Clinical study of modified distal buccal assisted incision in wound closure of impacted wisdom teethextraction
改良远颊辅助切口在阻生智齿拔牙创关闭的临床研究

摘要

目的 研究改良远颊辅助切口在阻生智齿拔牙创关闭的临床应用效果。方法 选取2021年1月至2021年12月的195例在本院就诊的对口内阻生智齿进行拔除手术治疗的患者为研究对象，根据缝合方式不同分为对照组和研究组，其中，对照组97例，研究组98例。对照组应用普通拉拢缝合法进行阻生智齿拔牙创关闭的创口缝合操作，研究组应用改良远颊辅助切口进行阻生智齿拔牙创关闭的创口缝合操作，比较改良远颊辅助切口缝合法和普通拉拢缝合法在阻生智齿拔牙创关闭术的临床中术前、术后3d最大张口度及视觉模拟评分法（VAS）评分、术后并发症的发生情况。结果 两组患者术前最大张口度比较，差异无统计学意义（P<0.05）；研究组患者在进行阻生智齿拔除手术后3d最大张口度大于对照组、VAS评分低于对照组，两组对比，差异具有统计学意义（P>0.05）；研究组患者术后肿胀、出血等并发症情况的总发生率低于对照组，两组对比，差异具有统计学意义（P>0.05）。结论 在阻生智齿拔牙创关闭的临床中，应用改良远颊辅助切口缝合法进行阻生智齿拔牙创关闭临床，对比普通拉拢缝合法，术后出血量更少，术后并发症的发生概率较低，且在维持第二磨牙远中牙槽骨高度方面有积极意义，应该在本院口腔科临床中被广泛应用。

Abstract

Objective to study the clinical effect of modified distal buccal auxiliary incision in the closure of impacted wisdom teeth.
Methods a total of 195 patients with impacted wisdom teeth 2021 from January to December in our hospital were 2021. They were divided into control group and study group according to different suturing methods, among them, 97 cases were in the control group and 98 cases in the study group. In the control group, the wounds of impacted wisdom teeth were sutured with normal pull suture, and in the research group, the wounds of impacted wisdom teeth were sutured with modified distal buccal auxiliary incision, objective: to compare the clinical effects of modified distal buccal assisted incision suture and pull suture in the treatment of impacted wisdom teeth extraction wound closure.
Results there was no significant difference in the maximal mouth opening between the two groups (& LT; 0.05) , the maximal mouth opening of the patients in the study group was greater than that of the control group, and the VAS score was lower than that of the control group on the 3rd day after the extraction of impacted wisdom teeth, the total incidence of postoperative complications such as swelling and bleeding in the study group was lower than that in the control group, and the difference between the two groups was statistically significant (& GT; 0.05) .
Conclusion   the modified distal buccal incision suture was used to close the wound of impacted wisdom teeth in clinic. Compared with the common pull suture, the amount of bleeding after operation was less, the incidence of postoperative complications is low, and it has positive significance in maintaining the distal alveolar bone height of the second molar.