Journal of Prevention and Treatment for Stomatological Diseases ›› 2016, Vol. 24 ›› Issue (9): 545-548.doi: 10.12016/j.issn.2096-1456.2016.09.010

• Cinical Study • Previous Articles     Next Articles

Clinical observation of medical collagen sponge in the prevention of postoperative complications after extracting mandibular impacted teeth

LI Guo-yue,ZHANG Yao,XIA Deng-sheng   

  1. Emergency and General Treatment Center of Dentistry, Capital Medical University School of Stomatology, Beijing 100050, China
  • Received:2016-02-20 Revised:2016-03-25 Online:2016-09-20 Published:2016-09-20

Abstract:

Objective To study the clinical effect of medical collagen sponge in the prevention of postoperative complications after extracting mandibular impacted teeth.Methods 100 cases bilateral extraction of mandibular third molar were required as the objects of the study. Patients were randomly divided into two groups. In test group medical collagen sponge was implanted after tooth extraction, while the control group extraction did not put in any drug. The tooth socket was examined in 30 min and 7 d respectively.Results Low incidence of bleeding, swelling, limitation of mouth opening and dry socket occurred in the test group, which is statistically significant with the control group (P < 0.05).Conclusion Medical collagen sponge can reduce the incidence of postoperative complications of impacted mandibular third molar extraction.

Key words: Medical collagen sponge, Mandibular third molars, Impacted tooth, Dry socket, Complications

CLC Number: 

  • R782.1

Table 1

Comparison of postoperative complications of the two groups"

组别 牙数 出血 肿胀 张口受限 干槽症
试验组 100 10 10 3 3
对照组 100 37 22 12 10
χ2 20.275 5.357 5.838 4.031
P <0.001 0.021 0.016 0.045
[1] 张震康, 俞光岩 . 口腔颌面外科学[M]. 北京: 北京大学医学出版社, 2007: 78.
[2] 倪艳, 孟晶, 唐雄飞 . 胶原蛋白海绵预防下颌阻生第三磨牙拔除术后并发症的临床研究[J]. 中国老年保健医学, 2011,9(5):15-16.
[3] 邱蔚六, 张震康, 张志愿 . 口腔颌面外科学[M]. 6版. 北京: 人民卫生出版社, 2008: 77-97.
[4] 黄志权, 欧阳可雄, 梁军 , 等. 拔牙术后出血135例临床分析[J]. 口腔颌面外科杂志, 2010,20(5):353-355.
[5] 李月秀 . 拔牙后牙龈肿胀的预防[J]. 社区医学杂志, 2009,7(11):74-75.
[6] 宇文婷, 鲁颖娟, 梁衍灿 , 等. 下颌第三磨牙拔除术的手术难度与术后疼痛、张口受限的相关性研究[J]. 现代保健, 2014,11(14):13-16.
[7] 刘丽, 徐超 . 下颌阻生智齿术后干槽症的预防[J]. 河北医药, 2011,33(23):3620-3620.
[8] 周宏志, 胡开进, 秦瑞峰 , 等. 下颌阻生第三磨牙拔除难度预判[J]. 口腔医学研究, 2009,25(3):327-329.
[9] 迟妍妍, 乐尧金, 刘旭昭 , 等. 胶原蛋白海绵的生物特性及体内降解吸收[J]. 中国组织工程研究, 2014, 18(34): 5515-5519.
[10] Kondo S, Kuroyanagi Y . Development of a wound dressing composed of hyaluronic acid and collagen sponge with epidermal growth factor[J]. J Biomaterials Science, Polymer edition, 2012,23(5):629-643.
doi: 10.1163/092050611X555687
[11] 王秋卓 . 牛跟腱制造海绵状胶原蛋白纤维的技术研究[J]. 中国医药生物技术, 2011,6(4): 305-306.
[12] 唐尚权, 徐新华 . 胶原蛋白海绵在腰椎间盘突出手术中的止血作用[J]. 中国医药指南, 2012,10(9): 31-32.
[13] Akadiri OA, Obiechina AE, Arotiba JT , et al. Relative impact of patient characteristics and radiographic variables on the difficulty of removing impacted mandibular third molars[J]. J Contemporary Dental Practice, 2008,9(4):51-58.
[14] 高学琴, 董亚鹏 . 微创拔牙术在临床工作中的疗效分析[J]. 中国医学创新, 2014,7(7): 85-87.  
[15] 许竞 . 下颌阻生第三磨牙拔除术对下颌第二磨牙远中牙周组织的影响[J]. 口腔疾病防治, 2016, 24(1): 11-15.
[16] 刘川, 胡开进, 周宏志 . 疼痛与肿胀原因及防治[J]. 中国实用口腔科杂志, 2014, 7(11): 651-655.
[17] 孙湘钊, 吴迪, 胡开进 , 等. 干槽症的原因及预防[J]. 中国实用口腔科杂志, 2014,7(12): 715-717.
[18] 黄远铿, 肖百全, 欧慧瑜 , 等. 新型止血材料纤维蛋白贴的止血作用研究[J]. 中国药理学通报, 2013,29(8):1140-1145.
[19] Mohammed H, Abu Y, Abu H . Dry socket: frequency, clinical picture, and risk factors in a palestinian dental teaching center[J]. Open Dentistry J, 2011,5(1):1874-2106.
[20] 张园 . 胶原蛋白海绵在阻生牙拔除后的应用效果[J]. 中国当代医药, 2016,1(23):79-81.
[21] 任海涛, 钟志勇, 严家荣 , 等. 鼠尾胶原蛋白海绵止血作用研究[J]. 转化医学杂志, 2013, 2(2): 70-72.
[22] 陈国会 . 胶原蛋白海绵预防拔牙创口干槽症的效果观察[J]. 临床合理用药杂志, 2012, 5(15): 113.
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