摘要
目的探讨口腔锥形束CT联合Er:YAG激光术后创面处理对下颌第三磨牙埋伏阻生的应用效果。方法前瞻性选取我院2020年1月到2023年1月收治的80例下颌第三磨牙埋伏阻生牙患者,采用随机数字表法分为两组,各40例。两组均采用口腔锥形束CT技术治疗,对照组术后进行常规创面处理,试验组术后联合Er:YAG激光进行创面处理,对比两组效果差异。结果试验组术后即刻、手术后3 d、手术后7 d创面愈合良好率明显高于对照组(P<0.05);试验组VAS评分明显低于对照组(P<0.05);试验组张口受限度为0度的比例高于对照组,中度、重度比例低于对照组(P<0.05);术后3d两组的IL-1β、IL-6均降低,TGF-β升高,且试验组均优于对照组(P<0.05);治疗后两组SBI、GI、PLI、SPD均降低,试验组低于对照组(P<0.05)。结论口腔锥形束CT联合Er:YAG激光术后创面处理可促进埋伏阻生牙患者术后创面愈合,减轻疼痛程度,改善张口受限,降低牙周炎症反应,改善牙龈健康水平。
Objective To investigate the application effect of oral cone beam CT combined with Er:YAG laser wound treatment on impacted mandibular third molar.Method A total of 80 patients with impacted mandibular third molar in our hospital from January 2020 to January 2023 were prospectively selected and randomly divided into two groups,40 cases in each group.Both groups were treated with oral cone beam CT technology,the control group was treated with conventional wound treatment after operation,and the experimental group was treated with Er:YAG laser after operation.The effect difference between the two groups was compared.Result The wound healing rate of the experimental group was significantly higher than that of the control group immediately after operation,3 days after operation and 7 days after operation(P<0.05);The VAS score of the experimental group was significantly lower than that of the control group(P<0.05);The proportion of mouth opening limit of 0 degree in the experimental group was higher than that in the control group,and the proportion of moderate and severe cases was lower than that in the control group(P<0.05);The levels of IL-1βand IL-6 decreased and the level of TGF-βincreased in both groups 3 days after surgery,and the experimental group was superior to the control group(P<0.05);After treatment,the levels of SBI,GI,PLI and SPD were decreased in both groups,and the experimental group were lower than the control group(P<0.05).Conclusion The combination of oral cone beam CT and Er:YAG laser post-operative wound treatment can promote wound healing in patients with impacted teeth,reduce pain,improve limited mouth opening,reduce periodontal inflammation,and improve gum health.
作者
徐冬初
孟戎
衡春阳
XU Dongchu;MENG Rong;HENG Chunyang(Department of stomatology,Korla Hospital of the Second Division of Xinjiang Production and Construction Corps,Korla,Xinjiang,841000,China)
出处
《新疆医学》
2024年第7期805-808,共4页
Xinjiang Medical Journal
关键词
口腔锥形束CT
ER:YAG激光
埋伏阻生牙
张口受限度
炎症因子
牙周健康
Oral cone beam CT
Er:YAG laser
Embedded impacted teeth
Limit the opening of the mouth
Inflammatory factors
Periodontal health
