在手术提取受冲击的第三牙之前进行放射性评估,以减少上鼻相关并发症
Mi Hyun Seo1, Buyanbileg Sodnom-Ish1, Mi Young Eo1
1Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
概括
在第三拔除后,上鼻粘膜的术后胀与患者的年龄以及牙的水泥结 (CEJ) 与鼻底部的距离有关. 了解这种关系有助于管理手术风险.
科学领域:
- 口腔和牙面部外科手术
- 放射学 放射学是一门学科.
- 牙科解剖学 牙科解剖学
背景情况:
- 上第三的外科切除是一种常见的手术.
- 靠近大鼻可能导致诸如口腔和鼻炎等并发症.
- 抽取后上鼻膜胀的放射证据需要进行调查.
研究的目的:
- 确定导致大鼻粘膜在大第三骨外科切除后放射性术后胀的因素.
- 分析患者人口统计学,牙解剖学和鼻附近与术后胀之间的关系.
主要方法:
- 追溯研究91名患者接受了大第三骨提取.
- 临床记录和放射图的分析 (全景图,沃特斯视图,CBCT).
- 后勤回归用于评估变量,包括年龄,性别,牙位置,根形态和CEJ-鼻腔地板距离.
主要成果:
- 患者的年龄和 palatal cementoenamel junction (CEJ) 和大鼻床之间的距离与术后胀有显著的相关性 (P<0.05).
- CEJ和鼻腔底部之间更密切的关系是胀的关键预测因素.
- 分析了153个上第三牙.
结论:
- 上第三的CEJ与鼻底的距离是影响术后上鼻粘膜胀的关键因素.
- 当鼻对CEJ高度通气时,建议使用谨慎的外科手术技术.
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