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移位至相邻间隙的上下磨牙的处理

Management of upper and lower molars that are displaced into the neighbouring spaces.

作者信息

Bozkurt P, Erdem E

机构信息

Ankara University, Faculty of Dentistry, Oral and Maxillofacial Surgery Department.

出版信息

Br J Oral Maxillofac Surg. 2017 Nov;55(9):e49-e52. doi: 10.1016/j.bjoms.2017.07.001. Epub 2017 Jul 21.

Abstract

Our aim was to describe our experience of retrieval of accidental displacements of upper and lower molars into neighbouring anatomical spaces. Thirteen patients were evaluated retrospectively in terms of age, sex, affected side, jaw (mandible or maxilla), surgeon's experience, whether the extracted teeth had erupted, which portion of the tooth or teeth was displaced, the anatomical space into which the fragment was displaced, postoperative complaints, timing of the retrieval, type of anaesthesia, and surgical approach. There were no significant differences in sex, affected side, which part of the tooth was displaced, whether the extracted teeth had erupted, type of anaesthesia, or timing of retrieval. We conclude that this condition should be treated, although follow-up alone may be an option. The intraoral lingual pouch approach for complications of mandibular third molars and the intraoral Caldwell-Luc operation for those in the maxilla could be successful options for retrieval.

摘要

我们的目的是描述我们在将上下磨牙意外移位至邻近解剖间隙后进行复位的经验。对13例患者进行了回顾性评估,内容包括年龄、性别、患侧、颌骨(下颌骨或上颌骨)、外科医生的经验、拔除的牙齿是否已萌出、移位牙齿的哪一部分、碎片移位至的解剖间隙、术后主诉、复位时间、麻醉类型和手术入路。在性别、患侧、牙齿移位的部位、拔除的牙齿是否已萌出、麻醉类型或复位时间方面,均无显著差异。我们得出结论,尽管仅进行随访可能也是一种选择,但这种情况仍应予以治疗。对于下颌第三磨牙并发症采用口内舌侧袋入路,对于上颌磨牙并发症采用口内考德威尔-卢氏手术可能是成功的复位选择。

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