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下颌第三磨牙医源性移位至翼下颌间隙的处理

Management of iatrogenic dislodgment of a mandibular third molar into the pterygomandibular space.

作者信息

Shetty Vikram, Hegde Padmaraj, Jain Sandesh

出版信息

Gen Dent. 2019 May-Jun;67(3):e1-e4.

Abstract

Although the surgical extraction of the mandibular third molar is routinely performed in dental clinics, the precise management of complications associated with it requires thorough knowledge and experience in the field of oral and maxillofacial surgery. Iatrogenic dislodgment of a tooth or its fragment is a rare complication and usually occurs when excessive, uncontrolled forces are applied via elevators. It also is possible that this rare complication may be underreported. This case report describes the retrieval, under local anesthesia, of a mandibular left third molar crown from the posterosuperior region of the pterygomandibular space after iatrogenic dislodgment.

摘要

尽管下颌第三磨牙的外科拔除在牙科诊所是常规操作,但对与之相关并发症的精确处理需要口腔颌面外科领域的全面知识和经验。牙齿或其碎片的医源性移位是一种罕见的并发症,通常发生在通过牙挺施加过度、不受控制的力量时。这种罕见的并发症也有可能报告不足。本病例报告描述了在局部麻醉下,从翼下颌间隙后上部取出医源性移位后的下颌左侧第三磨牙牙冠的过程。

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