Sencimen Metin, Varol Altan, Gülses Aydin, Altug Hasan Ayberk
Department of Oral and Maxillofacial Surgery, Gulhane Medical Academy, Ankara, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Nov;108(5):e36-8. doi: 10.1016/j.tripleo.2009.07.003.
Extraction of deeply impacted wisdom molars from the lower jaw with the bone osteotomy may necessitate removal of extra bone and complicate the procedure with damage to the inferior alveolar nerve and iatrogenic fractures of the mandible. In such cases, the sagittal split osteotomy offers excellent exposure to the operative field and minimizes bone loss at the mandibular ramus. The presented case includes removal of a deeply impacted lower third molar presenting mild infection from the mid-ramus using the sagittal split of the mandible. The sagittal split osteotomy, which appears to be a reliable technique, should be the method of preference when lower molars are deeply positioned between buccal and lingual cortices.
采用骨切开术从下颌骨拔除深度埋伏的智齿可能需要去除额外的骨质，并且会因损伤下牙槽神经和下颌骨医源性骨折而使手术复杂化。在这种情况下，矢状劈开截骨术能很好地暴露手术视野，并使下颌升支的骨质损失最小化。本病例包括使用下颌骨矢状劈开术拔除一颗位于升支中部、伴有轻度感染的深度埋伏的下颌第三磨牙。矢状劈开截骨术似乎是一种可靠的技术，当下颌磨牙深深位于颊侧和舌侧皮质之间时，应作为首选方法。
