中国实用口腔科杂志

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阻生牙截冠术用于含牙囊肿治疗

黄巧艳胡砚平   

  1. 厦门医学院附属口腔医院口腔颌面外科,厦门市口腔疾病诊疗重点实验室,福建  厦门  361006
  • 出版日期:2020-10-15 发布日期:2020-11-23
  • 作者简介:胡砚平,医学博士、教授、主任医师。现任厦门医学院附属口腔医院党委书记。兼任中华口腔医学会口腔颌面外科专业委员会委员,福建省口腔医学会口腔颌面外科专业委员会副主任委员。主要研究方向为口腔颌面部肿瘤。主持省市级科研课题4项。发表学术论文28篇。

  • Online:2020-10-15 Published:2020-11-23

摘要: 随着微创理念的发展,功能保存和术后并发症的预防成为口腔颌面外科医生关注的课题。当下颌阻生牙伴有含牙囊肿时,囊肿刮除术及牙拔除术可能造成下牙槽神经暂时性或永久性损伤,导致下唇感觉异常,严重影响患者的生活质量。20世纪80年代,截冠术引入口腔颌面外科领域,目前对其安全性、可操作性、并发症发生率等方面都有较充分的研究。文章介绍阻生牙截冠术用于含牙囊肿治疗的适应证与禁忌证、操作要点以及相关手术并发症。

关键词: 截冠术, 阻生牙, 含牙囊肿, 下牙槽神经损伤

Abstract: With the development of minimally invasive concept,the function preservation and the prevention of complications has drawn increasing attention from oral surgeons. When the impacted mandibular tooth is accompanied by dentigerous cyst,enucleation of the cyst or tooth extraction may cause temporary or permanent damage to the inferior alveolar nerve,leading to paresthesia of the lower lip,which seriously affects the quality of patients′ lives. In 1980s,coronectomy was introduced into the field of oral surgery. There have been a lot of researches on its safety,practicality,and complication rate. This article makes an introduction to coronectomy for impacted tooth,including indications and contraindications,surgical procedures and complications.

Key words: coronecomty, impacted tooth, dentigerous cyst, inferior alveolar nerve injury