Clinical analysis of the treatment of mandibular impacted teeth with high-speed turbine head combined with minimally invasive extraction knife
高速涡轮机头联合微创拔牙刀拔除术治疗下颌阻生牙患者的临床分析

摘要

目的 探究下颌阻生牙患者接受高速涡轮机头联合微创拔牙刀拔除术治疗的效果。方法 根据随机数字表法将本院2023年1月至2026年1月收治的200例下颌阻生牙患者分为对照组（传统拔牙术治疗）与研究组（高速涡轮机头联合微创拔牙刀拔除术治疗）。结果 治疗前、治疗后1周比较，两组视觉模拟评分法（VAS）评分、P物质与前列腺素E2水平均降低，且研究组低于对照组；面颊肿胀距离与张口受限距离均明显缩短，且研究组较对照组短（P <0.05）。研究组并发症总发生率低于对照组（P <0.05）。结论 高速涡轮机头联合微创拔牙刀拔除术可有效缓解下颌阻生牙患者的疼痛，改善面部肿胀与张口受限症状，减少并发症，具有临床参考价值。

Abstract

Objective To explore the therapeutic effect of high-speed turbine head combined with minimally invasive extraction knife extraction on patients with mandibular impacted teeth.
Methods According to the random number table method, 200 patients with mandibular impacted teeth admitted to our hospital from January 2023 to January 2026 were divided into the control group (treatment with traditional extraction method) and the study group (treatment with high-speed turbine head combined with minimally invasive extraction knife).
Results Before treatment and 1 week after treatment, the visual analogue scale (VAS) scores, substance P and prostaglandin E2 levels in both groups decreased, and those in the study group were lower than those in the control group; the distance of cheek swelling and the distance of mouth opening restriction were significantly shortened, and those in the study group were shorter than those in the control group (P < 0.05). The total incidence of complications in the study group was lower than that in the control group (P < 0.05).
Conclusion   High-speed turbine head combined with minimally invasive extraction knife extraction can effectively relieve the pain of patients with mandibular impacted teeth, improve facial swelling and mouth opening restriction symptoms, reduce complications, and has clinical reference value.