to April 2018 was convenient selected collected. The control group performed conventional surgery， and the minimally invasive tooth extraction group performed minimally invasive tooth extraction technology. Analysis of results， of tooth： pain degree of extraction surgery， alveolar integrity， operation time， average healing time of extraction socket patients' psychological fear score and psychological anxiety score before and after surgerytt  the complications. Results The surgical effect of minimally invasive tooth extraction group was 100.00% higher than that of control group 79.41%， the difference was statistically significant（χ2=7.844， P<0.05）. The psychological fear score and psychological anxiety score of the two groups before surgery were similar， the difference was not statistically significant（P>0.05）; the psychological fear score and psychological anxiety score of the minimally invasive tooth extraction group after surgery were （2.01±0.11）points， （23.15±1.16） points were better than the control group （5.21±0.24）points，（35.13±2.28）points， the difference was statistically significant（t=6.913，7.024， P<0.05）. In the minimally invasive tooth extraction group， the related indexes of tooth extraction surgery， pain degree， alveolar integrity， operation time， average healing time of extraction socket （3.02±0.12）， （95.02±0.12），（15.24±2.61）min， （7.21±1.21）d better than the control group， the difference was statistically significant（t=6.221， 6.202， 7.322， 13.761， P<0.05）. Complications rate in the minimally invasive tooth extraction group were 8.82% lower than those in the control group（26.47%）， the difference was statistically significant（χ2=4.955， P<0.05）. Conclusion The minimally invasive tooth extraction technique for patients with impacted teeth has a definite effect， which can effectively alleviate patients' pain， reduce complications， and accelerate the healing of extraction sockets.

综上所述，阻生齿患者行微创拔牙技术效果确切，可有效减轻患者痛苦，减少并发症，加速拔牙窝愈合。

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（收稿日期：2020-07-08）