Application Effect of Buccal Deboning Method and Traditional Tooth Extraction Surgery in Maxillary Mesio-impacted Wisdom Teeth

ZHANG Lingling

doi:10.14033/j.cnki.cfmr.2024.31.011

Abstract：Objective:To observe the application effect of buccal deboning method and traditional tooth extraction surgery in maxillary mesio-impacted wisdom teeth.Method:A total of 70 maxillary mesio-impacted wisdom teeth patients admitted to the Guangdong Second Traditional Chinese Medicine Hospital from January 2021 to May 2023 was retrospectively selected.According to different surgical methods,the patients were divided into traditional group and buccal group,35 cases in each group.The traditional tooth extraction surgery was performed in the traditional group,and the buccal deboning method was performed in the buccal group.Perioperative indexes,pain degree 24 h after surgery,mouth opening limitation and swelling degree 3 d after surgery,inflammatory factors before and 2 weeks after surgery and complications were compared between the two groups.Result:The operation time of buccal group was shorter than that of traditional group,the amount of intraoperative blood loss was less than that of traditional group,and the score of extraction integrity and visual analog scale (VAS) were lower than those of traditional group,the differences were statistically significant (P<0.05).The limitation degree of buccal mouth opening was significantly better than that of traditional group,and the swelling degree was lower than that of traditional group,the difference was statistically significant (P<0.05).At 2 weeks after surgery,the levels of tumor necrosis factor-α (TNF-α),C-reactive protein (CRP) and interleukin-6 (IL-6) in the two groups were higher than those before surgery,and the levels of TNF-α,IL-6 and CRP in buccal group were lower than those in traditional group,the differences were statistically significant (P<0.05).The incidence of complications in buccal group was lower than that in traditional group,and the difference was statistically significant (P<0.05).Conclusion:Compared with traditional tooth extraction,buccal deboning method has better operation-related indicators in maxillary mesio-impacted wisdom tooth extraction,which can reduce postoperative pain,limit postoperative mouth opening and swelling,effectively reduce inflammatory indicators and have fewer complications.