头灯联合放大镜辅助低位埋伏阻生智齿微创拔牙术的作用价值及美容舒适度分析

徐玉丽　杨星民　冉明

[摘要] 目的 研究頭灯联合放大镜辅助低位埋伏阻生智齿微创拔牙术的作用价值及美容舒适度，旨在为临床提供一种更加安全有效的低位埋伏阻生智齿微创拔牙术，以促进患者的早日康复。 方法 选取2018年10月至2019年6月于我院接受治疗的低位埋伏阻生智齿患者86例作为研究对象。将其以随机抽签法等分成试验组及对照组各43例，对照组予以常规微创拔牙术治疗，试验组则在头灯联合放大镜辅助下实施微创拔牙术治疗。分别比较两组手术时间、术中及术后并发症发生情况、美容满意度以及舒适度。 结果 试验组手术时间为（18.60±5.28）min，明显短于对照组的（38.21±11.39）min，差异有统计学意义（P<0.05）。试验组术中并发症发生率为25.58%，低于对照组的51.16%（P<0.05）。试验组术后并发症发生率为34.88%，低于对照组的62.79%（P<0.05）。试验组美容满意度评分为（92.42±5.32）分，以及舒适度评分为（94.05±5.11）分，均高于对照组的（85.32±4.28）分、（84.67±4.35）分（均P<0.05）。 结论 头灯联合放大镜辅助低位埋伏阻生智齿微创拔牙术的作用明显，可有效缩短手术时间，降低术中、术后并发症发生率，同时有利于提高患者的美容满意度、舒适度，值得临床推广应用。

[关键词] 低位埋伏阻生智齿;微创拔牙;头灯;放大镜;美容舒适度

[中图分类号] R782.11          [文献标识码] B          [文章编号] 1673-9701（2021）04-0068-04

Analysis of the value and cosmetic comfort of headlight combined with magnifying glass in assisting minimally invasive extraction of lower impacted wisdom teeth

XU Yuli   YANG Xingmin   RAN Ming

Department of Stomatology， Shenzhen Longhua District Central Hospital， Shenzhen   518110， China

[Abstract] Objective To study the value and cosmetic comfort of headlight combined with magnifying glass in assisting minimally invasive extraction of lower impacted wisdom teeth， aiming to provide a safer and more effective minimally invasive extraction of lower impacted wisdom teeth to promote the patient′s early recovery. Methods Eighty-six patients with lower impacted wisdom teeth who received treatment in our hospital from October 2018 to June 2019 were selected as the research objects. They were randomly divided into the experimental group（n=43） and the control group（n=43） according to random lottery method. The control group was treated with conventional minimally invasive tooth extraction， and the experimental group was treated with minimally invasive tooth extraction with the aid of a headlight and magnifying glass. The operation time， intraoperative and postoperative complications， cosmetic satisfaction and comfort level were compared between the two groups. Results The operation time of the experimental group was（18.60±5.28） min， which was significantly shorter than（38.21±11.39） min of the control group， and the difference was statistically significant（P<0.05）. The intraoperative complication rate in the experimental group was 25.58%， which was lower than 51.16% in the control group（P<0.05）. The postoperative complication rate in the experimental group was 34.88%， which was lower than 62.79% in the control group（P<0.05）. The cosmetic satisfaction score（92.42±5.32） points and the comfort score （94.05±5.11） points of the experimental group were higher than（85.32±4.28） points and （84.67±4.35） points in the control group（both P<0.05）. Conclusion The effect of headlight combined with magnifying glass in assisting minimally invasive extraction of lower impacted wisdom teeth can effectively shorten the operation time， reduce the incidence of intraoperative and postoperative complications， and it helps to improve the patient′s cosmetic satisfaction and comfort. It is worthy of clinical application.

[Key words] Lower impacted wisdom teeth; Minimally invasive tooth extraction; Headlight; Magnifying glass; Cosmetic comfort

低位埋伏阻生智齿属于牙科临床较为常见的一种疾病，如不予以及时的拔除，极易引起冠周炎、颌骨囊肿、牙邻拥挤畸形以及颌面部间隙感染等症状，进一步对患者的生活质量造成严重影响[1]。目前，低位埋伏阻生智齿拔除手术是治疗该病患者的重要手段之一。然而，由于低位埋伏阻生智齿具有解剖变异大、操作视野狭窄、周围结构复杂以及暴露困难等特点，从而使得患者普遍存在一定程度的恐惧感，继而无法有效配合手术，具有手术创伤较大、操作时间较长以及手术难度较大的缺陷[2]。既往，传统的拔牙方式往往需要通过骨锤进行敲击，若手术过程中的力量以及方向控制发生偏差，则可能导致邻牙、舌侧骨板损伤等情况的发生，进一步导致断根进入周围组织内，增加了术后张口受限、干槽症以及肿胀发生的风险，不利于患者预后[3]。……