上唇系带旁纵形切口在上颌中切牙区高位埋伏多生牙拔除术中的应用

doi:10.13701/j.cnki.kqyxyj.2023.01.008

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (1): 42-45.DOI: 10.13701/j.cnki.kqyxyj.2023.01.008

上唇系带旁纵形切口在上颌中切牙区高位埋伏多生牙拔除术中的应用

付帅^1,2, 黎明¹, 崔庆赢¹, 王立冬¹, 马文¹, 彭灿邦¹, 张长彬¹, 吴勇^1*

1.昆明医科大学附属口腔医院口腔颌面外科云南昆明 650106;
2.云南省口腔医学重点实验室云南昆明 650106

收稿日期:2022-06-30 发布日期:2023-01-28
通讯作者: *吴勇,E-mail:625583665@qq.com
作者简介:付帅(1985~ ),男,山东人,主治医师,硕士,主要从事口腔颌面外科的临床及研究工作。
基金资助:
云南省科技厅-昆医联合专项(编号:202201AY070001-176)

Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens

FU Shuai^1,2, LI Ming¹, CUI Qingying¹, WANG Lidong¹, MA Wen¹, PENG Canbang¹, ZHANG Changbin¹, WU Yong^1*

1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology Kunming Medical University, Kunming 650106, China;
2. Yunnan Key Laboratory of Stomatology, Kunming 650106, China

Received:2022-06-30 Published:2023-01-28

摘要/Abstract

摘要： 目的:探讨上唇系带旁纵形切口的操作要点,并分析其在上颌中切牙区高位埋伏多生牙拔除术中的并发症发生情况,探讨其应用价值。方法:采用上唇系带旁纵形切口入路对35例上颌中切牙区高位埋伏多生牙病例进行手术治疗,分析其术后恢复情况。结果:顺利拔除35例患者的多生牙;3例术中发生唇系带黏膜浅层撕裂,缝合后愈合;3例术后出现中切牙不适,于术后2~5周恢复;2例出现唇部轻微麻木,2~4周后恢复正常;2例发生术后感染,冲洗后痊愈;均未出现上唇高度、鼻尖高度、鼻孔形状的改变。结论:应用上唇系带旁纵形切口,可顺利拔除上颌中切牙区高位埋伏多生牙,不改变鼻唇形态,值得在临床推广。

关键词: 系带, 多生牙, 微创拔牙, 降鼻中隔肌

Abstract: Objective: To explore the key points of the longitudinal incision beside upper lip frenulum in extraction of deeply embedded mesiodens, and to analyze its complications and clinical application value. Methods: A total of 35 patients with deeply embedded mesiodens were treated with longitudinal incision beside upper lip frenulum. The effects and complications of the treatment were analyzed. Results: The mesiodens of the 35 patients were successfully extracted. No permanent complications were observed in all of the cases. However, temporary complications were noted: superficial mucosa was torn in 3 cases, central incisor discomfort in 3 case, slight numbness of lips in 2 cases, and incision infection in 2 case. There was no change in the height of the upper lip, the height of the nose tip, and the shape of the nostrils. Conclusion: The application of longitudinal incision beside upper lip frenulum can help to extract the deeply embedded mesiodens without changing the nasolabial shape.

Key words: frenulum, supernumerary tooth, minimally invasive extraction tooth, depressor septi nasi

付帅, 黎明, 崔庆赢, 王立冬, 马文, 彭灿邦, 张长彬, 吴勇. 上唇系带旁纵形切口在上颌中切牙区高位埋伏多生牙拔除术中的应用[J]. 口腔医学研究, 2023, 39(1): 42-45.

FU Shuai, LI Ming, CUI Qingying, WANG Lidong, MA Wen, PENG Canbang, ZHANG Changbin, WU Yong. Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens[J]. Journal of Oral Science Research, 2023, 39(1): 42-45.

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上唇系带旁纵形切口在上颌中切牙区高位埋伏多生牙拔除术中的应用

Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens

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