Sağlam Ali Alp, Tüzüm M Senol
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.
Quintessence Int. 2003 Jan;34(1):53-9.
The aim of this research was to investigate the incidence of fully impacted teeth and their complications and to recommend suitable removal times for these teeth.
One thousand patients who were referred to the Oral Surgery Clinic, Faculty of Dentistry, at Atatürk University were intraorally examined, and fully impacted teeth were determined from radiographs. The locations of fully impacted teeth and the complications they caused were recorded. A total of 110 patients with fully impacted teeth were divided into three age groups: 16 to 19 years, 20 to 35 years, and older than 35 years.
The incidence of fully impacted teeth was found to be 11.00%. The maxillary left third molars in females and the mandibular left third molars in males were the most frequently impacted teeth. Complications, such as pain, cysts, resorption of the impacted or adjacent teeth, infection, crowding, and axial changes in the position of the adjacent teeth, were associated with 28.42% of impacted teeth. Impaction was most frequent in the 20- to 35-year-old group.
Extraction of fully impacted wisdom teeth before they cause complication is the ideal approach. However, in economically developing countries, such as Turkey, extraction of these teeth after complications occur is the most suitable approach because of restrictions in governmental budgets and the patients' poor socioeconomic conditions and fear of dentistry and oral
本研究旨在调查完全阻生牙的发生率及其并发症，并为这些牙齿推荐合适的拔除时机。
对转诊至阿塔图尔克大学牙科学院口腔外科诊所的1000名患者进行口腔检查，并通过X线片确定完全阻生牙。记录完全阻生牙的位置及其引起的并发症。将总共110名有完全阻生牙的患者分为三个年龄组：16至19岁、20至35岁和35岁以上。
发现完全阻生牙的发生率为11.00%。女性上颌左侧第三磨牙和男性下颌左侧第三磨牙是最常发生阻生的牙齿。疼痛、囊肿、阻生牙或相邻牙齿的吸收、感染、拥挤以及相邻牙齿位置的轴向改变等并发症与28.42%的阻生牙有关。阻生在20至35岁年龄组中最为常见。
在完全阻生智齿引起并发症之前将其拔除是理想的方法。然而，在土耳其等经济发展中国家，由于政府预算限制以及患者社会经济条件差和对牙科及口腔治疗的恐惧，在并发症发生后拔除这些牙齿是最合适的方法。
