第三冠状管切除术与第二牙周围牙治愈中的全切除术
Si Ling Pang1, Wai Kan Andy Yeung2, Kuo Feng Hung2
1Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
International dental journal
|September 4, 2023
概括
冠状切除术和手术切除下面的第三牙显示类似的牙周愈合和手术发病率相邻的牙. 这两种技术都有效地降低了探测深度和临床附着水平,没有发现显著差异.
科学领域:
- 口腔和牙面部外科手术
- 牙周病学 牙周病学
- 牙科研究 牙科研究
背景情况:
- 移除第三是常见的牙科手术.
- 冠状管切除术是完全提取的替代方案,保留了根.
- 在第三手术后评估牙周愈合对于长期结果至关重要.
研究的目的:
- 为了比较冠状切除术后邻近第二的远端牙周愈合与手术切除下第三的情况.
- 评估和比较与冠状动脉切除和外科切除技术相关的外科病情.
主要方法:
- 一个分口,随机的临床试验,涉及40名患者.
- 形束计算断层扫描 (CBCT) 扫描用于手术前后的评估.
- 测量了牙周探测深度 (PPD),临床附着水平 (CAL) 和膜骨水平变化.
主要成果:
- 冠状动脉切除和全切除组都显示了PPD和CAL的显著减少.
- 在两组中都观察到统计学上显著的膜骨收益 (P < .001).
- 两种技术之间没有发现牙周愈合或手术致病率的显著差异.
结论:
- 冠状管切除术提供了与手术切除下第三牙相比较的牙周愈合.
- 对于冠状动脉切除术和完全摘除术,手术发病率相似.
- 这些发现表明,冠状切除术是一种可行的替代方案,对邻近的牙具有类似的结果.
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