口腔医学研究

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (4): 373-374.DOI: 10.13701/j.cnki.kqyxyj.2023.04.018

• 病例报告 • 上一篇    下一篇

冲击法微创拔除上颌正中埋伏多生牙1例

汪家庆1, 马晓威2, 李宏卫1*   

  1. 1.南京医科大学附属口腔医院口腔颌面外科 江苏 南京 210029;
    2.南通市通州区人民医院口腔科 江苏 南通 226399
  • 收稿日期:2022-09-19 出版日期:2023-04-28 发布日期:2023-04-19
  • 通讯作者: *李宏卫,E-mail:lhwqhxa@sina.com
  • 作者简介:汪家庆(1996~ ),男,江苏淮安人,硕士,医师,研究方向:口腔外科学。

Minimally Invasive Extraction of Mesiodens by Punching Out: A Case Report

WANG Jiaqing1, MA Xiaowei2, LI Hongwei1*   

  1. 1. Department of Oral and Maxillofacial Surgery, the Affiliated Stomatological Hospital of Nanjing Medical University, Nanjing 210019, China;
    2. Department of Stomatology, People's Hospital of Tongzhou District, Nantong 226199, China
  • Received:2022-09-19 Online:2023-04-28 Published:2023-04-19

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摘要： 拔除多生牙应遵循微创原则,避免对儿童及青少年患者的恒牙、颌骨发育造成不利影响。传统翻瓣去骨手术创伤大、并发症多。本文报道上颌正中埋伏多生牙拔除术1例,通过冲击法整体拔除矢状向阻生于双侧中切牙根之间的1颗多生牙,实现了不翻瓣、不去骨的微创效果,最大程度减轻了对患儿的身心影响。

关键词: 多生牙, 埋伏阻生, 微创, 冲击法

Abstract: The extraction of supernumerary teeth should follow the minimally invasive principle to avoid adverse effects on the development of permanent teeth and jaws in children and adolescents. Traditional operations have large trauma and many complications. This paper reported a case of maxillary embedded mesiodens that was impacted in the sagittal direction between the roots of bilateral central incisors and was extracted as a whole by punching out method. The minimally invasive surgery of no flap or bone removal was achieved.

Key words: mesiodens, impacted tooth, minimally invasive, punch out