摘要
下颌骨埋伏第三磨牙是指完全埋伏于骨组织中且无法正常萌出的下颌第三磨牙,下颌骨埋伏第三磨牙通常造成远中深牙周袋、感染、远中骨丧失、邻牙牙根外吸收、骨髓炎和囊肿等一系列并发症的发生。因此,有专家建议尽早拔除这类下颌第三磨牙。目前,拔除下颌骨埋伏第三磨牙手术难度高,风险大,并发症发生率高,术后骨愈合效果欠佳,甚者加重一些并发症的程度。有学者不断研究更微创化的拔除方式,更好的引导骨组织的愈合,提出了改良的翻瓣方式、开窗方式、取骨和分牙方式等。本文以拔除下颌骨埋伏第三磨牙为例,对一些改良的拔牙方法进行了总结并撰写了一篇综述,为临床工作提供参考依据。
Mandibular impacted third molars refer to the mandibular third molars that are completely embedded in bone tissue and cannot erupt normally. Mandibular impacted third molars usually cause a series of complications such as distal deep periodontal pocket, infection, distal bone loss, extraradicular absorption of adjacent teeth, osteomyelitis and cyst. Therefore, some experts suggest that such mandibular third molars should be removed as soon as possible. At present, the extraction of mandibular impacted third molars is difficult, risky, and has a high incidence of complications. The postoperative bone healing effect is not good, and even aggravates the degree of some complications. Some scholars continue to study more minimally invasive extraction methods to better guide the healing of bone tissue, and put forward improved flap methods, windowing methods, bone removal and tooth separation methods. Taking the extraction of impacted mandibular third molars as an example, this paper summarizes a series of improved extraction methods and writes a review to provide reference for clinical work.
出处
《临床医学进展》
2024年第4期463-470,共8页
Advances in Clinical Medicine
