Azaz B, Steiman Z, Koyoumdjisky-Kaye E, Lewin-Epstein J
J Oral Surg. 1980 Feb;38(2):121-7.
The late effects of surgical exposure of unerupted teeth were analyzed. Of 121 teeth, 62 had only the crowns exposed; additional traction was applied to 31 teeth and 28 were repositioned. Postoperative observation time ranged from eight months to 13 years. One hundred and eleven teeth assumed their position in the arch and were deemed successfully treated; ten teeth failed to erupt. Of the successfully treated teeth, 23% showed biological aberrations such as obliteration of the pulp, dwarfed roots, and denervation. These pathophysiologic changes, alone or in combination, were commensurate with the amount of trauma inflicted on the teeth. Teeth that wer repositioned showed the most change, whereas teeth that only had crowns exposed showed the least change.
对未萌出牙齿手术暴露的远期效果进行了分析。在121颗牙齿中,62颗仅暴露了牙冠;对31颗牙齿施加了额外牵引,28颗进行了重新定位。术后观察时间为8个月至13年。111颗牙齿在牙弓中就位并被视为治疗成功;10颗牙齿未能萌出。在成功治疗的牙齿中,23%出现了生物学异常,如牙髓闭锁、牙根短小和失神经支配。这些病理生理变化单独或综合出现,与牙齿所受创伤程度相当。重新定位的牙齿变化最大,而仅暴露牙冠的牙齿变化最小。