Evaluation of the results of high-speed handpiece and minimally invasive extraction in impacted mandibular third molar extraction

Abstract

Abstract: PURPOSE: To compare the results of high-speed handpiece and minimally invasive extraction in impacted mandibular third molar extraction. METHODS: From May 2011 to May 2014, 83 patients undergoing impacted mandibular third molar extraction were enrolled into the study and randomly divided into 2 groups: 42 patients in group A (experimental group) and 41 patients in group B (control group). Group B underwent extraction with traditional method and group A underwent high-speed handpiece and minimally invasive extraction of the impacted mandibular third molar. The occurrences of the root fracture, gingival laceration, tooth mobility, lingual bone plate fracture, jaw fracture and dislocation of temporomandibular joint during operation and lower lip numbness, dry socket, facial swelling and limitation of mouth opening after operation were observed and compared between 2 groups. The operation time, integrity of extraction sockets, VAS pain score and satisfaction from patients were collected and compared. SPSS 19.0 software package was used for statistical analysis. RESULTS: The occurrences of root fracture, gingival laceration, tooth mobility, lingual bone plate fracture, jaw fracture, and dislocation of temporomandibular joint during operation in group A significantly decreased compared with group B (P<0.05). The occurrences of lower lip numbness, dry socket, facial swelling and limitation of mouth opening after operation in group A significantly decreased compared with group B (P<0.05). The operation time, integrity of extraction sockets, VAS pain scores and satisfaction scores in group A improved significantly compared with group B (P<0.05). CONCLUSIONS: High-speed handpiece and minimally invasive extraction should be widely used in impacted mandibular third molar extraction, due to the advantages of simple operation, high efficiency, minimal trauma, and few perioperative complications.

Key words: High-speed handpiece, Minimally invasive extraction, Impacted mandibular third molar extraction Shanghai J Stomatol, 2015, 24(4):489-492.

CLC Number:

R783.1

YANG Ying-yang, DU Sheng-nan, LV Zong-kai. Evaluation of the results of high-speed handpiece and minimally invasive extraction in impacted mandibular third molar extraction[J]. Shanghai Journal of Stomatology, 2015, 24(4): 489-492.

References

[1] 肖平, 卢向阳, 余尚龙, 等. 微创法与锤凿法拔除下颌阻生智齿的临床研究 [J].中华老年口腔医学杂志, 2012, 10(1): 25-28.
[2] 李大鲁, 魏竹亮, 张文美, 等. 下颌阻生智齿拔除术中牙冠切割方式的选择 [J]. 中华口腔医学杂志, 2014, 49(9): 521-524.
[3] 贾绮林, 彭诗云, 胡炜. 末端磨牙区拥挤与下颌智齿牙根形态的关系 [J].中华口腔正畸学杂志, 2013, 20(1): 13-15.
[4] 何建芳. 下颌智牙阻生引发下颌第二磨牙远中根完全吸收的综合治疗分析[C]//中华口腔医学会全科口腔医学专业委员会全国第三次全科口腔医学学术会议论文集. 2012: 53-53.
[5] 蔡月岚, 朱静晓, 孙杰, 等. 颊侧路径拔除下颌阻生第三磨牙的临床观察 [J].中华临床医师杂志(电子版), 2013, 7(9): 4115-4116.
[6] 缪耀强,林苑云.下颌第二、第三磨牙并列阻生的正畸矫治 [J].中华口腔正畸学杂志, 2012, 19(3): 121-129.
[7] 缪耀强, 郭泽鸿. 下颌第三磨牙水平阻生导致第二磨牙远中根严重吸收的正畸治疗[J]. 中华口腔正畸学杂志, 2013, 20(4): 221-224.
[8] 叶周熹, 杨驰. 减轻下颌阻生第三磨牙拔除术后反应的手术措施 [J].中华口腔医学研究杂志（电子版）, 2014, 8(3): 57-60.
[9] Corrêa AP, Faverani LP, Ramalho-Ferreira G, et al. Unerupted lower third molar extractions and their risks for mandibular fracture [J]. J Craniofac Surg, 2014, 25(3): e228-229.
[10] Shi KK, Kim JY, Choi TH, et al. Timely relocation of subapically impacted maxillary canines and replacement of an ankylosed mandibular molar are the keys to eruption disturbances in a prepubertal patient[J].Am J Orthod Dentofac Orthop,2014,145(2): 228-237.
[11] Momin MA, Matsumoto K, Ejima K, et al. Correlation of mandibular impacted tooth and bone morphology determined by cone beam computedtopography on a premise of third molar operation [J]. Surg Radiol Anat, 2013, 35(4): 311-318.

