Journal of oral rehabilitation · 2025
Effect of High-Speed Turbine-Assisted Minimally Invasive Tooth Extraction Combined With Collagen Sponges in Patients With Complex Impacted Teeth.
СтатьяНазвание и аннотация: Перевод в очереди
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Zhu Yin, Zhang Cunbao, Zou Lina
Аннотация
OBJECTIVE: This study aimed to elucidate the effect of minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges in patients with complex impacted teeth.
METHODS: Eighty patients with complex impacted teeth were categorised into a control group (received piezosurgery extraction treatment) and an observation group (received high-speed turbine-assisted minimally invasive extraction plus medical collagen sponge treatment). Outcome measures included intraoperative blood loss, integrity of the tooth socket, degree of postoperative mouth-opening limitation, VAS scores, degree of swelling, postoperative complications and the Pink Aesthetic Score (PES).
RESULTS: The observation group exhibited less intraoperative blood loss and superior tooth socket integrity compared to the control group (p < 0.05). The degree of mouth-opening limitation in the observation group was better than that in the control group (p < 0.05). VAS scores on postoperative Days 3 and 7 were significantly lower in the observation group compared with the control group (p < 0.05). On postoperative Day 5, the swelling rate was lower in the observation group than the control group (p < 0.05). Furthermore, the incidence of postoperative complications was reduced and the PES index was higher in the observation group compared with the control group (both p < 0.05).
CONCLUSION: Minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges effectively reduces postoperative pain, swelling, and complications in patients with complex impacted teeth, while improving aesthetic outcomes.
METHODS: Eighty patients with complex impacted teeth were categorised into a control group (received piezosurgery extraction treatment) and an observation group (received high-speed turbine-assisted minimally invasive extraction plus medical collagen sponge treatment). Outcome measures included intraoperative blood loss, integrity of the tooth socket, degree of postoperative mouth-opening limitation, VAS scores, degree of swelling, postoperative complications and the Pink Aesthetic Score (PES).
RESULTS: The observation group exhibited less intraoperative blood loss and superior tooth socket integrity compared to the control group (p < 0.05). The degree of mouth-opening limitation in the observation group was better than that in the control group (p < 0.05). VAS scores on postoperative Days 3 and 7 were significantly lower in the observation group compared with the control group (p < 0.05). On postoperative Day 5, the swelling rate was lower in the observation group than the control group (p < 0.05). Furthermore, the incidence of postoperative complications was reduced and the PES index was higher in the observation group compared with the control group (both p < 0.05).
CONCLUSION: Minimally invasive tooth extraction using a high-speed turbine combined with collagen sponges effectively reduces postoperative pain, swelling, and complications in patients with complex impacted teeth, while improving aesthetic outcomes.