1.Department of Stomatology, Huaian First Hospital Affiliated to Nanjing Medical University, Jiangsu Province, Huaian 223300, China;
2.Department of Stomatology, Huaian Fifth People’s Hospital, Jiangsu Province, Huaian 223300, China
Abstract：Objective To investigate the effect of high speed turbine drill combined with ultrasonic osteotome on extraction of mandibular impacted wisdom teeth. Methods From January 2021 to January 2022, 100 patients （100 teeth) with mandibular impacted wisdom teeth were selected from Huaian First Hospital Affiliated to Nanjing Medical University. The patients were divided into control group （high-speed turbine drill) and observation group （high-speed turbine drill combined with ultrasonic osteotome) by random number table method, with 50 cases in each group. Perioperative conditions, postoperative pain, swelling, restriction of mouth opening, levels of inflammatory factors, incidence of complications, and quality of life were compared between the two groups. Results The operation time in the observation group was shorter than that in the control group (P＜0.05); the intraoperative blood flow in the observation group was lower than that in the control group (P＜0.05). The grade of pain, swelling, and mouth opening limitation in the observation group were better than those in the control group (P＜0.05). After surgery, the levels of interleukin-6 and C-reactive protein in the two groups were higher than those before surgery, and the observation group were lower than those in the control group (P＜0.05). The score of postoperative symptom severity scale and the total incidence of complications in the observation group were lower than those in the control group (P＜0.05). Conclusion High speed turbine drill combined with ultrasonic osteotome can effectively shorten the operation time, reduce postoperative pain and stress reaction, improve the quality of life, and it is safe and reliable.
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