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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.

DOI:10.1016/j.jcms.2015.07.006
PMID:26321069
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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Coronectomy of mandibular third molars: A clinical protocol to avoid inferior alveolar nerve injury.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。
J Craniomaxillofac Surg. 2015 Oct;43(8):1694-9. doi: 10.1016/j.jcms.2015.07.006. Epub 2015 Jul 29.
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引用本文的文献

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Re-Intervention Rate, Timing, and Indications Following Coronectomy of the Mandibular Third Molar: A Systematic Review of Systematic Reviews.下颌第三磨牙冠切除术的再次干预率、时机及指征:系统评价的系统综述
J Clin Med. 2025 May 30;14(11):3877. doi: 10.3390/jcm14113877.
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Coronectomy of mandibular third molars with dental pathology: a prospective cohort study of 121 molars.伴有牙体病变的下颌第三磨牙去冠术:一项对121颗磨牙的前瞻性队列研究
Oral Maxillofac Surg. 2025 Jan 24;29(1):44. doi: 10.1007/s10006-025-01340-8.
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Establishing universal sectioning depth and angle for surgical coronectomy of impacted mandibular third molars: an imaging-based study.
确定下颌阻生第三磨牙外科去冠术的通用切片深度和角度:一项基于影像学的研究
Front Oral Health. 2024 Sep 19;5:1466076. doi: 10.3389/froh.2024.1466076. eCollection 2024.
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Coronectomy of lower third molars in intimate relation to the inferior alveolar nerve: A report of two cases.与下牙槽神经关系密切的下颌第三磨牙冠切除术:两例报告
J Clin Exp Dent. 2024 Feb 1;16(2):e223-e228. doi: 10.4317/jced.60335. eCollection 2024 Feb.
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The effect of individual drilling sleeves on the precision of coronectomy tooth sections. An in vitro 3D-printed jaw model experiment.个体钻套对冠切除术牙段精度的影响。一项基于 3D 打印颌骨模型的体外实验。
Clin Oral Investig. 2023 Nov;27(11):6769-6780. doi: 10.1007/s00784-023-05289-4. Epub 2023 Oct 3.
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Early root migration after a mandibular third molar coronectomy.下颌第三磨牙冠切除术术后早期牙根迁移。
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