Miron Mariana I, Florea Ciprian T, Lungeanu Diana, Todea Carmen D
Department of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Interdisciplinary Research Center for Dental Medical Research, Lasers and Innovative Technologies, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.
Diagnostics (Basel). 2022 Aug 28;12(9):2082. doi: 10.3390/diagnostics12092082.
Included third molars in elderly patients are quite rare in dental practice, and therefore easily misdiagnosed, because these teeth are usually extracted in youth. Additional challenges to correctly diagnosing such a dental condition, and its associated complications, arise from frequent co-morbidities in elderly patients, and from difficult communication with the patient. We report a case of an 88-year-old female patient, who presented in the dental emergency room complaining of a discomfort caused by the sharp edges of her lower incisors, and requesting their extraction; the final diagnosis, of suppurated pericoronitis at tooth 48, was concluded based on the clinical elements and X-ray examination.
在牙科临床实践中，老年患者中包含的第三磨牙相当罕见，因此很容易被误诊，因为这些牙齿通常在年轻时就被拔除了。正确诊断这种牙齿状况及其相关并发症还面临其他挑战，这些挑战源于老年患者常见的合并症以及与患者沟通困难。我们报告了一例88岁女性患者的病例，该患者因下切牙尖锐边缘引起不适到牙科急诊室就诊，并要求拔除这些牙齿；根据临床症状和X线检查，最终诊断为48号牙化脓性冠周炎。
