Burton D J, Scheffer R B
J Oral Surg. 1980 Feb;38(2):135-8.
A case of bilateral subcondylar impacted mandibular third molars is presented. Both impactions had associated dentigerous cyst, one of which was severely infected with Serratia marcescens and had a draining sinus tract. The patient also had uncontrolled diabetes mellitus and iron deficiency anemia, which altered her response to surgical treatment. This case illustrates the necessity for early identification of infective organisms and determining their antibiotic sensitivity, as well as the need for prophylactic removal of impacted teeth to prevent complications such as those presented.
本文报告一例双侧髁突下埋伏下颌第三磨牙病例。两颗埋伏牙均伴有含牙囊肿，其中一颗被粘质沙雷菌严重感染并有引流窦道。患者还患有未控制的糖尿病和缺铁性贫血，这改变了她对手术治疗的反应。该病例说明了早期识别感染病原体并确定其抗生素敏感性的必要性，以及预防性拔除埋伏牙以预防此类并发症的必要性。
