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与第三磨牙拔除相关的医源性下颌骨骨折。能否预防?

Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented?

作者信息

Woldenberg Yitzhak, Gatot Inbar, Bodner Lipa

机构信息

Department of Oral and Maxillofacial Surgery, Soroka Univesity Medical Center and Ben Gurion University of the Negev, Beer-Sheva , Israel.

出版信息

Med Oral Patol Oral Cir Bucal. 2007 Jan 1;12(1):E70-2.

Abstract

Removal of third molars is the most common procedure in oral surgery. It may be associated with complications, such as sensory damage , dry socket, infection and iatrogenic damage. A case of mandibular angle fracture during third molar extraction in a 37-year-old female is reported. Literature review on the possible etiologies and ways of prevention were recorded. The reason is believed to be multifactorial and include: age, gender, degree of impaction, relative volume of the tooth in the jaw, preexisting infection or bone lesions, failure to maintain a soft diet in the early postoperative period and the surgical technique. It is possible to reduce the risk of this complication by adoption of preventive measures.

摘要

拔除第三磨牙是口腔外科最常见的手术。它可能会引发一些并发症,如感觉损伤、干槽症、感染和医源性损伤。本文报告了一例37岁女性在拔除第三磨牙过程中发生下颌角骨折的病例。同时记录了关于可能病因及预防方法的文献综述。其原因被认为是多因素的,包括:年龄、性别、阻生程度、牙齿在颌骨中的相对体积、既往感染或骨病变、术后早期未能保持软食以及手术技术。采取预防措施有可能降低这种并发症的风险。

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