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自制拉钩在涡轮钻拔除下颌阻生智齿中的应用
引用本文:黄伟,李祖兵,陈永吉,李薇,冷卫东.自制拉钩在涡轮钻拔除下颌阻生智齿中的应用[J].实用口腔医学杂志,2011,27(6):870-872.
作者姓名:黄伟  李祖兵  陈永吉  李薇  冷卫东
作者单位:1. 湖北医药学院附属太和医院口腔科,十堰,442000
2. 武汉大学口腔医学院口腔颌面外科
摘    要:涡轮钻法因创伤较小已逐渐取代传统的锤凿法在下颌智齿拔除术中得到提倡和应用.但使用涡轮钻时智齿远中和颊侧的软组织易卷入车针或受气流冲击造成损伤,引起术后肿胀、疼痛等并发症.为此,笔者将口腔局部托盘改装成拉钩,与传统的颊部拉钩相比可将涡轮钻与远中、颊侧软组织完全隔离,以保护软组织避免损伤.临床应用取得了较好的效果.

关 键 词:下颌阻生智齿  高速涡轮钻法  颊部拉钩  拔牙术

An oral retractor designed for extraction of impacted mandibular third molar using turbine drilling method
HUANG Wei,LI Zubing,CHEN Yongji,LI Wei,LENG Weidong.An oral retractor designed for extraction of impacted mandibular third molar using turbine drilling method[J].Journal of Practical Stomatology,2011,27(6):870-872.
Authors:HUANG Wei  LI Zubing  CHEN Yongji  LI Wei  LENG Weidong
Institution:HUANG Wei1,LI Zubing2,CHEN Yongji1,LI Wei1,LENG Weidong1.1.442000 Shiyan,Department of stomatology,Taihe Hospital.Hubei Medical University,China,2.Department of Oral and Maxillofacial Surgery,Wuhan University School of Stomatology
Abstract:During the extraction of impacted mandibular third molar using turbine drilling method,buccal tissue and distal flap likely to be embroiled by drill or damaged by the impact of air,causing complications such as postoperative swelling and pain.An oral retractor was designed and remade from local dental tray by author.The retractor significantly reduced the surgical trauma and complications.It can isolate distal and buccal soft tissue from the turbine drill,it is superior to the traditional cheek retractors.
Keywords:Impacted mandibular third molar  Turbine drilling  Oral tractor  Extraction  
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