种植支抗辅助拔除毗邻神经管近中阻生智牙14例报道
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摘要
目的 :探讨应用微种植支抗牵引毗邻下牙槽神经管的近中阻生智牙,减小拔牙术后不良反应的效果。方法 :选择14例锥形束CT确诊毗邻下牙槽神经管且近中阻生的智牙,微种植支抗牵引下颌智牙2~5个月,待其离开下牙槽神经管后拔除。结果:所有患牙均顺利拔除,拔牙后均无明显的术后反应。结论:应用微种植支抗牵引后拔除毗邻下牙槽神经管的近中阻生智牙,是一种可靠的微创拔牙方法。
PURPOSE:To study the value of miniscrew for extraction of mesially impacted wisdom tooth adjacent to the inferior alveolar nerve canal. METHODS: Fourteen mesially impacted wisdom teeth were proven to be adjacent to the inferior alveolar nerve canal by means of cone-beam CT scan. The treatment began with the miniscrew traction of the wisdom teeth. After 2~5 months, they were moved away from the canal and then extracted. RESULTS: After extraction,all 14 cases did not show any obvious side effect. CONCLUSIONS: Application of miniscrew traction is a valuable method for minimally invasive extraction of mesially impacted wisdom tooth that is adjacent to the inferior alveolar nerve canal.
PURPOSE:To study the value of miniscrew for extraction of mesially impacted wisdom tooth adjacent to the inferior alveolar nerve canal. METHODS: Fourteen mesially impacted wisdom teeth were proven to be adjacent to the inferior alveolar nerve canal by means of cone-beam CT scan. The treatment began with the miniscrew traction of the wisdom teeth. After 2~5 months, they were moved away from the canal and then extracted. RESULTS: After extraction,all 14 cases did not show any obvious side effect. CONCLUSIONS: Application of miniscrew traction is a valuable method for minimally invasive extraction of mesially impacted wisdom tooth that is adjacent to the inferior alveolar nerve canal.
引文
[1]汪湧,何冬梅,杨驰,等.牵引拔除压迫下牙槽神经的下颌第三磨牙[J].中国口腔颌面外科杂志,2010,8(6):521-524.
[2]Susarla SM,Blaeser BF,Magalnick D.Third molar surgery and associated complications[J].Oral Maxillofac Surg Clin North Am,2003,15(2):177-186.
[3]林锦荣.使用颊棚区螺钉治疗严重安氏Ⅲ类错[J].中华口腔正畸学杂志,2010,17(3):121-126.
[4]Hirsch A,Shteiman S,Boyan BD,et al.Use of orthodontic treatment as an aid to third molar extraction:a method for prevention of mandibular nerve injury and improved periodontal status[J].J Periodontol,2003,74(6):887-892.
[5]Bonetti GA,Parenti SI,Checchi L.Orthodontic extraction of mandibular third molar to avoid nerve injury and promote periodontal healing[J].J Clin Periodontol,2008,35(8):719-723.
[6]Wang Y,He D,Yang C,et al.An easy way to apply orthodontic extraction for impacted lower third molar compressing to the inferior alveolar nerve[J].J Craniomaxillofac Surg,2012,40(3):234-237.
[7]谢千阳,马志贵,钱文涛,等.正畸牵引法辅助拔除接触下牙槽神经管的埋伏阻生牙1例报告[J].中国口腔颌面外科杂志,2012,10(6):525-528.
[8]姜世同,刘军,陈玉长,等.近中水平阻生下颌第三磨牙的矫治探索[J].国际口腔医学杂志,2012,39(6):730-733.
[9]陈彩云,丁寅.正畸种植支抗稳定性的研究进展[J].第四军医大学学报,2009,30(19):2039-2041.
[10]王卫东,董苁蓉,李蒙.微种植体作为间接支抗近中移动下颌第二磨牙的疗效观察[J].广东牙病防治,2014,22(5):263-265.
[11]Bach N,Baylard JF,Voyer R.Orthodontic extrusion:periodontal considerations and applications[J].J Can Dent Assoc,2004,70(11):775-780.
[12]Tay AB,Go WS.Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars[J].J Oral Maxillofac Surg,2004,62(5):592-600.
[2]Susarla SM,Blaeser BF,Magalnick D.Third molar surgery and associated complications[J].Oral Maxillofac Surg Clin North Am,2003,15(2):177-186.
[3]林锦荣.使用颊棚区螺钉治疗严重安氏Ⅲ类错[J].中华口腔正畸学杂志,2010,17(3):121-126.
[4]Hirsch A,Shteiman S,Boyan BD,et al.Use of orthodontic treatment as an aid to third molar extraction:a method for prevention of mandibular nerve injury and improved periodontal status[J].J Periodontol,2003,74(6):887-892.
[5]Bonetti GA,Parenti SI,Checchi L.Orthodontic extraction of mandibular third molar to avoid nerve injury and promote periodontal healing[J].J Clin Periodontol,2008,35(8):719-723.
[6]Wang Y,He D,Yang C,et al.An easy way to apply orthodontic extraction for impacted lower third molar compressing to the inferior alveolar nerve[J].J Craniomaxillofac Surg,2012,40(3):234-237.
[7]谢千阳,马志贵,钱文涛,等.正畸牵引法辅助拔除接触下牙槽神经管的埋伏阻生牙1例报告[J].中国口腔颌面外科杂志,2012,10(6):525-528.
[8]姜世同,刘军,陈玉长,等.近中水平阻生下颌第三磨牙的矫治探索[J].国际口腔医学杂志,2012,39(6):730-733.
[9]陈彩云,丁寅.正畸种植支抗稳定性的研究进展[J].第四军医大学学报,2009,30(19):2039-2041.
[10]王卫东,董苁蓉,李蒙.微种植体作为间接支抗近中移动下颌第二磨牙的疗效观察[J].广东牙病防治,2014,22(5):263-265.
[11]Bach N,Baylard JF,Voyer R.Orthodontic extrusion:periodontal considerations and applications[J].J Can Dent Assoc,2004,70(11):775-780.
[12]Tay AB,Go WS.Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars[J].J Oral Maxillofac Surg,2004,62(5):592-600.