[1]	HUANG Ning, XIA Fei-ran, ZHANG Yue. Clinical observation of delayed implantation and immediate implantation after minimally invasive extraction [J]. Shanghai Journal of Stomatology, 2019, 28(6): 657-661.
[2]	XU Fang, ZHANG Hui-xia. Comparison of minimally invasive extraction and traditional method in the extraction of impacted mandibular third molar [J]. Shanghai Journal of Stomatology, 2016, 25(5): 613-616.
[3]	REN Shu-xin, HU Xiu-lian, LI Jian-hui, JIANG Xi, LIN Ye. A minimally invasive extraction technique using Benex Extraction System in flapless immediate implant placement in anterior teeth [J]. Shanghai Journal of Stomatology, 2016, 25(3): 334-339.
[4]	LI Wei-hong, HUANG Rui, LIN Hua, LI Qing-yan, ZHENG Xin-ying, LV Qiao, GAO Ning. Effect of beryllium on the morphology and chemical elements of cell membrane of Porphyromonas gingivalis [J]. Shanghai Journal of Stomatology, 2015, 24(4): 385-389.
[5]	LIN Zhi-kai, SHU Rong, SONG Zhong-chen, CHENG Lan, DONG Jia-chen, ZHANG Xiu-li. The effect of rhAm and EMPs on promoting differentiation of hBMSCs into osteoblasts [J]. Shanghai Journal of Stomatology, 2015, 24(4): 390-394.
[6]	LI Zhen-ling, ZHANG Zhi-min, LI Peng-lian, ZHANG Tong-fei, LI Tian-bo, LIU Fu-ping. Evaluation of the effect for ffh gene silencing on the aciduricity of fluoride resistant Streptococcus mutans [J]. Shanghai Journal of Stomatology, 2015, 24(4): 395-399.
[7]	PU Guang-rui, LIU Fa-yu, WANG Bo. Suppression of VEGF protein expression by arctigenin in oral squamous cell carcinoma [J]. Shanghai Journal of Stomatology, 2015, 24(4): 400-403.
[8]	HAO Yi, LI Jing, MA Jia-yin, LI Jun, XU Chun. Cylic stretching force-induced late apoptosis in human periodontal ligament cells [J]. Shanghai Journal of Stomatology, 2015, 24(4): 404-409.
[9]	HE Zhi-yan, CHENG Lan, WANG Yu-xia, HUANG Zheng-wei. Construction of luxS gene knockout mutant of Enterococcus faecalis [J]. Shanghai Journal of Stomatology, 2015, 24(4): 410-414.
[10]	XU Lin-yu, DONG Min, LU You-guang, LEI Lang. Study of factors affecting tooth discoloration during fixed orthodontics in vitro [J]. Shanghai Journal of Stomatology, 2015, 24(4): 415-418.
[11]	QIU Si-hui, WANG Jun. Effects of calcium hydroxide and Hoshino’s paste on the proliferation of porcine dental papilla cells [J]. Shanghai Journal of Stomatology, 2015, 24(4): 419-422.
[12]	ZHANG Jiang-tao, MEI Mei, JIANG Ce, FENG Lei, HUANG Jin, WANG Jia-jia. The influence of combined use of rhPDGF-BB and rhTGF-β₁ on protein expression of FAK in osteoclast during orthodontic tooth movement in rats [J]. Shanghai Journal of Stomatology, 2015, 24(4): 423-427.
[13]	WANG Hai-yan, QIN Hua-xiang, DENG Hui, SUN Chao-fan, HU Rong-dang. Effects of LPS-stimulated monocyte culture supernatant on the OPG/RANKL of osteoblastic cells [J]. Shanghai Journal of Stomatology, 2015, 24(4): 428-432.
[14]	LI Zhen-xing, CHEN Chuan-jun. The effect of lowered serum levels of estrogen on the expression of ERα, ERβ, OPG and RANKL in rat mandibular condylar cartilage [J]. Shanghai Journal of Stomatology, 2015, 24(4): 437-441.
[15]	LIANG Jie, CUI Jun, XU Sheng, ZHOU Ti, XU Wei-cheng, XU Xin. In vitro study on the properties of guided bone regeneration of new type chitosan-based thermosensitive hydrogel membranes [J]. Shanghai Journal of Stomatology, 2015, 24(4): 442-446.