下颌阻生智齿拔除术中移位至舌下间隙(附病例报告8例)

doi:10.13701/j.cnki.kqyxyj.2020.06.014

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (6): 563-566.DOI: 10.13701/j.cnki.kqyxyj.2020.06.014

下颌阻生智齿拔除术中移位至舌下间隙(附病例报告8例)

魏云鹏, 赵苏峰^*

南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科江苏南京 210009

收稿日期:2019-10-21 出版日期:2020-07-03 发布日期:2020-07-06
通讯作者: ^*赵苏峰,E-mail:zsfnjkq@163.com
作者简介:魏云鹏(1991~ ),男,硕士,住院医师,主要从事口腔牙槽外科的临床治疗工作。

Mandibular Impacted Wisdom Teeth Displaced into Sublingual Space: Report of 8 Cases

WEI Yunpeng, ZHAO Sufeng^*

Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210009, China

Received:2019-10-21 Online:2020-07-03 Published:2020-07-06

摘要/Abstract

摘要： 目的: 探讨牙拔除术中移位于舌下间隙的下颌阻生智齿的治疗方法。方法: 收集2014年1月~2019年4月下颌阻生智齿拔除术中牙或牙根移位进入舌下间隙的8例病例,通过临床及影像学检查对其定位,局部麻醉下行牙槽窝近远中松弛切口,舌侧翻瓣取出移位牙,对其进行总结分析。结果: 8例患者均成功取出移位的牙或牙根。3月后回访,拔牙创口愈合良好,无明显并发症。结论: 通过临床及影像学检查定位,行牙槽窝近远中松弛切口舌侧翻瓣,可取出移位于舌下间隙的下颌阻生智齿。

关键词: 下颌阻生智齿, 牙移位, 舌下间隙, 手术治疗

Abstract: Objective: To review the therapeutic methods of the displaced mandibular impacted wisdom teeth. Methods: 8 cases of displaced teeth during the extraction of third molars from January 2014 to April 2019 were reviewed. Bimanual palpation and image examination were used to locate the displaced teeth. Relaxation incisions were made distally and medially of the extraction sockets under local anesthesia, then mucoperiosteal flaps were raised to retrieve the teeth. Results: 8 displaced teeth were successfully managed. 3 months later, the wound healed well and the post-operative recovery was uneventful. Conclusion: Through bimanual palpation and image examination, relaxation incisions at the distal and mesial sides of the extraction sockets were useful to retrieve the displaced teeth

Key words: mandibular impacted wisdom tooth, tooth displacement, sublingual space, surgical treatment

魏云鹏, 赵苏峰. 下颌阻生智齿拔除术中移位至舌下间隙(附病例报告8例)[J]. 口腔医学研究, 2020, 36(6): 563-566.

WEI Yunpeng, ZHAO Sufeng. Mandibular Impacted Wisdom Teeth Displaced into Sublingual Space: Report of 8 Cases[J]. Journal of Oral Science Research, 2020, 36(6): 563-566.

