在受冲击下第三手术后,使用或不使用Gelatamp®的提取插座的愈合:一项前性,比较性,随机化,分口研究
Shubham Aggarwal1, Gaurav Singh1, Madan Mishra1
1Department of Oral and Maxillofacial Surgery, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Lucknow, Uttar Pradesh, India.
National journal of maxillofacial surgery
|January 26, 2026
概括
在受冲击的下第三提取后,Gelatamp®显著减少了出血. 虽然它没有改善软组织愈合或减少疼痛或胀等其他并发症,但它显示出在这些程序中管理出血的希望.
科学领域:
- 口腔和牙面部外科手术
- 牙科材料科学 牙科材料科学
- 伤口治愈研究研究 伤口治愈研究
背景情况:
- 手术提取受影响的下第三牙往往导致术后并发症,包括出血和延迟愈合.
- 局部止血剂用于控制出血,并可能改善伤口的结果.
- 吉拉坦®是一种静血和杀菌剂,在口腔外科手术中具有潜在的应用.
研究的目的:
- 评估和比较Gelatamp®作为局部止血和杀菌剂的疗效.
- 评估手术后并发症的减少以及在手术切除受冲击的下第三牙后对软组织愈合的影响.
- 为了比较Gelatamp®应用与常规关闭在分口,随机对照研究.
主要方法:
- 一项前性,双盲,随机控制的口腔分裂研究,涉及30名患者 (60名下第三受影响).
- 吉拉坦普 (Gelatamp®) 应用于一个手术部位 (SITE I),而对侧部位 (SITE II) 则没有进行干预.
- 评估结果包括出血,软组织愈合,疼痛,胀,伤口脱落,膜骨炎和术后1日,3日,7日和14日的最大间隙开口.
主要成果:
- 在用Gelatamp®治疗的部位观察到出血得分的统计显著减少 (p = 0.039).
- 在Gelatamp®治疗部位和对照部位之间,没有发现疼痛,,软组织愈合,伤口脱光或最大间开口的显著差异.
- 膜骨质炎的发病率在术后第3天和第7天之间没有显著差异.
结论:
- 吉拉坦®在手术切除受冲击的下第三牙后减少术后出血方面表现出有效性.
- 该研究表明,Gelatamp®可能是这些手术中管理出血的有益补充.
- 可能需要进一步的研究来探索软组织愈合和其他并发症的潜在益处.
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