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在患有布鲁克斯症和不患有布鲁克斯症的患者中进行第三骨提取手术后的术后疼痛:一项观察性研究

Olavo A Brilhante-Neto¹, Caio M Mesquita², Marcelo Dma Costa³

¹Faculdade Sao Leopoldo Mandíc, Postgraduate Program in Dentistry. Sao Paulo, Brazil.

Acta odontologica latinoamericana : AOL

|June 14, 2023

概括

布鲁克西斯症患者在第三取出后经历了更高的术后疼痛. 涉及骨切割和牙切割的手术技术也增加了疼痛,而口腔粘膜板没有显著影响疼痛水平.

科学领域:

牙科牙科是指牙科的专业.
在口腔外科手术.
疼痛管理疼痛管理

背景情况:

拔除第三牙是一种常见的牙科手术,术后疼痛是常见的并发症.
部部疾病 (TMD) 影响口腔面部结构,像牛症这样的功能障碍患者可能对手术刺激更敏感.
了解影响术后疼痛的因素对于改善患者治疗结果至关重要.

研究的目的:

分析和比较经过第三牙提取的患者的术后疼痛水平,特别是比较患有和没有牙的患者.
为了评估两种不同的外科手术技术对术后疼痛的影响.

主要方法:

一项观察性研究包括四组患者 (每组n=34) 具有第三骨下部提取指示.
患者根据自我报告的乳头发而被分类,并被分配到两种手术技术之一:子/子 (ST1) 或骨切割/牙切割 (ST2).
术后疼痛被评估并对各组进行了比较.

主要成果:

布鲁克西斯症患者报告的术后疼痛水平明显高于没有布鲁克西斯症患者 (p<0.05).
与ST1相比,涉及骨切除和牙切除 (ST2) 的手术技术在第七次术后一天导致疼痛水平显著提高 (p<0.05).
涉及口腔粘膜片的切口并没有导致明显增加疼痛或持续性.

结论:

布鲁克斯症,骨切除术和牙切除术似乎是可能增加第三牙切除后术后疼痛的因素.
使用口腔粘膜片并没有显著改变疼痛水平.
建议进行进一步的随机对照试验,以验证这些初步发现.

关键词:

第三个,第三个.口腔外科手术是指口腔外科手术的过程.疼痛,术后的疼痛,术后的疼痛.部关节疾病部关节疾病

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