@article{LIU2018, 
author = {Jun-ping LIU and Jin-hua WU and Jing-ju HUANG},
title = {Application of T-shaped splitting method in the extraction of lower-level horizontal-impacted mandibular third molars},
year = {2018},
journal = {Journal of Prevention and Treatment for Stomatological Diseases},
volume = {26},
number = {7},
pages = {468-471},
keywords = {Impacted tooth, T-shaped splitting, Adjacent teeth, Postoperative reaction, high speed turbine drill},
url = {https://www.sciopen.com/article/10.12016/j.issn.2096-1456.2018.05.012},
doi = {10.12016/j.issn.2096-1456.2018.05.012},
abstract = {ObjectiveThe present study evaluated postoperative reactions in adjacent teeth after the extraction of lower-level horizontal-impacted mandibular third molars using a T-shaped splitting method.MethodsA total of 101 patients with lower-level horizontal impaction of mandibular third molars were selected and randomly divided into two groups. The impacted mandibular third molar was extracted using a T-shaped splitting method in group A (56 cases)，and the traditional two-section method was used in group B (45 cases)。Postoperative reactions，including temperature sensitivity，percussion pain and mobility in the adjacent teeth，were compared between the 2 groups at 1-week，2-week，and 1-month follow-up visits. The SPSS 13.0 software package was used for the statistical analysis.ResultsThe postoperative reactions of temperature sensitivity (χ1w2= 11.81，χ2w2 = 17.43，P &lt; 0.05)，percussion pain (χ1w2 = 8.70，χ2w2 = 4.75，P &lt; 0.05)and mobility (χ1w2 = 4.50，χ2w2 = 7.10，P &lt; 0.05)in adjacent teeth in group A were significantly less than those in group B at the 1-week and 2-week follow-up visits. The temperature sensitivity in adjacent teeth in group A was significantly less than that in group B at the 1-month follow-up visit (χ2 = 7.10，P &lt; 0.05)，but percussion pain and mobility in adjacent teeth disappeared in both groups.ConclusionThe T-shaped splitting method for the extraction of mandibular lower-level horizontal impacted third molars can reduce the postoperative reactions in adjacent teeth.}
}