| 夏 涵,王 峰,吴妍慧,韩 源,李 瑶,邹桂梅.口腔锥形束CT联合微创拔牙技术对埋伏阻生牙患者牙槽完整度及张口受限度的影响[J].,2023,(20):3903-3907 |
| 口腔锥形束CT联合微创拔牙技术对埋伏阻生牙患者牙槽完整度及张口受限度的影响 |
| Effect of Oral Cone-beam CT combined with Minimally Invasive Extraction Technique on Alveolar Integrity and Mouth Opening Tolerance of Patients with Impacted Teeth |
| 投稿时间：2023-03-10 修订日期：2023-04-05 |
| DOI：10.13241/j.cnki.pmb.2023.20.021 |
| 中文关键词: 口腔锥形束CT 微创拔牙 埋伏阻生牙 牙槽完整度 张口受限度 |
| 英文关键词: Oral cone-beam CT Minimally invasive tooth extraction Embedded impacted teeth Alveolar integrity Limit of mouth opening |
| 基金项目:中国管理科学研究院教育科学项目（KJCX5186） |
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| 中文摘要: |
| 摘要 目的：探讨口腔锥形束CT联合微创拔牙技术对埋伏阻生牙患者牙槽完整度及张口受限度的影响。方法：选取我院2017年1月到2023年2月收治的50例埋伏阻生牙患者作为研究对象，应用随机数字表法将其分为观察组与对照组，每组25例。对照组应用传统拔牙技术进行治疗，观察组采取口腔锥形束CT联合微创拔牙技术治疗，对比两组患者术后疼痛、面部肿胀、牙槽完整度，术后即刻和术后3 d的炎症因子水平，术后张口受限程度以及菌斑指数（PLI），龈沟出血指数（SBI）、龈沟探诊深度（SPD）、牙龈指数（GI）等牙周健康指标水平。结果：观察组患者视觉模拟量表（VAS）评分、面部肿胀程度以及牙槽完整度评分明显低于对照组（P＜0.05）；术后即刻两组患者白细胞介素-6（IL-6）、白细胞介素-1（IL-1）、肿瘤坏死因子-α（TNF-α）相关炎症因子水平对比无明显差异（P＞0.05），术后3 d两组患者IL-6、IL-1、TNF-α相关炎症因子水平均降低，且观察组低于对照组（P＜0.05）；观察组患者开口度正常的比例明显高于对照组，中度、重度张口受限度比例明显低于对照组（P＜0.05）；治疗前两组患者GI、SPD、SBI、PLI水平对无明显差异（P＞0.05），治疗后两组患者GI、SPD、SBI、PLI水平均降低，观察组低于对照组（P＜0.05）。结论：口腔锥形束CT联合微创拔牙技术针对埋伏阻生牙进行治疗与传统拔牙相比能够改善患者术后疼痛、面部肿胀程度，减轻术后张口受限程度，减轻炎症反应水平，提升牙周健康程度，值得临床应用推广。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of oral cone beam CT combined with minimally invasive tooth extraction technology on alveolar integrity and mouth opening tolerance of patients with embedded impacted teeth. Methods: 50 patients with impacted teeth who were treated in our hospital from January 2017 to February 2023 were selected as the study subjects. They were divided into observation group and control group by random number table method, with 25 cases in each group. The control group was treated with traditional tooth extraction technology, while the observation group was treated with oral cone-beam CT combined with minimally invasive tooth extraction technology. The postoperative pain, facial swelling, groove integrity, inflammatory factor levels immediately and 3 days after operation, the degree of postoperative mouth opening restriction, Plaque index (PLI), Gingival sulcus bleeding index (SBI) Probing depth of gingival sulcus (SPD), gingival index (GI) and other periodontal health indicators. Results: The scores of visual analog scale (VAS), facial swelling and groove integrity in the observation group were significantly lower than those in the control group (P<0.05); No difference in the levels of interleukin-6 (IL-6), interleukin-1 (IL-1), and tumor necrosis factor-α (TNF-α) (P>0.05). The levels of IL-6, IL-1 and TNF in the two groups were not significantly different 3 days after operation- α The levels of related inflammatory factors were lower in the observation group than in the control group (P<0.05); The proportion of normal mouth opening in patients in the observation group was significantly higher than that in the control group, and the proportion of moderate and severe mouth opening limit was significantly lower than that in the control group (P<0.05); There was no significant difference in the levels of GI, SPD, SBI and PLI between the two groups before treatment (P>0.05). After treatment, the levels of GI, SPD, SBI and PLI in the two groups were lower than those in the control group (P<0.05). Conclusion: Compared with traditional tooth extraction, oral cone beam CT combined with minimally invasive tooth extraction technology can improve the postoperative pain and facial swelling of patients, reduce the degree of postoperative mouth opening limitation, reduce the level of inflammatory reaction, and improve the level of periodontal health, which is worthy of clinical application and promotion. |
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