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年轻成年人第三磨牙的外科拔除:适应证及手术技术综述

Surgical removal of third molars in a young adult: review of indications and surgical techniques.

作者信息

Themkumkwun Sukkarn, Sawatdeenarunat Supasan, Manosuthi Pattamawan

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

出版信息

J Korean Assoc Oral Maxillofac Surg. 2023 Aug 31;49(4):184-191. doi: 10.5125/jkaoms.2023.49.4.184.

DOI:10.5125/jkaoms.2023.49.4.184
PMID:37641900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466014/
Abstract

Germectomy is a surgical method most typically performed in young adults. The indications for treatment are controversial. The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure. We reviewed the surgical techniques (anesthetic methods, patient preparation, and flap designs) and complications. Germectomy for orthodontic purposes is a common indication for surgical removal of tooth germ among young patients. Several studies have supported removal at an earlier age to produce fewer surgical complications. Several surgical techniques have been described in the literature.

摘要

牙胚切除术是一种最常用于年轻人的外科手术方法。治疗指征存在争议。本综述的目的是确定牙胚切除术的正确指征,并讨论该手术的优缺点。我们回顾了手术技术(麻醉方法、患者准备和皮瓣设计)及并发症。正畸目的的牙胚切除术是年轻患者中外科拔除牙胚的常见指征。多项研究支持在较早年龄进行拔除以减少手术并发症。文献中描述了几种手术技术。

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Surgical removal of third molars in a young adult: review of indications and surgical techniques.年轻成年人第三磨牙的外科拔除:适应证及手术技术综述
J Korean Assoc Oral Maxillofac Surg. 2023 Aug 31;49(4):184-191. doi: 10.5125/jkaoms.2023.49.4.184.
2
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Int J Surg Case Rep. 2024 Aug;121:110049. doi: 10.1016/j.ijscr.2024.110049. Epub 2024 Jul 17.
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How to Manage Impacted Third Molars: Germectomy or Delayed Removal? A Systematic Literature Review.如何处理阻生第三磨牙:预防性拔牙还是延迟拔牙?系统文献回顾。
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[Germectomy of the lower third molars. Follow up studies on 71 patients].[下颌第三磨牙切除术。对71例患者的随访研究]
Minerva Stomatol. 1995 Sep;44(9):403-10.
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BMC Oral Health. 2025 Jul 2;25(1):1073. doi: 10.1186/s12903-025-06520-2.
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Factors Influencing the Choice of Conservative and Surgical Procedures in Dental Patients from Poland: A Single-Center Retrospective Analysis.影响波兰牙科患者保守治疗和手术治疗选择的因素:单中心回顾性分析
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Impacted Mandibular Third Molars Close to the Inferior Alveolar Nerve (IAN) Coronectomy: A Surgical Approach with Minimal Risk of Nerve Injury.

本文引用的文献

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Demirjian and Cameriere methods for age estimation in a Spanish sample of 1386 living subjects.德米尔詹和卡梅里耶方法在西班牙 1386 名活体样本中的年龄估计。
Sci Rep. 2022 Feb 18;12(1):2838. doi: 10.1038/s41598-022-06917-x.
2
Clinical Indications to Germectomy in Pediatric Dentistry: A Systematic Review.儿牙 Germectomy 的临床适应证:系统评价。
Int J Environ Res Public Health. 2022 Jan 10;19(2):740. doi: 10.3390/ijerph19020740.
3
Delayed-onset infections after lower third molar surgery: a Hungarian case-control study.下颌第三磨牙手术后的迟发性感染:一项匈牙利病例对照研究。
靠近下牙槽神经(IAN)的阻生下颌第三磨牙冠切除术:一种神经损伤风险最小的手术方法。
J Maxillofac Oral Surg. 2024 Dec;23(6):1462-1469. doi: 10.1007/s12663-024-02303-4. Epub 2024 Aug 12.
4
Partial tooth formation diagnosed eight years after an extraction of the maxillary third molar germ in a complete crown formation stadium: A case report.上颌第三磨牙牙胚在完全冠形成期拔除八年后诊断出部分牙形成:一例报告。
Int J Surg Case Rep. 2024 Aug;121:110049. doi: 10.1016/j.ijscr.2024.110049. Epub 2024 Jul 17.
5
Impact of Pericoronary Microbiota Composition on Course of Recovery after Third Molar Alveotomy.第三磨牙牙槽骨切除术周围微生物群组成对恢复过程的影响
Life (Basel). 2024 Apr 30;14(5):580. doi: 10.3390/life14050580.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Dec;132(6):641-647. doi: 10.1016/j.oooo.2021.04.052. Epub 2021 Apr 30.
4
Incidence of alveolar osteitis after mandibular third molar surgery. Can inflammatory cytokines be identified locally?下颌第三磨牙手术后牙槽突炎的发生率。局部能否识别炎症细胞因子?
Acta Odontol Scand. 2021 Apr;79(3):205-211. doi: 10.1080/00016357.2020.1817546. Epub 2020 Sep 8.
5
How to Manage Impacted Third Molars: Germectomy or Delayed Removal? A Systematic Literature Review.如何处理阻生第三磨牙:预防性拔牙还是延迟拔牙?系统文献回顾。
Medicina (Kaunas). 2019 Mar 26;55(3):79. doi: 10.3390/medicina55030079.
6
Short-term cone-beam computed tomography evaluation of maxillary third molar changes after total arch distalization in adolescents.青少年上颌牙弓远移后,使用短期锥形束 CT 评估第三磨牙变化。
Am J Orthod Dentofacial Orthop. 2019 Feb;155(2):191-197. doi: 10.1016/j.ajodo.2018.04.023.
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The influence of mandibular third molar germectomy on the treatment time of impacted mandibular second molars using brass wire: a prospective clinical pilot study.使用黄铜丝进行下颌第三磨牙牙胚切除术对下颌阻生第二磨牙治疗时间的影响:一项前瞻性临床初步研究。
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The Trouble With Exact Change.找零的麻烦。
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