第三磨牙意外移位至舌下间隙：一例报告
Accidental displacement of third molar into the sublingual space: a case report.
作者信息
Silveira Rubens Jorge, Garcia Robson Rodrigues, Botelho Tessa Lucena, Franco Ademir, Silva Rhonan Ferreira
机构信息
Department of Maxillofacial Surgery, Paulista University Brazil.
Department of Radiology, Paulista University Brazil.
出版信息
J Oral Maxillofac Res. 2014 Oct 1;5(3):e5. doi: 10.5037/jomr.2014.5305. eCollection 2014 Jul.
BACKGROUND
Successful extraction of third molars depends on preoperative diagnosis and planning. Gold standard preoperative examinations are performed through computed tomography, decreasing risks and avoiding potential accidents. The present report highlights the value of preoperative examinations in face of accidentally displaced third molars.
METHODS
An 18-years-old female patient underwent a third mandibular molar extraction with a general dentist. Accidentally, the mandibular left third molar was displaced into the sublingual space, making necessary a second surgical step. The surgery was interrupted and the patient was referred to an expert in maxillofacial surgery.
RESULTS
After 21 days awaiting an asymptomatic health status, the second surgical step was successfully performed using multislice computed tomography as preoperative imaging guide.
CONCLUSIONS
The present case report highlights the clinical usefulness of imaging planning and informed consents in face of legal and ethic potential complaints.
背景
第三磨牙的成功拔除取决于术前诊断和规划。术前的金标准检查是通过计算机断层扫描进行，以降低风险并避免潜在事故。本报告强调了面对意外移位的第三磨牙时术前检查的价值。
方法
一名18岁女性患者由一名普通牙医进行下颌第三磨牙拔除术。意外的是，下颌左侧第三磨牙移位至舌下间隙，因此需要进行第二步手术。手术中断，患者被转诊至颌面外科专家处。
结果
在等待21天至无症状健康状态后，以多层计算机断层扫描作为术前影像引导，成功进行了第二步手术。
结论
本病例报告强调了面对潜在的法律和伦理投诉时，影像规划和知情同意书的临床实用性。
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