Jia B, Wang Q, Chen J, Zheng G, Fan S, Ye Q, He Y, Zhang F, Wu Y, Liu F, Ouyang K, Zhang L, Lv X, Zhao J
Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southern Medical University, Guangzhou 510282, China.
Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Sun Yat-sen University, Guangzhou 510055, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2024 May 20;44(5):1004-1014. doi: 10.12122/j.issn.1673-4254.2024.05.24.
Tooth extraction is a common and widely employed therapeutic procedure in oral and maxillofacial surgery. Minimally invasive tooth extraction can reduce both physical and psychological trauma to the patients, and is widely recommended as a first-line clinical treatment. But currently no guidelines or consensus has been available to provide a systematic introduction of minimally invasive tooth extraction to guide the clinical practices. To address this issue, this consensus, based on a comprehensive literature review and clinical experiences of experts, systematically summarizes the indications, target patients, and contraindications of minimally invasive tooth extraction, the overall workflow of this procedure (preoperative preparation, surgical steps, postoperative management, postoperative instructions, medications, and follow-up), and its common postoperative complications to provide a comprehensive guidance for clinical application of this technique.
拔牙是口腔颌面外科常见且广泛应用的治疗手段。微创拔牙可减轻患者的身心创伤,被广泛推荐为一线临床治疗方法。但目前尚无指南或共识系统介绍微创拔牙以指导临床实践。为解决这一问题,本共识基于全面的文献综述和专家临床经验,系统总结了微创拔牙的适应证、目标患者、禁忌证、该手术的整体流程(术前准备、手术步骤、术后管理、术后指导、用药及随访)及其常见术后并发症,为该技术的临床应用提供全面指导。