[受影响的第三牙根异常与下沟关闭位置作为下膜神经创伤的前提因素]
A V Kuzin1, A P Vedyaeva1, F S Rusanov1
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
概括
这项研究确定了受影响的第三中特定的根异常,这些异常会增加提取过程中下膜神经损伤的风险. 了解这些解剖变异对于预防手术并发症至关重要.
科学领域:
- 口腔和牙面部外科手术
- 牙科解剖学 牙科解剖学
- 神经外科 神经外科
背景情况:
- 下膜神经的手术损伤在受冲击的第三骨提取过程中是一个显著的风险.
- 个别的地形和解剖学变化增加了安全的手术切除的复杂性.
研究的目的:
- 为了降低手术损伤下膜神经的风险.
- 改进与下沟密切相关的受冲击的第三下的诊断方法和提取技术.
主要方法:
- 在CBCT/OPG成像和手术治疗223名患者的下部第三牙在下管道附近受到影响.
- 使用专用设备对牙部分和根部解剖学的显微镜分析.
- 用高精度仪器测量宏观解剖特征,牙和水泥厚度.
主要成果:
- 鉴定了三种类型的下沟连接到第三牙根:根间 (20/96),顶端 (42/96) 和侧面 (34/96).
- 发现一些根异常,包括裂痕和高硬化,是神经血管束损伤的危险因素.
- 显微镜检查显示了下道旁边的牙部分的特定结构变化.
结论:
- 特定的根异常,如裂痕,水泥稀薄,和角超,增加在提取过程中神经损伤的概率.
- 深深的根和类似"尖峰"的角超症是增加神经损伤风险的关键指标.
- 对这些异常进行手术前评估对于安全移除受影响的第三牙来说至关重要.
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