SO SÁNH KẾT QUẢ PHẪU THUẬT RĂNG KHÔN HÀM DƯỚI BẰNG MÁY PHẪU THUẬT SIÊU ÂM VÀ PHƯƠNG PHÁP NHỔ RĂNG KINH ĐIỂN TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Objectives: This study aimed to compare the outcomes of lower wisdom tooth surgery classified as Parant II and III, using an ultrasonic surgery machine versus the traditional tooth extraction method at Military Hospital 103. Subjects and Methods: This descriptive study combined with a longitudinal follow-up and analysis involved 138 patients who underwent lower jaw wisdom tooth surgery classified as Parant II or III at the Department of Oral and Dental of Military Hospital 103 from September 2019 to May 2020. The patients were divided into two groups: normal extraction and mechanical extraction, with 69 patients in each group. Surgical time, pain, swelling, mouth opening, and complications were compared between the two groups. Results: The average surgical time for the machine-assisted group (40.80 ± 2.02 minutes) was longer than that for the traditional tooth extraction group (37.40 ± 2.13 minutes). Patients in the machine-assisted group experienced less pain than those in the traditional extraction group on the first and second days after surgery. Swelling was less pronounced, and mouth opening was better in the machine-assisted group compared to the non-assisted group on the 2nd and 7th days after surgery. Uncommon surgical complications (85.5%) included root fractures (5.8%), flap tears (5.1%), and alveolar fractures (2.2%). Conclusion: Surgery for lower jaw wisdom tooth extraction using an ultrasonic machine, despite a longer operation time, yielded superior results compared to conventional tooth extraction methods.