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下颌第三磨牙手术的当前思路。

Current thinking in lower third molar surgery.

作者信息

Steel Ben J, Surendran Krisna S B, Braithwaite Christopher, Mehta Darpan, Keith David J W

机构信息

Oral and Maxillofacial Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK.

Oral and Maxillofacial Surgery, Sunderland Royal Hospital, Kayll Road, Sunderland SR4 7TP, UK.

出版信息

Br J Oral Maxillofac Surg. 2022 Apr;60(3):257-265. doi: 10.1016/j.bjoms.2021.06.016. Epub 2021 Jul 30.

Abstract

The removal of lower third molar teeth is one of the most common surgical procedures performed worldwide, but many concepts in this surgery have been unclear and have engendered different opinions. This paper aims to review current thinking in certain pertinent aspects of this surgery to update the reader on the most current research and synthesise it to make clinical recommendations. Topics covered include preoperative imaging, timing of removal, flap design, lingual retraction, coronectomy, lingual split, closure techniques, and use of antibiotics, steroids, and drains.

摘要

下颌第三磨牙拔除术是全球范围内最常见的外科手术之一,但该手术中的许多概念一直不明确,引发了不同的观点。本文旨在回顾该手术某些相关方面的当前思路,向读者介绍最新研究情况并进行综合分析,以提出临床建议。涵盖的主题包括术前影像学检查、拔牙时机、瓣设计、舌侧牵拉、牙冠切除术、舌侧劈开、缝合技术以及抗生素、类固醇和引流管的使用。

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