Minimally invasive tooth extraction of impacted wisdom teeth and its impact on VAS score and stress response

doi:10.19438/j.cjoms.2020.03.014

Abstract

Abstract: PURPOSE: To explore the clinical effect of minimally invasive extraction on impacted wisdom teeth and its impact on VAS score and stress response. METHODS: A total of 98 patients in our hospital from July 2017 to July 2019 who needed to remove impacted wisdom teeth were selected and randomly divided into control group and experimental group, 49 cases in each group. Conventional extraction method was adopted in the control group, while minimally invasive extraction method was used in the experimental group. The surgical effect, changes in the levels of inflammatory mediators, stress mediators in the gingival crevicular fluid, and postoperative complications were compared. The data were analyzed using SPSS 18.0 software package. RESULTS: The operation time, pain, swelling and mouth opening degree of the experimental group were significantly better than those of the control group (P<0.05); the contents of PTX3, ICAM1, MPO, and PGE2 in the experimental group were significantly lower than those in the control group(P<0.05). After treatment, the contents of PPARr, ROS, and MDA in the experimental group were significantly lower than those in the control group(P<0.05); the contents of GPx and T-AOC in the experimental group were significantly higher than those in the control group(P<0.05). The incidences of symptoms, restricted mouth openings, edema, and infection of the experimental group were significantly lower than those in the control group (P<0.05). CONCLUSIONS: Minimally invasive tooth extraction has significant advantages in the extraction of impacted wisdom teeth. It can shorten operation time, help reduce the pain of patients, reduce inflammatory stress response, postoperative response is milder, and postoperative complications were reduced.

Key words: Minimally invasive extraction, Traditional extraction, Impacted wisdom teeth extraction, Pain score, Stress response, Complications

CLC Number:

R782.1

CHANG Zhong-fu, LU Li-quan, JIANG Dan-dan, ZHANG Zhi-rong, CAI Jian-ying, ZHANG Li-hua. Minimally invasive tooth extraction of impacted wisdom teeth and its impact on VAS score and stress response[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(3): 260-263.

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