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拔牙后意外残留物的管理策略:一个案例报告
Mingyang Liu1,2, Xuewu Zhuo3, Li Wang4
1Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Medicine
|December 30, 2025
概括
拔牙后保留的牙碎片可能会导致并发症. 早期的圆束计算机断层扫描 (CBCT) 和微创手术是诊断和康复的关键.
科学领域:
- 在口腔外科手术.
- 牙科诊断 牙科诊断 牙科诊断
- 放射学 放射学是一门学科.
背景情况:
- 拔牙并发症,如保留的碎片,可以延迟愈合并引起感染.
- 碎片可能会迁移并变得模糊,导致诊断延迟.
- 早期诊断和干预对于管理这些罕见并发症至关重要.
研究的目的:
- 为了澄清早期形光束计算机断层扫描 (CBCT) 在定位保留的牙碎片的指示.
- 展示微切口检索策略,以尽量减少患者的发病率.
- 强调提取后残留物及时识别和管理的重要性.
主要方法:
- 一个27岁的女性病例报告,抽取后3个月出现症状.
- 使用圆束计算断层扫描 (CBCT) 诊断保留的冠状片段.
- 通过在局部麻醉下通过一个小的distobuccal切口手术去除碎片.
主要成果:
- CBCT准确地确定了2个保留的皇冠碎片.
- 手术切除导致症状消失,改善了口腔功能.
- 在随访期间没有并发症的无事件的术后恢复.
结论:
- 保留的牙碎片是拔牙的潜在并发症,需要迅速识别.
- 早期的放射性评估,特别是CBCT,当有必要时是合理的.
- 及时手术切除可以预防长期并发症,并促进患者的最佳康复.
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