提取难度是否与计算机断层扫描上下膜神经的近距离和受伤风险增加有关?
Jeong-Kui Ku1, Sung Min Kim1, Jong-Ki Huh1
1Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.
概括
受冲击的第三牙的难度指数准确地预测了靠近下膜神经 (IAN) 和相关的神经损伤风险的距离. 这个经过验证的指数有助于对受冲击的智慧牙进行手术规划.
科学领域:
- 牙科 牙科是指牙科的专业.
- 口腔和牙面部外科手术
- 放射学 放射学是指放射学
背景情况:
- 评估受影响的第三关节需要可靠的难度指数.
- 这些指标与下膜神经 (IAN) 接近度和受伤风险相比缺乏放射学和临床验证.
研究的目的:
- 评估受影响的第三牙的已确定的难度指数与IAN近距离之间的关联.
- 评估这些指数对术后神经损伤风险的预测价值.
主要方法:
- 使用圆束计算断层扫描 (CBCT) 对367名下第三完全受影响的患者进行了回顾性研究.
- 评估第三棘难度指数 (全景X射线) 和神经指数 (CBCT).
- 对术后神经并发症的分析和与放射学指数的统计相关性.
主要成果:
- 高神经指数与增加的难度指数相关 (P=0.001).
- 神经并发症风险与神经和困难指数都有统计学显著的相关性.
- 包括367名受试者;22人经历了神经并发症.
结论:
- 对受影响的第三牙的难度指数在与IAN的空间关系方面得到了验证.
- 难度指数有效地预测了第三 extraction 期间潜在的神经并发症.
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