超声骨刀颊侧开窗法拔除下颌低位骨埋伏第三磨牙

《口腔颌面外科杂志》

超声骨刀颊侧开窗法拔除下颌低位骨埋伏第三磨牙

周杨一帆，张雪明，侯光宇，王伟伟，廖建兴，康非吾

同济大学附属口腔医院口腔颌面外科，上海牙组织修复与再生工程技术研究中心，上海 200072

出版日期:2019-02-01 发布日期:2019-11-28
通讯作者: 康非吾, 教授. E-mail: kangfeiwu@126.com
作者简介:周杨一帆（1989-）, 男, 上海人, 住院医师, 硕士.E-mail:397534200@qq.com

Application of the Buccal Bone Osteotomy with Piezosurgery in Extracting Deeply Impacted Mandibular Third Molars.

ZHOU Yang-yifan，ZHANG Xue-ming，HOU Guang-yu，WANG Wei-wei，LIAO Jian-xing， KANG Fei-wu

Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai 200072,China

Online:2019-02-01 Published:2019-11-28

摘要/Abstract

摘要： 目的：探讨应用超声骨刀颊侧截骨开窗法拔除下颌低位骨埋伏第三磨牙中的应用效果。方法：收集2016-05-01日-2018-05-01期间，在同济大学附属口腔医院颌面外科病房收治的下颌低位骨埋伏第三磨牙患者24例，采用超声骨刀颊侧截骨开窗法拔除。记录手术时间及围手术期并发症，评价应用效果。结果：所有阻生齿均顺利拔除，平均用时25.1min（15~42min）。2例（8.3%）术后1个月出现感染伴局部肿胀，经冲洗换药后均愈合。结论：使用超声骨刀颊侧骨开窗法拔除下颌低位骨埋伏第三磨牙成功率高，并发症发生率低。

关键词: 超声骨刀, 下颌低位骨埋伏第三磨牙, 颊侧截骨开窗, 牙拔除术

Abstract: Objective: Our study investigated the application of the buccal bone osteotomy with piezosurgery in extracting deeply impacted mandibular third molars. Methods: Twenty-four patients with deeply impacted mandibular third molars were enrolled in this study from May 1st 2016 to May 1st 2018 in the maxillofacial surgery ward of the Affiliated Stomatology Hospital of Tongji University. Molars were removed by buccal bone osteotomy with piezosurgery,and the operation time and perioperative complications were recorded. Results: All the impacted mandibular third molars were successfully extracted. The average time was 26 min (15-50 min). Two patients (8.3%) developed infection with local swelling at 1 month after operation and healed after irrigation with saline. Conclusion: The application of the buccal bone osteotomy with piezo-surgery in deeply impacted mandibular third molars can improve surgical efficiency and reduce the morbidity of complications.

Key words: Piezosurgery, Deeply impacted mandibular third molars, Buccal bone osteotomy, Tooth extraction

周杨一帆，张雪明，侯光宇，王伟伟，廖建兴，康非吾. 超声骨刀颊侧开窗法拔除下颌低位骨埋伏第三磨牙[J]. 《口腔颌面外科杂志》.

ZHOU Yang-yifan，ZHANG Xue-ming，HOU Guang-yu，WANG Wei-wei，LIAO Jian-xing， KANG Fei-wu. Application of the Buccal Bone Osteotomy with Piezosurgery in Extracting Deeply Impacted Mandibular Third Molars.[J]. 《Journal of Oral and Maxillofacial Surgery》.

参考文献

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