300例下颌阻生智齿拔除的临床疗效分析  

Clinical Efficacy of 300 cases of mandibular wisdom tooth extraction

作　　者：王永静[1] 

机构地区：[1]辽宁省葫芦岛市建昌县人民医院口腔科,辽宁葫芦岛125300

出　　处：《中国卫生产业》2014年第16期114-115,共2页China Health Industry

摘　　要：目的探讨拔除下颌阻生智齿的手术方法、注意事项及临床效果。方法随机选择300例需行下颌阻生智齿拔除术患者,根据患者的临床情况,下颌阻滞加局部麻醉下采用挺出法、近中磨除法、劈开挺出法、倒冲法、去骨法综合拔除各类下颌阻生智齿。结果所有患者阻生智齿都完全拔除,均痊愈。术中断根20例,术中翻瓣时出血12例,术中邻牙松动2例,牙齿坠入下颌骨舌侧骨膜下2例,牙根坠入下颌管内1例,拔牙后拔牙创感染8例,干槽症2例,无严重并发症发生。结论下颌阻生智齿拔除术是较为复杂的牙槽外科手术,选择合适的拔除方法、拔除时间,掌握好防治对策可有效减少下颌阻生智齿拔除术中术后并发症的发生,是成功实施拔除术的关键。Objective Discussion unplug mandibular wisdom teeth surgery, precautions and clinical results. Methods 300 cases randomly selected mandibular wisdom tooth extraction surgery patients, Using the elongation method, near the mill division, elon-gation split method, Backflush law, boneless Comprehensive unplug all types of mandibular wisdom teeth. Results All patients impacted wisdom teeth are completely unplug, were cured. COMING 20 cases of intraoperative bleeding during surgery flap 12 cases, intraoperative loosening two cases of adjacent teeth, teeth falling in the next lingual mandibular periosteum two cases, the root fall in one case within the mandibular canal, tooth extraction after eight cases of invasive infection , dry socket two cases, no serious complications. Conclusion The mandibular wisdom tooth extraction surgery is more complex alveolar surgery, select the appropriate method of disconnecting, disconnect time, master control strategies can be effective in reducing the occurrence of mandibular wisdom tooth extraction intraoperative and postoperative complications, the successful implementation of the key tech-nique of extraction.

关 键 词：下颌阻生智齿 牙槽外科 拔除 并发症 

分 类 号：R781[医药卫生—口腔医学]