青岛大学学报（医学版）2024，Vol.60Issue(4)：537-540,4.DOI:10.11712/jms.2096-5532.2024.60.123
CBCT下超声骨刀在埋伏牙开窗手术中的应用效果
Application effect of piezosurgery under cone-beam computed tomography in fenestration surgery for impacted teeth
摘要
Abstract
Objective To investigate the application effect of piezosurgery under cone-beam computed tomography(CBCT)in fenestration surgery for impacted teeth.Methods A total of 86 patients who underwent fenestration surgery for impacted teeth in our hospital from September 2020 to September 2023 were enrolled and randomly divided into study group(CBCT-guided piezosurgery fenestration+orthodontic traction treatment)and control group(traditional surgical fenestration+orthodontic trac-tion treatment),with 43 patients in each group.Clinical outcome was compared between the two groups.Results There was a significant difference in treatment outcome between the two groups(Z=2.129,P＜0.05).Compared with the control group,the study group had a significantly higher overall response rate(x2=4.074,P＜0.05),a significantly shorter time of fenestration(t=73.724,P＜0.05),a significantly lower bleeding volume during fenestration(t=29.078,P＜0.05),a significantly higher success rate of first-attempt adhesion(x2=3.909,P＜0.05),significantly lower degrees of facial swelling and pain(Z=3.347,2.377,P＜0.05),significantly lower scores of all dimensions of the WHOQOL-100 scale after treatment(t=14.263-26.419,P＜0.05),sig-nificantly greater changes in the scores of all dimensions of the WHOQOL-100 scale after treatment(t=14.820-27.213,P＜0.05),and a significantly lower incidence rate of complications(x2=4.074,P＜0.05).Conclusion CBCT-guided piezosurgery fenestration combined with orthodontic traction has a good clinical effect in the treatment of impacted canines on the upper lip side,with good safety and little trauma,and it can improve the success rate of first-attempt adhesion and the quality of life of patients.关键词
牙,阻生/口腔外科手术/螺旋锥束计算机体层摄影术/超声骨刀Key words
tooth,impacted/oral surgical procedures/spiral cone-beam computed tomography/piezosurgery分类
口腔医学引用本文复制引用
彭早霞,周思颖,娜孜娜·马达力,哈丽哈·赛力克别克,李春霞..CBCT下超声骨刀在埋伏牙开窗手术中的应用效果[J].青岛大学学报（医学版）,2024,60(4):537-540,4.基金项目
国家自然科学基金项目(81960196) （81960196）
新疆医科大学第一附属医院基金项目(2022YFY-QKQN-38) （2022YFY-QKQN-38）
