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下颌第三磨牙去冠术:一种避免下牙槽神经损伤的临床方案。

Coronectomy of mandibular third molars: A clinical protocol to avoid inferior alveolar nerve injury.

作者信息

Monaco Giuseppe, Vignudelli Elisabetta, Diazzi Michele, Marchetti Claudio, Corinaldesi Giuseppe

机构信息

Department of Oral and Maxillofacial Surgery (Head: Prof. C. Marchetti), University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.

Department of Oral and Maxillofacial Surgery (Head: Prof. C. Marchetti), University of Bologna, Via San Vitale 59, 40125, Bologna, Italy.

出版信息

J Craniomaxillofac Surg. 2015 Oct;43(8):1694-9. doi: 10.1016/j.jcms.2015.07.006. Epub 2015 Jul 29.

Abstract

Coronectomy is a surgical procedure for the treatment of mandibular third molars in close proximity to the mandibular canal. Unfortunately, often the surgical protocol is not described step by step and it is difficult for the clinician to assess the key factors that are important for the success of this procedure. The aim of this paper is to propose and describe a standardized surgical protocol to improve the success of the technique. The treatment approach, for the most common types of third molars impaction is analysed. Each step of the surgical procedure is described in details and a new type of crown section is proposed. The presented protocol is proposed in order to define a clinical practitioner's guide that could help the surgeon who approaches coronectomy for the first times.

摘要

冠切除术是一种用于治疗紧邻下颌管的下颌第三磨牙的外科手术。不幸的是,手术方案往往没有一步步地描述,临床医生很难评估对该手术成功至关重要的关键因素。本文的目的是提出并描述一种标准化的手术方案,以提高该技术的成功率。分析了最常见类型的第三磨牙阻生的治疗方法。详细描述了手术过程的每一步,并提出了一种新型的牙冠切除术。提出该方案是为了定义一份临床医生指南,以帮助首次进行冠切除术的外科医生。

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