中老年患者的第三磨牙拔除术
Third molar extraction in middle-aged and elderly patient.
作者信息
Kim Jae-Young
机构信息
Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.
出版信息
J Korean Assoc Oral Maxillofac Surg. 2021 Oct 31;47(5):407-408. doi: 10.5125/jkaoms.2021.47.5.407.
Abstract
Extraction of impacted third molars is a routine procedure performed by oral and maxillofacial surgeons. However, extractions in middle-aged or elderly individuals are not easy, and there are several factors that need to be considered. These factors include decreased healing potential and the risk of complications increasing with age. In addition, third molars can often be fully or deeply impacted in middle-aged individuals, and pathologic changes, such as cysts, caries, or periodontitis of the adjacent second molar, can develop. Furthermore, the rate of ankylosis and systemic disease increases after middle age. It is considered that these factors acting alone or in combination increase the difficulty of extraction.
摘要
拔除阻生第三磨牙是口腔颌面外科医生进行的常规手术。然而，在中年或老年患者中拔牙并不容易，有几个因素需要考虑。这些因素包括愈合潜力下降以及并发症风险随年龄增加。此外，第三磨牙在中年个体中常常完全或深度阻生，并且相邻第二磨牙可能会出现囊肿、龋齿或牙周炎等病理变化。此外，中年后牙齿 ankylosis 和全身疾病的发生率会增加。据认为，这些因素单独或共同作用会增加拔牙的难度。 （注：ankylosis 可能是“牙根粘连”等类似医学术语，这里直接保留英文未翻译，因为不太明确准确的中文术语，需结合更专业背景确定）
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