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[下颌第三磨牙手术后的具体全景放射学征象及其与下牙槽神经损伤的关系]

[The specific panoramic radiographic signs and their relation with inferior alveolar nerve injuries after mandibular third molar surgery].

作者信息

Szalma József, Lempel Edina, Csuta Tamás, Vajta László, Jeges Sára, Olasz Lajos

机构信息

Pécs Tudományegyetem Altalános Orvostudományi es Egészségtudományi Centrum Altalános Orvostudományi Kar Fogászati es Szájsebészeti Klinikája, Arc-, AlIcsont- es Szájsebészeti Tanszék.

出版信息

Fogorv Sz. 2011 Mar;104(1):27-32.

Abstract

The aim of the authors was to describe the classic specific panoramic signs (indicating a close spatial relationship between dental canal and third molar's root) on panoramic radiographic images and determine their role in the risk assessment, predicting inferior alveolar nerve (IAN) paresthesia after lower third molar removal. The authors represented an informative case, where the IAN was visible during the surgery. The exact knowledge of classic panoramic radiographic signs should help the determination of "high risk" cases predicting IAN paresthesia after mandibular third molar removal. The authors keep panoramic radiography rather a routine than the most superior diagnostic tool in third molar surgery.

摘要

作者的目的是描述全景放射影像上的典型特定征象(表明牙根管与第三磨牙牙根之间存在紧密的空间关系),并确定它们在风险评估中的作用,预测下颌第三磨牙拔除后下牙槽神经(IAN)感觉异常。作者展示了一个信息丰富的病例,术中IAN清晰可见。准确了解经典的全景放射影像征象应有助于确定下颌第三磨牙拔除后预测IAN感觉异常的“高风险”病例。作者认为在第三磨牙手术中,全景放射摄影更多的是一种常规检查,而非最优质的诊断工具。

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