参考文献

[1] Aznar-Arasa L, Figueiredo R, Gay-Escoda C. Iatrogenic displacement of lower third molar roots into the sublingual space: report of 6 cases[J]. J Oral Maxillofac Surg, 2012, 70(2): e107-e115.
[2] Shahakbari R, Mortazavi H, Eshghpour M. First report of accidental displacement of mandibular third molar into infratemporal space[J]. J Oral Maxillofac Surg, 2011, 69(5):1301-1303.
[3] Tumuluri V, Punnia-Moorthy A. Displacement of a mandibular third molar root fragment into the pterygomandibular space[J]. Aust Dent J, 2002, 47(1):68-71.
[4] Medeiros N, Gaffrée G. Accidental displacement of inferior third molar into the lateral pharyngeal space: case report[J]. J Oral Maxillofac Surg, 2008, 66(3):578-580.
[5] Huang IY, Wu CW, Worthington P. The displaced lower third molar: A literature review and suggestions for management[J]. Oral Maxillofac Surg, 2007, 65:1186-1190.
[6] Aznar-Arasa L, Figueiredo R, Gay-Escoda C. Iatrogenic displacement of lower third molar roots into the sublingual space: report of 6 cases[J]. J Oral Maxillofac Surg, 2012, 70(2):e107-e115.
[7] Yeh CJ. A simple retrieval technique for accidentally displaced mandibular third molars[J]. J Oral Maxillofac Surg, 2002, 60(7):836-837.
[8] Esen E, Aydoğan LB, Akçali MC. Accidental displacement of an impacted mandibular third molar into the lateral pharyngeal space[J]. J Oral Maxillofac Surg, 2000, 58(1):96-97.
[9] 贺平,冯瑜,吴晓乐,等.超声骨刀拔除下颌第三磨牙断根效果评价[J]. 口腔医学研究, 2019, 35(4):61-64.
[10] Khanna JN, Malik NA, Galinde JS, et al. Cervical infection due to an unusual displacement of teeth as a result of trauma[J]. Int J Oral Maxillofac Surg, 1987, 16(5): 630-633.
[11] Gay-Escoda C, Berini-Aytés L, Pinera-Penalva M. Accidental displacement of a lower third molar: Report of a case in the lateral cervical position[J]. Oral Surg Oral Med Oral Pathol,1993, 76(2):159-160.
[12] Köseğlu BG, Gümrü O, Kocaelli HA. Lower third molar displaced in the sublingual space[J]. Dentomaxillofac Radiol, 2002, 31(6): 393-393.
[13] 罗远,段世勇,刘世勋,等.下颌智齿断根移位于舌下间隙的处理[J].口腔颌面外科杂志,2013,23(6):452-455.

下颌阻生智齿拔除术中移位至舌下间隙(附病例报告8例)

Mandibular Impacted Wisdom Teeth Displaced into Sublingual Space: Report of 8 Cases

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 11

编辑推荐

Metrics

[1]	裴喜燕, 孙凤. 微创牙周非手术治疗研究进展[J]. 口腔医学研究, 2020, 36(7): 622-625.
[2]	赵爽, 刘玉艳. 老年人根面龋治疗方法现状[J]. 口腔医学研究, 2019, 35(3): 230-233.
[3]	孙雨虹, 杨柳, 王硕, 夏露露, 郭瓅, 曹正国, 华先明. 牙周-正畸联合治疗上前牙重度牙周炎伴牙移位1例[J]. 口腔医学研究, 2019, 35(11): 1100-1102.
[4]	梁昌富, 陈国新, 肖秀凤, 孙辉, 郑雅蕾. 正畸治疗对下颌髁突肥大术后颞下颌关节的影响[J]. 口腔医学研究, 2018, 34(8): 870-875.
[5]	陶玉飞, 郭凤芹. 半导体激光辅助重度慢性牙周炎牙周非手术治疗的临床研究[J]. 口腔医学研究, 2018, 34(10): 1085-1088.
[6]	吴丽芬, 赵怡芳, 邹海啸. 9例增生型毛细血管畸形的手术治疗[J]. 口腔医学研究, 2018, 34(10): 1141-1144.
[7]	徐佳,余周庆,彭治凯,郑杰. 牙周非手术治疗对慢性牙周炎患者内皮功能和动脉僵硬度的影响[J]. 口腔医学研究, 2017, 33(12): 1332-1335.
[8]	杨旭, 徐天舒, 郑亮. 颈坏死性筋膜炎伴下行纵隔炎的临床特点与手术治疗[J]. 口腔医学研究, 2017, 33(11): 1223-1225.
[9]	王莉, 黄从发, 任建岗, 蔡育. 4+1操作配合模式在牙槽外科的初步建立和应用[J]. 口腔医学研究, 2016, 32(7): 720-722.
[10]	李明恒,于鑫,邵本春,贺平,马卫东. 蛇毒血凝酶减少拔牙术后出血的临床研究[J]. 口腔医学研究, 2016, 32(2): 189-190.
[11]	张玲阁,龙星,邓末宏,蔡恒星,孟庆功. 下颌骨髁突骨折术后并发症的临床研究[J]. 口腔医学研究, 2016, 32(11): 1183-1187.