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计算机辅助导航在意外移位第三磨牙拔除中的应用。

Use of Computer-Assisted Navigation in the Retrieval of Accidentally Displaced Third Molars.

作者信息

Guo Yi, Xu Dong-Dong, Lv Kun, Wan Qi-Long, Li Zu-Bing, Li Zhi

机构信息

Resident, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, and the Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China.

Attending Physician, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and the Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, and the Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China.

出版信息

J Oral Maxillofac Surg. 2016 May;74(5):889-94. doi: 10.1016/j.joms.2015.12.015. Epub 2016 Jan 7.

DOI:10.1016/j.joms.2015.12.015
PMID:26850875
Abstract

PURPOSE

The purpose of this study was to describe the application of computer-assisted navigation for the retrieval of accidentally displaced mandibular third molars.

PATIENTS AND METHODS

All patients identified as having an accidentally displaced mandibular third molar or root fragment and presented to the authors' department from April 2013 through June 2015 were included in this prospective study. Retrieval of the displaced molar was performed in these patients under the guidance of computer-assisted navigation, in which a registered forceps was used to clamp and retrieve the molar. Postoperative complications were assessed for all patients.

RESULTS

Twelve patients were included in this case series. Using computer-assisted navigation, the operation proceeded successfully in all patients. These patients displayed uneventful healing without postoperative complications.

CONCLUSION

Computer-assisted navigation is a safe, straightforward, and minimally invasive treatment method that can be applied for the retrieval of accidentally displaced third molars. It is recommended as an intraoperative tool for the retrieval of teeth or tooth fragments displaced into areas that are difficult to access.

摘要

目的

本研究的目的是描述计算机辅助导航在下颌第三磨牙意外移位取出术中的应用。

患者与方法

纳入2013年4月至2015年6月期间到作者所在科室就诊、被确定有下颌第三磨牙或牙根碎片意外移位的所有患者进行这项前瞻性研究。在计算机辅助导航引导下对这些患者进行移位磨牙的取出,使用配准的钳子夹住并取出磨牙。对所有患者评估术后并发症。

结果

本病例系列纳入了12例患者。使用计算机辅助导航,所有患者手术均顺利进行。这些患者愈合良好,无术后并发症。

结论

计算机辅助导航是一种安全、直接且微创的治疗方法,可用于取出意外移位的第三磨牙。推荐将其作为一种术中工具,用于取出移位到难以到达区域的牙齿或牙碎片。

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