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[新潟大学齿科病院小児歯科外来における1979年から1989年までの歯科外科の临床統計的観察]

[Clinico-statistical observation of the dental surgery in the pedodontics clinic of Niigata University Dental Hospital during the period from 1979 to 1989].

作者信息

Moizumi K, Matsuyama J, Tomizawa M, Noda T

机构信息

Department of Pedodontics, School of Dentistry, Niigata University.

出版信息

Shoni Shikagaku Zasshi. 1990;28(3):770-8.

PMID:2151964
Abstract

Clinico-statistical observation was performed on the dental surgery in the Pedodontic Clinic of Niigata University Dental Hospital during the period from August 1979 to September 1989. 1. The number of surgical operations amounted to 656 cases (males 384 and female 272) and the highest age incidence was in the 6-8 year old range. 2. The incidence of the impacted teeth (62.8%) and the abnormality of the frenum (22.8%) occupied over 85% of all the cases. 3. Based on sex, the impacted supernumerary teeth and the abnormality of the buccal frenum, odotoma were more frequent in males, while the abnormality of the upper frenum and the mucous cysts were more frequent in females. 4. About 40% of the operative patients accepted were introduced from other medical institutions. 5. Regarding the methods of surgery, the impacted permanent teeth were frequent revealed by surgical exposure, while the diseases of salivary glands were revealed by extirpation. The benign tumors were removed by extirpation, the diseases of soft tissues by excision, cysts in the jaws were all surgically removed by marsupialization. 6. In regard to the age at the time of the operation, the abnormal frenum were often seen under 4 years of age but large increases were found in the impacted teeth from 4 to 8 years of age. The diseases of salivary glands and of soft tissues were seen more frequently under 10 years of age, and cysts in the jaws were noted after 7 years of age. 7. Children undergoing surgery who suffered from general diseases amounted to 31 cases and were found most commonly in cases of nervous mental diseases.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

1979年8月至1989年9月期间,对新潟大学齿科医院儿童齿科诊所的牙科手术进行了临床统计学观察。1. 手术操作数量达656例(男性384例,女性272例),最高发病年龄在6 - 8岁年龄段。2. 阻生牙发病率(62.8%)和系带异常(22.8%)占所有病例的85%以上。3. 按性别划分,男性阻生多生牙、颊系带异常、牙瘤更为常见,而女性上唇系带异常和黏液囊肿更为常见。4. 约40%的接受手术患者是由其他医疗机构转诊而来。5. 关于手术方法,阻生恒牙常通过手术暴露,而唾液腺疾病通过摘除术暴露,良性肿瘤通过摘除术切除,软组织疾病通过切除术切除,颌骨囊肿均通过袋形术手术切除。6. 关于手术时的年龄,异常系带常在4岁以下出现,但阻生牙在4至8岁有大幅增加。唾液腺和软组织疾病在10岁以下更为常见,颌骨囊肿在7岁以后出现。7. 接受手术的患有全身性疾病的儿童有31例,最常见于神经精神疾病病例。(摘要截短至250字)

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