[第三牙根与下管道相邻的微解剖学特征]
A V Kuzin1, A P Vedyaeva1, V V Sogachyova1
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
概括
改善下沟通道附近受损牙的诊断方法可以减少下膜神经损伤. 了解根的解剖学和道的接近是防止在提取过程中神经损伤的关键.
科学领域:
- 牙科 牙科是指牙科的专业.
- 在口腔外科手术.
- 放射学 放射学是一门学科.
背景情况:
- 下膜神经 (IAN) 损伤在受冲击的下第三口抽取过程中是一个风险.
- 准确评估下沟通道与第三根之间的关系对于预防IAN损伤至关重要.
研究的目的:
- 为了增强对下道旁边受冲击的牙的诊断方法.
- 改善对地形和解剖学特征的评估,以便安全提取.
- 为了降低下膜神经的术后神经病变的风险.
主要方法:
- 使用了圆束计算断层扫描 (CBCT) 和骨科断层扫描.
- 对140个被切除的第三牙根进行了宏观检查.
- 分析了下管道和第三根的相对位置.
主要成果:
- 确定了下管道和第三的三个位置变体.
- 在横向和角神经位置观察到根表面陷.
- 在牙根间的位置上,下管道在牙根之间形成了一个"床".
结论:
- 神经血管束损伤的预后取决于根部解剖学和根间位置的融合.
- 如果根间距离小于下管径,神经损伤是可能的.
- 当神经损伤风险在提取过程中很高时,冠状管切除术是适用的.
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