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与阻生第三磨牙相关的囊肿和肿瘤:预防性拔除是否合理?

Cysts and tumors associated with impacted third molars: is prophylactic removal justified?

作者信息

Stathopoulos Panagiotis, Mezitis Michalis, Kappatos Constantinos, Titsinides Savas, Stylogianni Evaggelia

机构信息

Oral and Maxillofacial Department, General Hospital of Attica, Athens, Greece.

出版信息

J Oral Maxillofac Surg. 2011 Feb;69(2):405-8. doi: 10.1016/j.joms.2010.05.025. Epub 2010 Nov 2.

Abstract

PURPOSE

The aim of this retrospective analysis was to determine the frequency and type of cysts and tumors related to impacted third molars (ITMs) in Greek patients. Indications, complications, risks, and benefits of ITM removal are also discussed.

PATIENTS AND METHODS

Over a 12-year period, 7,782 third molars were removed in 6,182 patients.

RESULTS

Of the 417 specimens submitted for histopathologic examination, 167 cysts (40.04%) and 48 tumors (11.5%) were found.

CONCLUSION

Surgical removal of ITMs should only be performed in the presence of specific indications. Our study confirmed that the incidence of pathologic conditions related to ITMs is relatively low (2.77%).

摘要

目的

本回顾性分析的目的是确定希腊患者中与阻生第三磨牙(ITM)相关的囊肿和肿瘤的频率及类型。还讨论了ITM拔除的适应证、并发症、风险和益处。

患者与方法

在12年期间,6182例患者拔除了7782颗第三磨牙。

结果

在提交组织病理学检查的417份标本中,发现167例囊肿(40.04%)和48例肿瘤(11.5%)。

结论

ITM的手术拔除应仅在有特定适应证时进行。我们的研究证实与ITM相关的病理状况发生率相对较低(2.77%)。

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