微创拔除下颌复杂阻生第三磨牙180例临床观察

目的探讨微创拔牙术在下颌复杂阻生第三磨牙拔除中的应用效果。方法我科2007～2009年拔除的下颌复杂阻生第三磨牙患者180例,用高速仰角涡轮手机适量去骨、切割牙齿分块拔除。结果 180颗阻生第三磨牙均在20min内拔除,其中左侧第三磨牙96例(53.3%),右侧第三磨牙84例(46.7%)。阻生第三磨牙的类型:水平92例(51.1%),近中57(31.7%),垂直23(12.7%),远中5(2.8%),颊向3(1.7%)。术后未出现感染,无干槽症和下颌神经损伤病例。结论微创拔牙术缩短了手术时间,减少了术后并发症的发生,是拔除下颌复杂阻生第三磨牙的良好方法,值得临床推广。

Minimally Invasive Extraction of Complex Mandibular Third Molar: Clinical Observation of 180 Cases

Objective To investigate the minimally invasive tooth extraction in mandibular third molar extraction in complex applications.Methods Between 2007 and 2009,180 patients required the extraction of mandibular third molars,with a large amount of elevation turbine boneless,block cutting tooth extraction.Results 180 impacted wisdom teeth were removed within 20 min,including 96 cases with left wisdom teeth(53.3%)and 84 cases with right wisdom teeth(46.7%).The types of impacted wisdom teeth were as follows:horizontal(92,51.1%),median(57,31.7%),vertical(23,12.7%),lateral(5,2.8%),and labially(3,1.7%).No infection occurred,without socket or mandibular nerve injury.Conclusion Minimally invasive tooth extraction was effective and safe for the treatment of complex mandibular third molar.