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- 2018
口腔齿槽冰帽在下颌阻生智齿拔除术后的疗效评价
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Abstract:
摘要 目的: 探讨齿槽医用冰帽应用于下颌阻生智齿拔除术后的临床疗效。方法: 选取60例下颌阻生智齿患者,随机分为实验组与对照组,术前测量张口度、眼外眦至同侧耳屏中点距离、口角至同侧耳屏中点距离、颏前点至同侧耳根距离,手术采用切开、翻瓣、去骨及分冠手术步骤。术后实验组术区齿槽医用冰帽咬敷,对照组纱布压迫止血,冰袋外敷。术后48 h再次测量以上各面部标记点间距离并记录术后疼痛VAS评分,对比齿槽医用冰帽和冰袋的临床效果。结果: 两组患者在术后疼痛、面部肿胀方面有统计学差异(P＜0.05),在张口度方面无统计学差异(P＞0.05)。结论: 齿槽医用冰帽对下颌阻生智齿术后反应有疗效,优于面部冰敷
| [1] | Alcantara CE, Falci SG, Oliveira-Ferreira F, et al. Pre-emptive effect of dexamethasone and methylprednisolone on pain, swelling, and trismus after third molar surgery: a split-mouth randomized triple-blind clinical trial [J]. Int J Oral Maxillofac Surg, 2014, 43(1)∶93-98 |
| [2] | 李文超, 阮宁. 两种方法在下颌水平阻生第三磨牙拔除中的比较[J]. 华西口腔医学杂志, 2010, 28(1)∶71-73 |
| [3] | 张震康, 俞光岩.口腔颌面外科学[M].北京: 北京大学医学出版社,2007∶109-113 |
| [4] | Majid OW, Al-Mashhadani BA. Perioperative bromelain reduces pain and swelling and improves quality of life measures after mandibular third molar surgery: a randomized, double-blind,placebo-controlled clinical trial [J]. J Oral Maxillofac Surg, 2014, 72(6)∶1043-1048 |
| [5] | Yang YY, DU SN, Lv ZK. Evaluation of the results of high-speed handpiece and minimally invasive extraction in impacted mandibular third molar extraction [J]. Shanghai J Stomatol, 2015, 24(4)∶489-492 |
| [6] | 蔺世晨,段少宇,杨炼,等.增速手机配合种植机与高速涡轮机拔除下颌低位阻生智齿的比较研究[J].口腔医学研究,2014,30(10)∶962-963 |
| [7] | Moraschini V, Hidalgo R. Effect of submucosal injection of dexamethasone after third molar surgery: a meta-analysis of randomized controlled trials [J]. Int J Oral Maxillofac Surg, 2016, 45(2)∶232-240 |
| [8] | Warraich R, Faisal M, Rana M, et al. Evaluation of postoperative discomfort following third molar surgery using submucosal dexamethasone-a randomized observer blind prospective study [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 116(1)∶16-22 |
| [9] | Zandi M, Amini P, Keshavarz A. Effectiveness of cold therapy in reducing pain, trismus, and oedema after impacted mandibular third molar surgery: a randomized, self-controlled, observer-blind, split-mouth clinical trial [J]. Int J Oral Maxillofac Surg, 2016, 45(1)∶118-123 |
| [10] | Saravana KB, Sarumathi T, Veerabahu M, et al. To compare standard incision and comma shaped incision and its influence on post-operative complications in surgical removal of impacted third molars [J]. J Clin Diagn Res, 2013, 7(7)∶1514-1518 |
| [11] | Gay-Escoda C, Gómez-Santos L, Sánchez-Torres A, et al. Effect of the suture technique on postoperative pain, swelling and trismus after removal of lower third molars: A randomized clinical trial [J]. Med Oral Patol Oral Cir Bucal, 2015, 20(3)∶e372-e377 |
| [12] | Mantovani E, Arduino PG, Schierano G, et al. A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal [J]. J Oral Maxillofac Surg, 2014, 72(10)∶1890-1897 |
| [13] | 王立凯, 郑焱.两种方法拔除下颌阻生智齿对患者心理影响的比较[J].口腔医学研究,2006,22(2)∶188-188 |
