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第三牙的保存和晚期脱落:严重的并发症. 一个案例系列

Quentin Legendre¹, Sarah Gebeile-Chauty^2,3

¹Pratique privée, 17 rue Bouquière, 33000 Bordeaux, France

L' Orthodontie francaise

|May 15, 2025

概括

在16-20岁之间及时的第三 (智慧牙) 拔除将降低风险. 在25岁以后推迟拔出智慧牙,会显著增加神经损伤和骨折等并发症,需要仔细评估风险.

科学领域:

牙科牙科是指牙科的专业.
在口腔外科手术.
面外科手术面外科手术

背景情况:

目前对第三牙 (智慧牙) 生殖切除术的建议往往被限制性地解释,导致提取延迟或避免.
与青春期的提取相比,第三牙的晚期脱落对患者造成的风险要高得多.

研究的目的:

为了说明与第三牙的过度保留和其延迟脱落的手术并发症相关的风险.
强调第三骨提取的最佳时间,以减轻患者的风险.

主要方法:

审查和详细的案例分析十五名患者经历了第三关节脱落.
包括感染,囊,口腔沟通,骨折和神经感官缺陷在内的并发症的记录.

主要成果:

延迟的第三骨流动,特别是在25岁之后,与对耳和下骨折的风险增加有关.
在较年轻的患者 (15岁之前) 中,有不完全的根形成和深层冲击的手术困难和显著的术后影响.

结论:

在手术风险和术后后果最小的最佳窗口进行第三骨脱落是16至20岁之间.
对于25岁或30岁以上的患者来说,严格的益处/风险评估至关重要,可能有利于治疗戒断,并对晚期提取进行监测.

关键词:

下部气膜神经的下部气膜神经.术后并发症术后并发症第三个牙.骨折骨折骨折骨折是一种低听力症是一种低听力症.部角骨折部角骨折部角骨折冠膜炎是一种冠膜炎.牙科产生的囊 (odontogenic cysts) 是一种牙科产生的囊.

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