Clinical efficacy of minimally invasive ultrasonic bone surgery for extraction of supernumerary teeth in the maxillary anterior region of children

doi:10.12439/kqhm.1005-4979.2026.01.007

Abstract

Key words: ultrasonic bone surgery, children, maxilla, anterior region, supernumerary teeth

TANG Zhaolong, CHEN Hui, ZHANG Tiecheng, LIU Guicai. Clinical efficacy of minimally invasive ultrasonic bone surgery for extraction of supernumerary teeth in the maxillary anterior region of children[J]. 《Journal of Oral and Maxillofacial Surgery》, 2026, 36(1): 49-53.

唐曌隆, 陈辉, 张铁成, 刘桂才. 超声骨刀微创技术拔除儿童上颌前牙区多生牙的临床应用效果[J]. 《口腔颌面外科杂志》, 2026, 36(1): 49-53.

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URL: https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2026.01.007

https://journal06.magtech.org.cn/Jweb_joms/EN/Y2026/V36/I1/49

Figures/Tables 6

References 18

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指标	超声骨刀组(n=64)	传统组(n=64)	t/χ²值	P值
性别			0.815	0.367
男	41(64.06)	36(56.25)
女	23(35.94)	28(43.75)
年龄/岁	10.31±3.45	1.08±3.76	1.207	0.230
体质量/kg	35.82±6.65	37.41±6.86	1.331	0.185
多生牙数量/颗			1.081	0.583
1	33(51.56)	31(48.44)
2	28(43.75)	27(42.19)
3	3(4.69)	6(9.37)
埋伏位置			0.802	0.670
牙弓基骨	23(35.94)	19(29.69)
腭侧	32(50.00)	37(57.81)
唇侧	9(14.06)	8(12.50)
多生牙形态			0.533	0.465
结节形	26(40.63)	22(34.38)
锥形	38(59.37)	42(65.63)
麻醉方式			0.193	0.660
全身麻醉	12(18.75)	14(21.88)
局部麻醉	52(81.25)	50(78.12)

指标	超声骨刀组(n=64)	传统组(n=64)	t/χ²值	P值
性别			0.815	0.367
男	41(64.06)	36(56.25)
女	23(35.94)	28(43.75)
年龄/岁	10.31±3.45	1.08±3.76	1.207	0.230
体质量/kg	35.82±6.65	37.41±6.86	1.331	0.185
多生牙数量/颗			1.081	0.583
1	33(51.56)	31(48.44)
2	28(43.75)	27(42.19)
3	3(4.69)	6(9.37)
埋伏位置			0.802	0.670
牙弓基骨	23(35.94)	19(29.69)
腭侧	32(50.00)	37(57.81)
唇侧	9(14.06)	8(12.50)
多生牙形态			0.533	0.465
结节形	26(40.63)	22(34.38)
锥形	38(59.37)	42(65.63)
麻醉方式			0.193	0.660
全身麻醉	12(18.75)	14(21.88)
局部麻醉	52(81.25)	50(78.12)

组别	手术成功率/%	手术时间/min
超声骨刀组(n=64)	64(100)	24.23±6.88^①
传统组(n=64)	64(100)	33.41±7.67
χ²/t值	0	7.128
P值	1.000	<0.001

组别	手术成功率/%	手术时间/min
超声骨刀组(n=64)	64(100)	24.23±6.88^①
传统组(n=64)	64(100)	33.41±7.67
χ²/t值	0	7.128
P值	1.000	<0.001

时间	组别	无痛	轻度疼痛	中度疼痛	重度疼痛	Z值	P值
术后1 d	超声骨刀组	0	23(35.94)^①	33(51.56)^①	8(12.50)^①	7.085	0.029
	传统组	0	15(23.44)	29(45.31)	20(31.25)
术后3 d	超声骨刀组	10(15.63)	28(43.75)^①	25(39.06)^①	1(1.56)^①	12.996	0.011
	传统组	3(4.69)	19(29.69)	33(51.56)	9(14.06)

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Clinical efficacy of minimally invasive ultrasonic bone surgery for extraction of supernumerary teeth in the maxillary anterior region of children

超声骨刀微创技术拔除儿童上颌前牙区多生牙的临床应用效果

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组别	例数	PGE₂/(pg·mg^-1)		MPO/(IU·mg^-1)		PTX3/(μg·L^-1)
组别	例数	术前	术后3 d	术前	术后3 d	术前	术后3 d
超声骨刀组	64	90.27±21.38	112.62±26.14^①	1.31±0.40	2.34±0.78^①	1.14±0.42	2.48±0.83^①
传统组	64	83.49±18.77	145.37±29.85^①②	1.19±0.36	3.04±0.92^①②	1.01±0.38	3.42±0.94^①②
t值		1.906	6.603	1.784	4.643	1.836	5.997
P值		0.059	<0.001	0.077	<0.001	0.069	<0.001

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组别	例数	GPX/(U·L^-1)		PPARγ/(ng·mL^-1)
组别	例数	术前	术后3 d	术前	术后3 d
超声骨刀组	64	24.68±3.49	19.22±2.63^①	1.52±0.23	2.06±0.27^①
传统组	64	25.41±3.78	12.87±1.75^①②	1.46±0.21	3.31±0.34^①②
t值		1.135	16.081	1.541	23.033
P值		0.258	<0.001	0.126	<0.001

组别	例数	GPX/(U·L^-1)		PPARγ/(ng·mL^-1)
组别	例数	术前	术后3 d	术前	术后3 d
超声骨刀组	64	24.68±3.49	19.22±2.63^①	1.52±0.23	2.06±0.27^①
传统组	64	25.41±3.78	12.87±1.75^①②	1.46±0.21	3.31±0.34^①②
t值		1.135	16.081	1.541	23.033
P值		0.258	<0.001	0.126	<0.001

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Clinical efficacy of minimally invasive ultrasonic bone surgery for extraction of supernumerary teeth in the maxillary anterior region of children

超声骨刀微创技术拔除儿童上颌前牙区多生牙的临床应用效果

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