《Journal of Oral and Maxillofacial Surgery》 ›› 2012, Vol. 22 ›› Issue (2): 127-128. doi: 10.3969/j.issn.1005-4979.2012.02.015

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Metronidazole-Iodoform Gelatin Sponge in the Prevention of  Postexodontic Dry Socket

DUAN Hong-yan1, LU Wei2, GAO Yu-ping3, HU Tian-you1   

  1. 1. Department of Stomatology, Ruili Municipal Peoples’ Hospital, Ruili 678600; 2. Department of Stomatology, Yuxi Municipal Peoples’ Hospital, Yuxi 653100; 3. Department of Stomatology, Yuxi Municipal Hospital for Women and Children Health Care, Yuxi 653100,Yunnan Province, China
  • Online:2012-04-28 Published:2012-06-27

甲硝唑碘仿明胶海绵在预防干槽症中的临床应用

段红艳1, 鲁伟2, 高玉萍3, 胡天佑1   

  1. 1.云南省瑞丽市人民医院口腔科,云南 瑞丽 678600;2.云南省玉溪市人民医院口腔科,云南 玉溪 653100;
    3.云南省玉溪市妇幼保健院口腔科,云南 玉溪 653100
  • 通讯作者: 鲁伟,主任医师. E-mail: luwei1999@sina.com
  • 作者简介:段红艳(1966—),女,云南腾冲人,主治医师,大专. E-mail:duanhongyan_889@163.com

Abstract: Objective: To discuss the effects of metronidazole-iodoform gelatin sponge in the prevention of dry socket complications after complicated  tooth extraction. Methods: From January 2005 to January 2010, totally 2 000 teeth in 2 000 patients were extracted, in which1 650 teeth were impacted teeth, and 350 teeth were complicated teeth. They were divided into two groups randomly. Group A (n=1 000), metronidazole-iodoform gelatin sponge was packed in the extraction wound after extraction. Group B (n=1 000), extraction wounds merely filled with blood clots. All patients were followed-up by clinical examination or telephone inquiries at the 3rd, 7th and 14th  day postoperatively. Results: 7 cases of dry socket were found in group A (0.7%), while 80 cases of dry socket were detected in group B (8%), which showed significant difference (P<0.05).  Conclusion: Metronidazole-iodoform gelatin sponge may effectively reduce the incidence of dry socket complications.

Key words: metronidazole-iodoform, gelatin sponge, dry socket, prevention, extraction

摘要: 观察疑难牙拔除术后甲硝唑碘仿明胶海绵预防干槽症的临床疗效。方法: 以2005-01—2010-01到我院口腔门诊拔除下颌阻生齿、下后牙死髓折裂牙患者2 000例,共2 000颗牙为研究对象。其中下颌阻生齿1 650颗,下后牙死髓折裂牙350颗。随机分为2组:研究组(A)1 000例,拔牙后拔牙窝内放入甲硝唑碘仿明胶海绵;对照组(B)1 000例,拔牙后拔牙窝内不放置任何填塞物。术后第3天、第7天专人进行门诊或电话随访,2周后复诊拔牙窝愈合情况。结果: 研究组有7例发生干槽症,发生率为0.7%;对照组有80例发生干槽症,发生率为8%,差异有统计学意义(P<0.05)。结论: 甲硝唑碘仿明胶海绵用于疑难牙拔除术后预防干槽症的发生,有较好临床效果。

关键词: 甲硝唑碘仿, 明胶海绵, 干槽症, 预防, 拔牙

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