上颌前部埋伏多生牙135例手术拔除  

Operative Extraction of 135 Cases with the Embedded Supernumerary Teeth in Maxillary Anterior

作　　者：曹良菊[1] 罗光明[1] 严梅[1] 

机构地区：[1]昆明市第一人民医院口腔科

出　　处：《医学综述》2009年第8期1273-1274,共2页Medical Recapitulate

摘　　要：目的 探讨上颌前部埋伏多生牙的手术拔除入路与方法。方法 对135例患者上颌前部埋伏多生牙174颗，通过临床和X线检查分析，判断埋伏多生牙的位置和生长方向，采取不同的手术入路和方法拔除。结果 135例患者经术前定位，93例位于腭侧，15例位于唇侧，27例位于牙列中，与术中所见一致，无损伤邻牙及伤口感染等并发症发生。结论 准确判断埋伏牙的位置，减少正常牙根损伤及手术破坏程度是手术成功的关键。经临床和X线检查结合术前分析和术中情况，能较好地进行牙拔除术。Objective To discuss the operative approaches and methods of the extraction of embedded supernumerary teeth in maxillary anterior. Methods 174 embedded teeth of 135 cases were investigated in this study. The location and growth direction of the embedded teeth were analyzed and judged by the tooth radiogram combined with clinical examination. Various operative approaches were designed to extract the teeth. Results Before the operation, 135 cases were classified as 93 palate side cases, 15 lip side cases and 27 dentition cases,which was identical to the operative findings. There was no serious complications occurred, such as injuries in adjacent teeth and wound infections. Conclusion The key point of successful operation is to judge the location of the embedded teeth and to reduce normal dental root damage and operation destruction to the greatest extent. The teeth can he extracted smoothly by radiogram and clinical examination combined with preoperative analysis and intraoperative circumstance.

关 键 词：上颌前部 埋伏多生牙 定位 拔除 

分 类 号：R782.11[医药卫生—口腔医学]