上唇系带旁纵形切口在上颌中切牙区高位埋伏多生牙拔除术中的应用  

Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens

作　　者：付帅[1,2] 黎明 崔庆赢[1] 王立冬 马文 彭灿邦[1] 张长彬 吴勇[1] FU Shuai;LI Ming;CUI Qingying;WANG Lidong;MA Wen;PENG Canbang;ZHANG Changbin;WU Yong(Department of Oral and Maxillofacial Surgery,Hospital of Stomatology Kunming Medical University,Kunming 650106,China;Yunnan Key Laboratory of Stomatology,Kunming 650106,China)

机构地区：[1]昆明医科大学附属口腔医院口腔颌面外科,云南昆明650106 [2]云南省口腔医学重点实验室,云南昆明650106

出　　处：《口腔医学研究》2023年第1期42-45,共4页Journal of Oral Science Research

基　　金：云南省科技厅-昆医联合专项(编号:202201AY070001-176)。

摘　　要：目的:探讨上唇系带旁纵形切口的操作要点,并分析其在上颌中切牙区高位埋伏多生牙拔除术中的并发症发生情况,探讨其应用价值。方法:采用上唇系带旁纵形切口入路对35例上颌中切牙区高位埋伏多生牙病例进行手术治疗,分析其术后恢复情况。结果:顺利拔除35例患者的多生牙;3例术中发生唇系带黏膜浅层撕裂,缝合后愈合;3例术后出现中切牙不适,于术后2~5周恢复;2例出现唇部轻微麻木,2~4周后恢复正常;2例发生术后感染,冲洗后痊愈;均未出现上唇高度、鼻尖高度、鼻孔形状的改变。结论:应用上唇系带旁纵形切口,可顺利拔除上颌中切牙区高位埋伏多生牙,不改变鼻唇形态,值得在临床推广。Objective:To explore the key points of the longitudinal incision beside upper lip frenulum in extraction of deeply embedded mesiodens,and to analyze its complications and clinical application value.Methods:A total of 35 patients with deeply embedded mesiodens were treated with longitudinal incision beside upper lip frenulum.The effects and complications of the treatment were analyzed.Results:The mesiodens of the 35 patients were successfully extracted.No permanent complications were observed in all of the cases.However,temporary complications were noted:superficial mucosa was torn in 3 cases,central incisor discomfort in 3 case,slight numbness of lips in 2 cases,and incision infection in 2 case.There was no change in the height of the upper lip,the height of the nose tip,and the shape of the nostrils.Conclusion:The application of longitudinal incision beside upper lip frenulum can help to extract the deeply embedded mesiodens without changing the nasolabial shape.

关 键 词：系带 多生牙 微创拔牙 降鼻中隔肌 

分 类 号：R782.11[医药卫生—口腔医学]