青少年患者阻生牙的评估与处理。

Evaluation and Management of Impacted Teeth in the Adolescent Patient.

机构信息

Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, 180 Couch Rd., Suite 250, Pittsburgh, PA 15241, USA.

Department of Oral and Maxillofacial Surgery, Department of Dental Anesthesiology, University of Pittsburgh School of Dental Medicine, G32 Salk Hall, 3501 Terrace Street, Pittsburgh, PA 15261, USA.

出版信息

Dent Clin North Am. 2021 Oct;65(4):805-814. doi: 10.1016/j.cden.2021.07.003.

DOI:10.1016/j.cden.2021.07.003

PMID:34503668

Abstract

The most common oral and maxillofacial surgical procedure in adolescents is excision of impacted third molars. Adolescent patients should be evaluated for third molars starting around age 16 years unless symptomatic at an earlier age. The dental examination should include panorex imaging to assess development, pathologic condition, and possibility of eruption versus impaction. Various classification systems are available to identify the position and difficulty of the proposed surgical procedure. Retained impacted teeth increase the patient's risk of various morbidities including recurrent infection, damage to adjacent teeth, cysts and other lesions, and unexplained pain.

摘要

青少年最常见的口腔颌面外科手术是第三磨牙的拔除。除非在更早的年龄出现症状，否则应在 16 岁左右开始评估青少年患者的第三磨牙情况。口腔检查应包括全景成像，以评估发育、病理状况以及萌出与阻生的可能性。有多种分类系统可用于确定拟行手术的位置和难度。阻生的恒牙会增加患者发生各种疾病的风险，包括反复感染、邻牙受损、囊肿和其他病变以及不明原因的疼痛。