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因下颌第二磨牙阻生导致下牙槽神经受压继发的异常面部疼痛。

Unusual facial pain secondary to inferior alveolar nerve compression caused by impacted mandibular second molar.

作者信息

Sharma Urvashi, Narain Satya

机构信息

Department of Pedodontics, Dr. HSJ Institute of Dental Sciences and Hospital, Panjab University, Chandigarh, India.

出版信息

J Indian Soc Pedod Prev Dent. 2014 Apr-Jun;32(2):164-7. doi: 10.4103/0970-4388.130985.

DOI:10.4103/0970-4388.130985
PMID:24739919
Abstract

Symptoms of inferior alveolar nerve (IAN) compression are reported during endodontic procedures, placement of implants, third molar surgeries, inferior alveolar nerve block injections, trauma, orthognathic injuries, ablative surgeries or use of medicaments. Presented is a rare case of a 15-year-old girl who reported severe pain in relation to an impacted permanent mandibular left second molar, the roots of which had entrapped the mandibular canal causing compression of IAN. Timely surgical intervention and sectional removal of the impacted molar is indicated to relieve the symptoms and avoid permanent damage to the nerve.

摘要

在下颌骨牙髓治疗、种植牙植入、第三磨牙手术、下牙槽神经阻滞注射、外伤、正颌损伤、消融手术或药物使用过程中,均有下牙槽神经(IAN)受压症状的报道。本文介绍了一例罕见病例,一名15岁女孩因左下颌第二恒磨牙阻生,牙根包绕下颌管导致IAN受压,出现严重疼痛。建议及时进行手术干预,分段拔除阻生磨牙,以缓解症状,避免神经永久性损伤。

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引用本文的文献

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Stepwise multi-stage resection technique for surgical extraction of a partially erupted mandibular third molar with inferior alveolar nerve entrapment: a case report.用于手术拔除伴有下牙槽神经卡压的部分萌出下颌第三磨牙的逐步多阶段切除技术:一例报告
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