A novel method in the removal of impacted mandibular third molar: buccal drainage.
A novel method in the removal of impacted mandibular third molar: buccal drainage.
复制标题
拔除下颌阻生第三磨牙的新方法：颊引流
DOI：
10.1038/s41598-017-12722-8
复制
发表时间：
2017-10-03
影响因子：
4.6
通讯作者：
Yang YQ
中科院分区：
文献类型：
--
作者：
Hu T;Zhang J;Ma JZ;Shao LN;Gu YF;Li DQ;Jiang L;Yang YQ
下颌第三磨牙拔除后的食物嵌塞是一个不容忽视的严重问题。传统方法对远端切口缝合不全是造成食物嵌塞和伤口延迟愈合的主要原因。本研究介绍了一种新的缝合引流技术，该技术需要对远端切口进行密封缝合，并对颊部进行橡胶引流。76例水平/内侧阻生第三磨牙（双侧）患者被纳入这项前瞻性研究。采用常规方法拔除一侧阻生牙，采用新方法拔除一侧阻生牙。比较每例患者术后双方创面愈合、面部肿胀、出血、干窝等方面的差异，以及患者选择手术方式的趋势。结果表明，口腔引流术在创面愈合和降低术后出血风险方面有明显优势，多数患者倾向于采用口腔引流术；术后面部肿胀和疼痛无显著差异。因此，口腔引流可以解决术后传统切口引起的长期食物嵌塞问题，值得临床推广。
Food impaction after impacted mandibular third molar extraction is a serious problem that should not be ignored. Incomplete suturing of the distal incision in the conventional method is the main cause of food impaction and delayed wound healing. The present study introduces a novel suture and drainage technology that requires hermetic suturing of the distal incision and rubber drainage for buccal drainage. 76 patients with horizontally/mesially impacted third molars (bilateral) were enrolled in this prospective study. An impacted tooth on one side of each patient was extracted by occlusal drainage using the conventional method, whereas the other side tooth was extracted by buccal drainage using the novel method. The differences in wound healing, facial swelling, bleeding and dry socket between the two sides of each patient were compared postoperatively, and the trends for patient selection of the surgical method were also compared. The results indicated that buccal drainage had obvious advantages in wound healing and reduced the risk of postoperative bleeding, and most patients preferred this technique; there were no significant differences in postoperative facial swelling or pain. Thus, buccal drainage can solve the problem of long-term food impaction induced by traditional incision postoperatively and is worthy of clinical promotion.
登录
查看更多内容
影响因子：
1.9
作者：
Grossi, Giovanni Battista;Maiorana, Carlo;Santoro, Franco
通讯作者：
Santoro, Franco
DOI：
10.1016/j.ijom.2012.04.009
发表时间：
2012-10-01
影响因子：
2.4
作者：
Osunde, O. D.;Adebola, R. A.;Saheeb, B. D.
通讯作者：
Saheeb, B. D.
影响因子：
2.6
作者：
McGrath, C;Comfort, MB;Luo, Y
通讯作者：
Luo, Y
DOI：
10.1067/moe.2001.118284
发表时间：
2001-10-01
期刊：
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY
影响因子：
--
作者：
Valmaseda-Castellón, E;Berini-Aytés, L;Gay-Escoda, C
通讯作者：
Gay-Escoda, C
影响因子：
1.9
作者：
Bello, Seidu Adebayo;Olaitan, Abayomi A.;Ladeinde, Akinola L.
通讯作者：
Ladeinde, Akinola L.