矢状面劈开截骨术拔除严重阻生下颌第三磨牙1例

S. O’Dwyer, M. Kelly, D. Pierse
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引用次数: 0

摘要

问题陈述:下颌第三磨牙嵌塞是口腔颌面外科手术中常见的病理现象。深阻生下颌第三磨牙需要广泛的骨移除以方便拔牙。矢状面劈开截骨术提供了另一种治疗选择,在高危病例中可以保存骨骼并降低病理性或医源性颌骨骨折的风险。对替代拔牙技术的临床认识是获得最佳患者治疗结果的基础。本病例报告概述了矢状面劈开截骨术的适应症、风险、程序和结果,作为一种去除下颌深度阻生第三磨牙的技术。方法报告1例采用矢状裂法切除阻生第三磨牙及相关含牙囊肿的病例。手术前获得患者同意。对病历进行审查,收集临床信息并汇编成病例报告。回顾文献,然后进行比较的技术提出了类似的情况下。结论本病例报告强调了矢状面劈开截骨术在去除下颌深度阻生第三磨牙中的价值。作为知情同意的一部分,临床医生应考虑将矢状面劈开截骨术作为下颌骨折高风险患者的替代治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Extraction of a severely impacted mandibular third molar using a sagittal split osteotomy – a case report
##Statement of the problem: Mandibular third molar tooth impaction is a frequently encountered pathological phenomenon in oral and maxillofacial surgery. Deeply impacted mandibular third molars require extensive bone removal to facilitate extraction. Sagittal split osteotomies provide an alternative treatment option, which can preserve bone and reduce the risk of pathological or iatrogenic jaw fracture in high-risk cases. ##Purpose of the review Clinical awareness of alternative extraction techniques is fundamental to the attainment of optimal patient outcomes. This case report provides an overview of the indications, risks, procedure and outcomes of the sagittal split osteotomy as a technique for the removal of a deeply impacted mandibular third molar. ##Method A case report of surgical removal of an impacted third molar and associated dentigerous cyst by sagittal split is presented. Patient consent was obtained prior to surgery. The chart was reviewed, and clinical information gathered and compiled into a case report. A review of the literature was then carried out to compare the technique presented with similar cases. ##Conclusion This case report highlights the value of sagittal split osteotomy for the removal of deeply impacted mandibular third molars. As part of informed consent, clinicians should consider the sagittal split osteotomy as an alternative treatment option for patients with a high risk of mandibular fracture.
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