中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (5): 442-444.doi: 10.19438/j.cjoms.2017.05.014

• 临床总结 • 上一篇    下一篇

加长球型车针在下颌阻生第三磨牙拔除术中的应用

周玉文*,庄浩*,陈娟萍,沈海平   

  1. 嘉兴市妇幼保健院 口腔科,浙江 嘉兴 314051
  • 收稿日期:2017-03-15 出版日期:2017-08-30 发布日期:2017-10-27
  • 通讯作者: 沈海平,E-mail:shp516@126.com
  • 作者简介:周玉文(1989-),女,硕士,E-mail:1145856774@qq.com;庄浩(1968-),女,学士,副主任医师,E-mail:zjzh729@163.com。*并列第一作者

Clinical application of elongated spherical bur in removal of impacted mandibular third molar

ZHOU Yu-wen, ZHUANG Hao, CHEN Juan-ping, SHEN Hai-ping.   

  1. Department of Stomatology. Jiaxing Maternity and Children Health Care Hospital. Jiaxing 314051, Zhejiang Province, China
  • Received:2017-03-15 Online:2017-08-30 Published:2017-10-27

摘要: 目的:评估加长球型车针在下颌阻生第三磨牙(impacted mandibular third molar,IMTM)拔除术中解除下颌牙槽骨、牙阻力的临床效果。方法:对117颗IMTM用加长球型车针去骨、截冠以解除骨-牙阻力。其中,男14例,女103例。结果:117颗IMTM均完全拔除;6例发生短暂下唇麻木,无感染病例发生。加长球型车针未发生断裂。结论:加长球型车针能精准地解除IMTM中下颌牙槽骨、牙阻力,截冠便捷 ,增隙去骨到位。

关键词: 下颌阻生第三磨牙, 牙拔除术, 车针

Abstract: PURPOSE: To evaluate the clinical effect of elongated spherical bur in decreasing resistance of mandibular teeth and alveolar bone, during removal of impacted mandibular third molar (IMTM). METHODS: Elongated spherical bur was used to remove bone and split the crown, in order to release bone-teeth resistance in 117 IMTM. Fourteen males and 103 females were involved in this study. RESULTS: All 117 teeth were removed completely. Transient lower lip numbness appeared in 6 patients. None of the elongated spherical bur was broken. CONCLUSIONS: Elongated spherical burs can accurately decrease the resistance of mandibular teeth and alveolar bone during removal of IMTM. It is convenient to split the crown, increase the gap and remove the surrounding bone.

Key words: Impacted mandibular third molar, Tooth extraction, Bur

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