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上颌第三磨牙移位至上颌窦后的延迟拔除

Delayed removal of maxillary third molar displaced into the maxillary sinus.

作者信息

Primo Bruno Tochetto, Stringhini Diego José, da Costa Delson João, Rebellato Nelson Luiz Barbosa, Scariot Rafaela

机构信息

Department of Oral and Maxillofacial Surgery at Federal University of Paraná, UFPR, Hospital XV - Serviço Buco-Maxilo-Facial, Rua XV de Novembro, 2223 CEP 80045-125, Curitiba, Paraná, Brazil.

出版信息

Stomatologija. 2016;18(4):128-132.

Abstract

INTRODUCTION

The present article reports the late removal of a wisdom tooth displaced into the maxillary sinus associated with the curettage of the adjacent infection tissue, under general anesthesia.

CASE DESCRIPTION

A male patient, 42 years-old, was forwarded to remove a right wisdom tooth which was displaced into the right maxillary sinus for 10 months. The patient reported that the tooth was tried to be removed using odontosection in two moments without any success. Since then, the patient has been having (applicants) episodes of sinusitis. It had been planned to remove the tooth and the cleaning of the right maxillary sinus. The surgical procedure was done through the Caldwell-Luc access, followed by the removal of the dental fragments which were into the maxillary sinus and curettage of the cavity in order to remove the granulation tissue, associated to copious irrigation.

CONCLUSION

The surgical removal of the tooth displaced into the maxillary sinus associated with the sinus curettage was successfully achieved, solving the patient complaints.

摘要

引言

本文报道了在全身麻醉下,将移位至上颌窦的智齿与相邻感染组织的刮除术一并延迟拔除的病例。

病例描述

一名42岁男性患者因拔除移位至右上颌窦10个月的右下智齿前来就诊。患者报告称曾两次尝试采用牙部分切除术拔牙,但均未成功。此后,患者反复出现鼻窦炎发作。计划拔除患牙并清理右上颌窦。手术通过柯-陆氏进路进行,随后取出上颌窦内的牙碎片,并刮除窦腔以清除肉芽组织,同时进行大量冲洗。

结论

成功实施了将移位至上颌窦的牙齿与上颌窦刮除术一并切除的手术,解决了患者的问题。

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