摘要
目的:探讨拔除阻生智齿的手术注意事项及临床效果。方法:选择121例需行阻生智齿拔除术患者,根据患者的临床情况,行下列手术:①切开联合挺拔。②劈冠联合挺拔。③切开、劈冠联合挺拔。④切开、劈冠、祛除部分下颌骨、挺拔。结果:所有患者顺利拔除,均痊愈,拔牙时间5～45分钟,平均17分钟。拔牙后出现感染2例,1例出现干槽症,术后邻牙出血松动1例,1例下牙槽神经损伤,未出现下颌骨骨折。结论:下颌阻生智齿拔除术是较为复杂的牙槽外科手术,手术时要详细诊断、掌握好拔牙时机、采用适合的拔除方法,这是成功拔除术的关键。
Objective：To investigate the extraction of impacted wisdom teeth operation matters needing attention and clinical effect.Methods：121 cases with need of impacted wisdom tooth extraction in patients,according to the patient＇s clinical condition,do the following：1 operation incision combined straight;the split crown joint straight;the cut,split crown joint straight;the cut,split crown portion of the mandible,tall and straight,removal.Results：All patients were cured successfully extraction,extraction time,about 5-45min,the mean 17min.After tooth extraction infection occurred in 2 cases,1 cases of dry socket,postoperative adjacent teeth bleeding loosening in 1 cases,1 cases of inferior alveolar nerve injury,no fracture of the mandible.Conclusion：The extraction of impacted wisdom teeth is complicated by alveolar surgery operation,operation should be detailed diagnosis,grasp,using suitable extraction time extraction methods,it is the key to successful extraction.
关键词
下颌阻生智齿
智齿阻生类型
拔除术
Mandibular impacted wisdom teeth
Impacted wisdom tooth extraction type
Extraction
