在下第三根的年龄相关变化和牙拔除后精神神经麻醉的可能性之间的关系
H Sakakura1, Y Hayashi1, K Sugimoto1
1Department of Oral and Maxillofacial Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya-shi, Aichi, Japan.
International journal of oral and maxillofacial surgery
|January 10, 2024
概括
在第三提取后的精神神经麻醉与根形成和下管道形状有关. 在根部完全形成之前提早提取可能会降低这种并发症的风险.
科学领域:
- 牙科 牙科 牙科 牙科
- 在口腔外科手术.
- 放射学 放射学是一门学科.
背景情况:
- 精神神经麻醉是下下第三提取后的一个显著的术后并发症.
- 下第三根形态与精神神经麻醉之间的关系仍未得到充分研究.
研究的目的:
- 通过牙束计算断层扫描 (CBCT) 评估下第三根形态与精神神经麻醉的发生率之间的关联.
- 确定特定的根形态因素和患者年龄作为麻醉的潜在风险因素.
主要方法:
- 在791名接受抽取和手术前CBCT的患者中,对1534个下第三牙进行了回顾性分析.
- 对根形态因素的评估,包括根形成阶段,牙周带缩,硬化和下管变形,与患者年龄相关.
主要成果:
- 在19到30岁之间观察到下第三根的完全形成.
- 完整的根形成 (P = 0.002) 和下沟变形 (P < 0.001) 被确定为精神神经麻醉的重要危险因素.
结论:
- 完整的下第三根形成和下通道变形与精神神经麻醉的风险增加有关.
- 在根部完全形成之前进行下第三骨提取可能会减轻患精神神经麻醉的风险.
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