Asymmetric outcomes in bilateral maxillary impacted tooth extractions: A case report.

IF 1.4 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Han Liu, Fang Wang, Yan-Li Tang, Xing Yan
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引用次数: 0

Abstract

Background: The extraction of maxillary impacted teeth is a common procedure in oral surgery, frequently complicated by oroantral communications. For less-experienced clinicians, accurately assessing the difficulty and associated risks of maxillary third molar extractions remain a significant challenge.

Case summary: We present a case involving disparate outcomes following bilateral extraction of maxillary third molars. Using cone-beam computed tomography and three-dimensional software, we conducted a digital assessment of the factors contributing to extraction difficulty and risk, controlling for potential confounders. Key variables analyzed included alveolar bone volume, bone quality, crown-root angulation, and maxillary sinus mucosal thickness. Additionally, we introduce the novel concept of "tegmen bone" to quantitatively evaluate the bone mass between the teeth and the maxillary sinus. This unique case, with differing outcomes on opposite sides of the same patient, provided an opportunity to minimize extraneous variables and focus on the local anatomical factors influencing the procedures, thereby improving the precision of our analysis.

Conclusion: This case highlights the potential utility of predictive analysis in guiding the management of complex tooth extractions.

双侧上颌阻生牙拔除术的不对称结果:病例报告
背景:上颌阻生牙拔除术是口腔外科的常见手术,常常因口腔外沟通而变得复杂。对于经验不足的临床医生来说,准确评估上颌第三磨牙拔除术的难度和相关风险仍然是一项重大挑战。病例摘要:我们介绍了一个涉及双侧上颌第三磨牙拔除术后不同结果的病例。利用锥形束计算机断层扫描和三维软件,我们对导致拔牙难度和风险的因素进行了数字化评估,并控制了潜在的混杂因素。分析的主要变量包括牙槽骨量、骨质、牙冠-牙根角度和上颌窦粘膜厚度。此外,我们还引入了 "tegmen 骨 "的新概念,对牙齿和上颌窦之间的骨量进行定量评估。这个独特的病例在同一患者的两侧出现了不同的结果,这为我们提供了一个机会,可以最大限度地减少无关变量,将重点放在影响手术的局部解剖因素上,从而提高我们分析的精确度:本病例凸显了预测分析在指导复杂牙拔除术管理方面的潜在作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World journal of radiology
World journal of radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
自引率
8.00%
发文量
35
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