Martin R, Louvrier A, Weber E, Chatelain B, Meyer C
Service de chirurgie maxillo-faciale, de stomatologie et d'odontologie hospitalière, hôpital Jean-Minjoz, centre hospitalier régional universitaire de Besançon, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France.
Service de chirurgie maxillo-faciale, de stomatologie et d'odontologie hospitalière, hôpital Jean-Minjoz, centre hospitalier régional universitaire de Besançon, 3, boulevard Alexandre-Fleming, 25030 Besançon cedex, France.
J Stomatol Oral Maxillofac Surg. 2017 Apr;118(2):78-83. doi: 10.1016/j.jormas.2016.10.006. Epub 2017 Mar 24.
Wisdom teeth extraction is a common procedure, generally considered as safe by patients. However, complications are possible, especially periodontal ones. The aim of this study was to evaluate the frequency and the consequences of periodontal complications at the level the 2nd molars after extraction of the wisdom teeth.
A single-center retrospective observational multi-operator study was conducted at the university hospital of Besançon - France. The files of all the adult patients who underwent extraction of four impacted wisdom teeth by mean of a standardized surgical technique between November 2012 and November 2014 and who could be followed 1 year postoperatively at least and that precisely mentioned the periodontal status of the surgical sites were included. Postoperative complications, gingival and plaque indexes according to Loë and Silness, periodontal attachment level and periodontal second molar probing were recorded. The main judgment criterion was the occurrence of a periodontal complication in the second molar areas.
The files of 20 patients (15 women - 5 men), operated on by five different surgeons, met the inclusion criteria. Two patients suffered from dry socket at one of the avulsion sites. No patient had a gingival or plaque index greater than 2. No gingival recession or periodontal pocket over 4mm was found.
Extraction of impacted third molars in young healthy adults didn't have any impact on the second molars periodontal environment in our study. Literature suggests that surgical technique greatly influences the occurrence and the extent of periodontal sequelae.
智齿拔除是一种常见的手术，患者通常认为其较为安全。然而，并发症仍有可能发生，尤其是牙周并发症。本研究的目的是评估智齿拔除后第二磨牙水平处牙周并发症的发生率及后果。
在法国贝桑松大学医院进行了一项单中心回顾性观察性多操作者研究。纳入了2012年11月至2014年11月期间采用标准化手术技术拔除四颗阻生智齿、术后至少能随访1年且准确提及手术部位牙周状况的所有成年患者的病历。记录术后并发症、根据洛埃和西尔斯的牙龈及菌斑指数、牙周附着水平以及第二磨牙牙周探诊情况。主要判断标准是第二磨牙区域是否发生牙周并发症。
由五位不同外科医生为20例患者（15名女性 - 5名男性）实施了手术，这些患者符合纳入标准。两名患者在其中一个拔牙部位发生了干槽症。没有患者的牙龈或菌斑指数大于2。未发现牙龈退缩或牙周袋超过4毫米的情况。
在我们的研究中，年轻健康成年人拔除阻生第三磨牙对第二磨牙的牙周环境没有任何影响。文献表明，手术技术对牙周后遗症的发生及程度有很大影响。
