下颌第三磨牙拔除术中下牙槽神经损伤的原因、临床评估与预防  

The causes,clinical evaluation,and prevention of inferior alveolar nerve injury in the mandibular third molar extraction surgery

作　　者：吴家顺 孙伟 曾国忠 申仪 郑广森[1] 唐海阔[1] Wu Jiashun;Sun Wei;Zeng Guozhong;Shen Yi;Zheng Guangsen;Tang Haikuo(Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guangdong Provincial Clinical Research Center of Oral Diseases,Guangzhou 510055,China)

机构地区：[1]中山大学附属口腔医院,光华口腔医学院,广东省口腔医学重点实验室,广东省口腔疾病临床医学研究中心,广州510055

出　　处：《中华口腔医学研究杂志（电子版）》2023年第6期394-399,共6页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广东省自然科学基金(2023A1515010399);中国博士后科学基金(2022M723595)。

摘　　要：下颌第三磨牙拔除术是造成下牙槽神经(IAN)损伤的主要原因,其导致的感觉麻木、感觉过敏和疼痛等症状给患者带来沉重的后果,是临床上待解决的难题。本文将围绕下颌第三磨牙拔除术中IAN损伤的临床病理表现与功能评估、危险因素及预防进展进行综述,以期为理解IAN损伤的原因和病理机制,指导IAN损伤评估和临床预防策略提供参考。Inferior alveolar nerve(IAN)injury was mainly caused by the extraction of the mandibular third molar,and it is regarded as a difficult clinical problem since its symptoms including numbness,hypersensitivity,and pain influence the patients′quality of life.This article reviewed the clinical signs,pathological changes,functional assessment,risk factors,and prevention progress of IAN injury in order to provide references for understanding its causes and pathological mechanisms,and developing its evaluation and clinical prevention strategies.

关 键 词：下颌第三磨牙 下牙槽神经损伤 拔牙 

分 类 号：R78[医药卫生—口腔医学]