Int J Stomatol

Inter J Stomatol ›› 2013, Vol. 40 ›› Issue (5): 577-579.doi: 10.7518/gjkq.2013.05.005

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Improved application of a 45° angle turbine drill in impacted wisdom tooth extraction

Cai Yongtao1,2, Luo Shunyun1, Li Xuyan2   

  1. 1. Dept. of Oral and Maxillofacial Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China; 2. Dept. of Stomatology, Maternal and Child Health Care Hospital in Beijing Pinggu District, Beijing 101200, China
  • Received:2013-02-15 Revised:2013-04-26 Online:2013-09-01 Published:2013-09-01

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Abstract:

Objective To compare the effect of traditional turbine drilling applications and submersible drilling conjunction with triangular gingival cutting in complex wisdom tooth extraction. Methods Sixty-four cases of lower impacted wisdom teeth were randomly divided into two groups of 32: Experimental and control. The traditional turbine drill extraction method was used in the control group, whereas submersible drilling conjunction with triangular gingival cutting was employed in the experimental group. Surgical time and postoperative complications were recorded for statistical analysis. Results The average operative times for the experimental and control groups were 26.1 and 36.3 min, respectively. A significant difference in the time of surgery, postoperative pain, postoperative swelling, and trismus was found between the experimental and control groups(P<0.05). Results showed that the experimental group had better outcome than the control group. Conversely, no significant difference in postoperative gum bleeding and tearing was found between the two groups(P>0.05). Conclusion Submersible drilling conjunction with triangular gingival cutting is an effective method of complex impacted wisdom tooth extraction because it can shorten the operation time, lessen postoperative pain and swelling, and limit mouth opening.

Key words: impacted wisdom teeth, high-speed turbine drill, extraction, submersible drilling, triangular gingival cutting


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