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潜在牙周炎患者下颌智齿拔除术后促进邻牙远中牙槽骨再生的临床研究
作者:朱志高 谢春 罗国胜 
单位:深圳市龙华新区人民医院
关键词:牙槽骨 下颌智齿拔除术 邻牙远中牙 骨粉 口腔组织补片 
分类号:
出版年·卷·期(页码):2016··第八期(0-)
摘要:

探析轻度牙周炎患者下颌智齿拔除术后促进邻牙远中牙槽骨再生的有效方法。 方法 入选我院2011年8月-2012年8月收治的双侧行下颌智齿拔除术患者90例,按照入院先后顺序分为两组,研究组46例在牙窝内放置口腔组织补片和骨粉后缝合,对照组44例直接缝合,对比两组邻牙远中牙槽骨高度变化。 结果 研究组术后干槽症、牙关紧闭症、脸颊肿胀、术后30min出血上,均显著少于对照组,差异具有统计学意义(P<0.05),术后1d、3d、7d、14d时PoSSe评分均显著低于对照组,邻牙远中牙槽骨高度(4.8±0.4)mm显著高于对照组(3.8±0.3)mm,牙周袋深度(3.0±1.0)mm显著低于对照组(4.2±0.9)mm,均P<0.05。 结论:具有轻度牙周炎的患者行下颌智齿拔除术后填充口腔组织补片和骨粉有助于促进邻牙远中牙槽骨再生。

Objective: effective method for regeneration of alveolar bone in the distal of adjacent teeth to promote the potential of periodontitis patients after mandibular wisdom tooth extraction. Methods: 45 patients with bilateral mandibular wisdom tooth extraction were selected in our hospital in 2011 August -2012 year in August admitted to the cases, in accordance with the order of admission were divided into two groups, study group 23 cases of oral tissue suture placed in the tooth fossa patch and bone, 22 cases in the control group were sutured directly, alveolar bone height changes were compared between the two groups of adjacent periodontal membrane in. Results: Study on postoperative dry socket, trismus, cheek swelling, postoperative bleeding 30min, significantly less than the control group, the difference was statistically significant (P < 0.05),after 1D, 3D, 7d, 14d and PoSSe scores were significantly lower than those in control group, the adjacent tooth distal alveolar bone height (4.8 + 0.4) mm was significantly higher than that of the control group (3.8 + 0.3) mm, the depth of tooth pocket (3 + 1) mm was significantly lower than that of the control group (4.2 + 0.9) mm, the difference was statistically significant ,P < 0.05. Conclusion: has the potential of periodontitis patients with mandibular wisdom tooth extraction after filling the patch and bone meal oral tissue helps to promote the regeneration of alveolar bone in the distal adjacent teeth.

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