摘要下颌阻生第三磨牙(impacted mandibular third molar,IMTM)拔除术是口腔科门诊的常见手术。由于IMTM变异性大、存在多种阻生情况、局部解剖结构复杂,手术操作视野局限等原因,拔除IMTM也是拔牙手术中难度最大的手术。拔除IMTM时可发生多种并发症或继发症[1,2]。由于舌侧骨壁较薄弱,拔除IMTM(特别是低位、
2Malkawi Z, A1-Omiri MK, Khraisat A. Risk indicators of postoperative complications following surgical extraction of lower third molars. Med Princ Pract, 2011, 20(4): 321-325.
1Weeraya Tantanapornkul, Kiyoshi Okoachi, Yoshikuni Fu- jiwara,et al. A comparative study of cone-beam computed tomograghy and conventional panoramic radiograghy in as- sessing the topograghic relationship between the mandibular canal and impacted third molars[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.2007.103(2) :253-258.
2Sipos W, Pietschmann P,Rauner M. Strategies for novel therapeutic approaehes targeting cytokines and signalingpathways of osteoelasto-and osteoblastogenesis in the fight against immune-mediated bone and joint diseases[J]. Curr Med Chem,2008,15(2) : 127-136.
3Friedrich RE, Ulbricht C,von Maydell LA. Identification of developmental stages of wisdom teeth on orthopantomo- grams of adolescents and young adults as an aid for foren- sic-odontological age-estimations:Predictive values for the chronological age of 18 years[J]. Arch Kriminol,2005,216 (3-4) : 73-88.