[Evaluation of the effect of cruciform tooth division and T-type crown amputation in extraction of mandibular middle and low impacted teeth].

Q4 Medicine
上海口腔医学 Pub Date : 2025-06-01
Jie Liu, Ying Wang, Zhenfei Liu
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引用次数: 0

Abstract

Purpose: To evaluation the effect of cruciform tooth division and T-type crown amputation in extraction of mandibular middle and low impacted teeth.

Methods: A total of 81 patients with mandibular middle and low impacted teeth treated in Bozhou People's Hospital from September to November 2024 were selected. According to the different extraction methods,they were divided into the control group(n=40, T-type crown amputation) and experimental group(n=41, cross tooth extraction). The operative time, intraoperative complications(anxiety, broken root), postoperative complications (pain, swelling and restricted mouth opening), healing of tooth extraction socket 1 week after surgery, and quality of life before and 1 week after surgery[oral health impact scale 14(OHIP-14)] were compared between the two groups.

Results: The operative time of the experimental group was significantly shorter than that of the control group, the total incidence of intraoperative complications(4.88%) was significantly lower than that of the control group (20.00%), the score of postoperative pain and mouth opening restriction was significantly lower than that of the control group, the degree of postoperative swelling was significantly less than that of the control group, and the total incidence of postoperative complications(4.88%) was significantly lower than that of the control group(32.43%). The healing score of tooth socket 1 week after operation was significantly lower than that of the control group (P<0.05). One week after surgery,the OHIP-14 score of both groups was decreased,and the experimental group was significantly lower than the control group(P<0.05).

Conclusions: Compared with T-type crown amputation, cruciform tooth division can shorten the operation time of mandibular middle and low impacted tooth extraction, reduce the occurrence of intraoperative anxiety, broken root, postoperative pain, swelling and restricted mouth opening, and is conducive to the healing of tooth extraction wound.

[十字形分牙和t型冠截除在拔除下颌中、低位阻生牙中的效果评价]。
目的:评价十字形分牙和t型冠截除在拔除下颌中、低位阻生牙中的效果。方法:选取亳州人民医院2024年9 - 11月收治的下颌中、低位阻生牙患者81例。根据拔牙方式的不同分为对照组(n=40)和实验组(n=41),分别为t型冠截除组和交叉拔牙组。比较两组患者的手术时间、术中并发症(焦虑、断根)、术后并发症(疼痛、肿胀、开口受限)、术后1周拔牙窝愈合情况、术前、术后1周生活质量[口腔健康影响量表14(OHIP-14)]。结果:实验组的手术时间明显短于对照组,术中并发症总发生率(4.88%)明显低于对照组(20.00%),术后疼痛和开口限制评分明显低于对照组,术后肿胀程度明显小于对照组。术后并发症总发生率(4.88%)明显低于对照组(32.43%)。术后1周牙槽愈合评分显著低于对照组(P<0.05)。术后1周,两组患者OHIP-14评分均下降,且实验组显著低于对照组(P<0.05)。结论:与t型冠截除术相比,十字形分牙可缩短下颌中、低位阻生牙拔除手术时间,减少术中焦虑、断根、术后疼痛、肿胀及开口受限的发生,有利于拔除牙创面愈合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
上海口腔医学
上海口腔医学 Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
5299
期刊介绍: "Shanghai Journal of Stomatology (SJS)" is a comprehensive academic journal of stomatology directed by Shanghai Jiao Tong University and sponsored by the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. The main columns include basic research, clinical research, column articles, clinical summaries, reviews, academic lectures, etc., which are suitable for reference by clinicians, scientific researchers and teaching personnel at all levels engaged in oral medicine.
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