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下颌阻生第三磨牙牙根致神经血管束受压——病例报告

Entrapment of the neurovascular bundle by the roots of an impacted mandibular third molar--a case report.

作者信息

Mishra Y C

出版信息

Br J Oral Maxillofac Surg. 1987 Jun;25(3):261-4. doi: 10.1016/s0266-4356(87)80028-1.

DOI:10.1016/s0266-4356(87)80028-1
PMID:3474025
Abstract

Neuralgia due to pressure on the inferior alveolar nerve by an impacted third molar is not uncommon but the entrapment of the nerve within the substance of the tooth is rare. When such a case is encountered, the removal of the tooth is indicated to relieve pain. The removal of the tooth usually results in a degree of impairment of sensation in the area supplied by the nerve, for a period of time. However, if care is taken to preserve the nerve during surgery, the period of impaired sensation can be shortened. An impacted tooth involving the inferior alveolar nerve but not producing symptoms should not be removed.

摘要

阻生第三磨牙压迫下牙槽神经导致的神经痛并不少见,但神经被包埋在牙齿内部的情况却很罕见。当遇到这种情况时,应拔除患牙以缓解疼痛。拔除患牙通常会在一段时间内导致神经所支配区域的感觉一定程度受损。然而,如果在手术过程中小心保护神经,感觉受损的时间可以缩短。涉及下牙槽神经但未产生症状的阻生牙不应拔除。

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引用本文的文献

1
Stepwise multi-stage resection technique for surgical extraction of a partially erupted mandibular third molar with inferior alveolar nerve entrapment: a case report.用于手术拔除伴有下牙槽神经卡压的部分萌出下颌第三磨牙的逐步多阶段切除技术:一例报告
Front Oral Health. 2024 Dec 2;5:1509998. doi: 10.3389/froh.2024.1509998. eCollection 2024.