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下颌神经损伤在下颌第三磨牙拔除术中的发生率。

Frequency of Inferior Alveolar Nerve Injury During Third Molar Extraction.

机构信息

Department of Oral and Maxillofacial Surgery, Ayub Medical College, Abbottabad, Pakistan.

Department of Community Dentistry, Ayub Medical College, Abbottabad, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2024 Jun;34(6):723-726. doi: 10.29271/jcpsp.2024.06.723.

Abstract

OBJECTIVE

To determine the frequency of inferior alveolar nerve injury during third molar extraction and the associated factors.

STUDY DESIGN

Descriptive study. Place and Duration of the Study: Department of Oral and Maxillofacial Surgery, Ayub Teaching Hospital, Abbottabad, Pakistan, from July to December 2021.

METHODOLOGY

A total of 163 patients with third molar surgery were included. Patients were followed up after one week, one month, and three months of duration. The frequency of inferior alveolar nerve injury was determined as well as its relationship with other surgical variables like age, gender, type of impaction, buccal flap retraction, bone cutting, tooth splitting, and duration of surgery via Chi-square test.

RESULTS

The frequency of inferior alveolar nerve injury was found to be 1.2% (n = 02). None of the surgical variables had a statistically significant association with it (p >0.05).

CONCLUSION

The frequency of nerve injury of the inferior alveolar nerve during extraction of the third molar was 1.2%. Proper treatment planning, using advanced radiography, experienced surgeon, and proper technique can help in lowering nerve injury risk.

KEY WORDS

Inferior alveolar nerve injuries, Molar, Tooth extraction, Paraesthesia.

摘要

目的

确定下颌神经损伤在第三磨牙拔除术中的发生频率及相关因素。

研究设计

描述性研究。

地点和研究时间

巴基斯坦阿伯塔巴德市奥贝德教学医院口腔颌面外科,2021 年 7 月至 12 月。

方法

共纳入 163 例接受第三磨牙手术的患者。患者在术后一周、一个月和三个月进行随访。通过卡方检验确定下颌神经损伤的频率及其与其他手术变量(如年龄、性别、阻生类型、颊瓣退缩、骨切开、分牙、手术时间)的关系。

结果

下颌神经损伤的发生率为 1.2%(n=02)。没有任何手术变量与它有统计学显著关联(p>0.05)。

结论

在第三磨牙拔除术中,下颌神经损伤的发生率为 1.2%。适当的治疗计划、使用先进的影像学检查、经验丰富的外科医生和正确的技术可以帮助降低神经损伤的风险。

关键词

下颌神经损伤、磨牙、拔牙、感觉异常。

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