种植支抗辅助拔除毗邻神经管近中阻生智牙14例报道

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (2): 249-252.

种植支抗辅助拔除毗邻神经管近中阻生智牙14例报道

马晓晴¹,范建芬²,徐培成¹,项飞¹,秦飞¹

1.上海市徐汇区牙病防治所,上海 200032;
2.江阴市口腔病防治所,江苏江阴 214400

收稿日期:2014-06-25 出版日期:2015-04-20 发布日期:2015-07-24
通讯作者: 秦飞,E-mail:475491422@qq.com
作者简介:马晓晴（1978-）,男,硕士,主治医师,E-mail:mxq780927@163.com

Application of miniscrew for extraction of mesially impacted wisdom tooth adjacent to the inferior alveolar nerve canal

MA Xiao-qing¹,FAN Jian-fen²,XU Pei-cheng¹,XIANG Fei¹,QIN Fei¹

1.Shanghai Xuhui District Dental Center. Shanghai 200032;
2. Dental Center of Jiangyin City. Jiangyin 214400, Jiangsu Province, China

Received:2014-06-25 Online:2015-04-20 Published:2015-07-24

摘要/Abstract

摘要： 目的探讨应用微种植支抗牵引毗邻下牙槽神经管的近中阻生智牙,减小拔牙术后不良反应的效果。方法选择14例锥形束CT确诊毗邻下牙槽神经管且近中阻生的智牙,微种植支抗牵引下颌智牙2~5个月,待其离开下牙槽神经管后拔除。结果所有患牙均顺利拔除,拔牙后均无明显的术后反应。结论应用微种植支抗牵引后拔除毗邻下牙槽神经管的近中阻生智牙,是一种可靠的微创拔牙方法。

关键词: 微种植支抗牵引, 微创外科, 下牙槽神经管, 智牙拔除

Abstract: PURPOSE: To study the value of miniscrew for extraction of mesially impacted wisdom tooth adjacent to the inferior alveolar nerve canal. METHODS: Fourteen mesially impacted wisdom teeth were proven to be adjacent to the inferior alveolar nerve canal by means of cone-beam CT scan. The treatment began with the miniscrew traction of the wisdom teeth. After 2~5 months, they were moved away from the canal and then extracted. RESULTS: After extraction, all 14 cases did not show any obvious side effect. CONCLUSIONS: Application of miniscrew traction is a valuable method for minimally invasive extraction of mesially impacted wisdom tooth that is adjacent to the inferior alveolar nerve canal.

Key words: Miniscrew traction, Minimally invasive surgery, Inferior alveolar nerve canal, Wisdom tooth extraction

中图分类号:

R782.11

马晓晴,范建芬,徐培成,项飞,秦飞. 种植支抗辅助拔除毗邻神经管近中阻生智牙14例报道[J]. 上海口腔医学, 2015, 24(2): 249-252.

MA Xiao-qing,FAN Jian-fen,XU Pei-cheng,XIANG Fei,QIN Fei. Application of miniscrew for extraction of mesially impacted wisdom tooth adjacent to the inferior alveolar nerve canal[J]. Shanghai Journal of Stomatology, 2015, 24(2): 249-252.

参考文献

[1] 汪湧, 何冬梅, 杨驰, 等. 牵引拔除压迫下牙槽神经的下颌第三磨牙 [J]. 中国口腔颌面外科杂志, 2010, 8(6): 521-524.
[2] Susarla SM, Blaeser BF, Magalnick D. Third molar surgery and associated complications [J]. Oral Maxillofac Surg Clin North Am, 2003, 15(2): 177-186.
[3] 林锦荣. 使用颊棚区螺钉治疗严重安氏III类错 [J]. 中华口腔正畸学杂志, 2010, 17(3): 121-126.
[4] Hirsch A, Shteiman S, Boyan BD, et al. Use of orthodontic treatment as an aid to third molar extraction: a method for prevention of mandibular nerve injury and improved periodontal status [J]. J Periodontol, 2003, 74(6): 887-892.
[5] Bonetti GA, Parenti SI, Checchi L. Orthodontic extraction of mandibular third molar to avoid nerve injury and promote periodontal healing [J]. J Clin Periodontol, 2008, 35(8): 719-723.
[6] Wang Y, He D, Yang C, et al. An easy way to apply orthodontic extraction for impacted lower third molar compressing to the inferior alveolar nerve[J]. J Craniomaxillofac Surg, 2012, 40(3): 234-237.
[7] 谢千阳, 马志贵, 钱文涛, 等. 正畸牵引法辅助拔除接触下牙槽神经管的埋伏阻生牙1例报告 [J]. 中国口腔颌面外科杂志, 2012, 10(6): 525-528.
[8] 姜世同, 刘军, 陈玉长, 等. 近中水平阻生下颌第三磨牙的矫治探索 [J]. 国际口腔医学杂志, 2012, 39(6): 730-733.
[9] 陈彩云, 丁寅. 正畸种植支抗稳定性的研究进展 [J]. 第四军医大学学报, 2009, 30(19): 2039-2041.
[10] 王卫东, 董苁蓉, 李蒙. 微种植体作为间接支抗近中移动下颌第二磨牙的疗效观察 [J]. 广东牙病防治, 2014, 22(5): 263-265.
[11] Bach N, Baylard JF, Voyer R. Orthodontic extrusion: periodontal considerations and applications[J]. J Can Dent Assoc,2004,70(11): 775-780.
[12] Tay AB, Go WS. Effect of exposed inferior alveolar neurovascular bundle during surgical removal of impacted lower third molars [J]. J Oral Maxillofac Surg, 2004, 62(5): 592-600.