中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (2): 155-158.doi: 10.19438/j.cjoms.2019.02.011

• 论著 • 上一篇    下一篇

胶原蛋白海绵用于下颌阻生牙拔除术的效果分析

白希婧1, 吕东升1, 周贤1, 王亚楠1, 杨学文2   

  1. 1.天津市口腔医院 口腔颌面外科,天津 300000;
    2.武汉大学口腔医学院 口腔颌面外科, 湖北 武汉 430079
  • 收稿日期:2018-11-16 修回日期:2018-12-25 出版日期:2019-03-20 发布日期:2019-04-12
  • 通讯作者: 杨学文,E-mail:yangxuewen._1962@163.com
  • 作者简介:白希婧(1983-),女,硕士,主治医师, E-mail:baixijing2009@163.com

Effect of collagen sponge after extraction of impacted mandibular teeth

BAI Xi-jing1, LV Dong-sheng1, ZHOU Xian1, WANG Ya-nan1, YANG Xue-wen2   

  1. 1.Department of Oral and Maxillofacial Surgery, Tianjin Stomatological Hospital. Nankai University. Tianjin 300041;
    2.Department of Oral and Maxillofacial Trauma and Plastic Aesthetic Surgery, School and Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province, China
  • Received:2018-11-16 Revised:2018-12-25 Online:2019-03-20 Published:2019-04-12

摘要: 目的:探讨在下颌阻生牙拔除术后应用胶原蛋白海绵的临床效果。方法:选取2016年11月—2017年11月在天津市口腔医院行下颌阻生牙拔除术的患者150例,随机分为常规组和胶原蛋白海绵组。胶原蛋白海绵组患者进行下颌阻生牙拔除术后在拔牙窝内填入胶原蛋白海绵,常规组患者则只进行常规拔牙处置,比较2组患者拔牙后的相关情况。采用SPSS 20.0软件包对数据进行统计学处理。结果:胶原蛋白海绵组患者拔牙后30 min内拔牙窝出血率显著低于常规组(P<0.05),拔牙后第1天和第3天疼痛程度评分显著低于常规组(P<0.05),拔牙后干槽症和其他并发症的发生率显著低于常规组(P<0.05)。结论:在下颌阻生牙拔除术后应用胶原蛋白海绵,不仅可以有效减少术后出血量,而且可以有效降低术后干槽症和其他并发症的发生率,值得推广应用。

关键词: 胶原蛋白海绵, 阻生牙, 拔除术

Abstract: PURPOSE: To analyze the effect of collagen sponge after mandibular impacted teeth extraction. METHODS: One hundred and fifty patients with mandibular impacted teeth extraction in our hospital during November 2016 and November 2017 were randomly divided into routine group and collagen sponge group. Patients in the collagen sponge group were treated with collagen sponge after extraction of mandibular impacted teeth, while patients in the routine group were treated routinely .The clinical effects of the two groups were compared. The data were analyzed by using SPSS 20.0 software package. RESULTS: The bleeding rate within 30 min after extraction in the collagen sponge group was significantly lower than that in the routine group (P<0.05). The pain score of the collagen sponge group was significantly lower than that of the routine group at first and third day after extraction (P<0.05). The incidence of dry socket and other complications in collagen sponge group was significantly lower than that in the routine group after treatment (P<0.05). CONCLUSIONS: The use of collagen sponge after extraction of mandibular impacted teeth can not only reduce the amount of postoperative bleeding, but also effectively reduce the incidence of postoperative dry socket and other complications.

Key words: Collagen sponge, Impacted tooth, Extraction

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