Pierluigi Mariani, Dardo Menditti, Diana Russo, Luigi Laino
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引用次数: 0
摘要
引言:本随机分口研究旨在调查下第三磨牙拔除后使用外科引流管治疗术后不适的临床效果。材料和方法:对30例双侧对称下第三磨牙患者进行前瞻性随机分口研究。每位患者接受了两次阻生牙拔除手术:试验部位(引流管)和对照部位(常规手术瓣完全闭合),试验组30例,对照组30例。在手术前、1、3和7天后立即评估疼痛、肿胀和开口 两组术后天数。数据采用非参数检验(Kruskal-Wallis检验和post-hoc Dun检验,以及Wilcoxon配对符号秩检验)进行分析 p p > .结论:引流管的使用减轻了面部肿胀和牙痛,但对术后疼痛的主观感觉没有影响。
Evaluation of the effectiveness of tube drain on postoperative discomfort in mandibular third molar surgery: prospective randomized split-mouth study.
Introduction: The present randomized split-mouth study aimed to investigate the clinical effectiveness of postoperative discomfort of the use of a surgical drain after lower third molar extraction.
Materials and methods: It was conducted a prospective randomized split-mouth study involving 30 patients with bilateral symmetric lower third molar. Each patient underwent two operations for the extraction of impacted teeth: test site (tube drain) and control site (conventional total closure of surgical flap), resulting in 30 cases in the test group, and 30 cases in the control group.Pain, swelling, and mouth opening were evaluated immediately before the surgeries, after 1, 3 and 7 days postoperatively in both groups. Data were analyzed with non-parametric test (Kruskal-Wallis test and the post hoc Dun test, and Wilcoxon matched-pairs signed rank test).
Results: Facial swelling (p < .001) was significantly less in test group compared with the control group on all examined days. Trismus is significantly reduced only on the third day (p < .001); Pain measurements did not differ statistically significantly between the two groups on all post-operative days (p > .05).
Conclusion: The use of the tube drain reduced facial swelling and trismus, but had no influence on the subjective perception of postoperative pain.