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A Sectioning Technique for Extraction of Impacted Third Molar by Using a Straight Handpiece and Carbide Bur: Case Report 被引量:1
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作者 Ikuya Miyamoto Takeshi Kaneuji +2 位作者 Kokuryo Shinya Hiroki Tsurushima Izumi Yoshioka 《Open Journal of Stomatology》 2015年第12期287-292,共6页
Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impact... Extraction of the lower third molar is one of the most common procedures performed in oral surgery. In general, impacted tooth extraction involves sectioning the tooth’s crown and roots. In order to divide the impacted tooth so that it can be extracted, high-speed air turbine drills are frequently used. However, complications related to air turbine drills may occur. In this report, we propose an alternative tooth sectioning method that obviates the need for air turbine drill use by using a low-speed straight handpiece and carbide bur. A 21-year-old female patient presented to the institute’s dental hospital complaining of symptoms localized to the left lower third molar tooth that were suggestive of impaction. After physical examination, tooth extraction of the impacted left lower third molar was proposed and the patient consented to the procedure. The crown was divided using a conventional straight low-speed handpiece and carbide bur. This carbide bur can easily cut through the enamel of crown. On post-operative day number five, suture was removed and the wound was extremely clear. This technique could minimise intra-operative time and reduce the morbidity associated with air turbine drill assisted lower third molar extraction. 展开更多
关键词 CARBIDE Bur Low-Speed straight handpiece IMPACTED THIRD MOLAR EXTRACTION
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龈缘角型及袋状切口在拔除阻生智齿中的比较 被引量:3
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作者 秦怀周 王卫红 《昆明医科大学学报》 CAS 2015年第6期89-92,共4页
目的探讨龈缘角型切口及龈缘袋状切口在拔除阻生智齿(下颌阻生第3磨牙)中的临床效果.方法对分别应用龈缘角型切口(组Ⅰ,n=38)及龈缘袋状切口(组Ⅱ,n=38)拔除的76颗阻生智齿进行回顾性分析.应用高速直手机去除阻力后拔除牙齿.对2种切口... 目的探讨龈缘角型切口及龈缘袋状切口在拔除阻生智齿(下颌阻生第3磨牙)中的临床效果.方法对分别应用龈缘角型切口(组Ⅰ,n=38)及龈缘袋状切口(组Ⅱ,n=38)拔除的76颗阻生智齿进行回顾性分析.应用高速直手机去除阻力后拔除牙齿.对2种切口的手术时间、术后疼痛、张口受限、肿胀、并发症情况进行评价.结果 2组手术时间无显著性差异(P>0.05).术后2 d电话随访,龈缘袋状切口术后肿胀疼痛明显大于龈缘角型切口(P<0.05).7 d后复诊,龈缘角型切口患者中伤口裂开明显少于龈缘袋状切口,肿胀疼痛及张口受限在2组中差异无统计学意义(P>0.05).结论对于阻生智齿的拔除,高速无碳刷电动直手机可有效缩短拔牙时间;龈缘角型切口和龈缘袋状切口相比,前者并发症少. 展开更多
关键词 阻生智齿 龈缘袋状切口 龈缘角型切口 无碳刷电动直手机 氢化泼尼松注射液
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牙椅慢速直机辅助拔除下颌复杂阻生智齿临床研究 被引量:4
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作者 邹立东 王智 +1 位作者 于森 高柳 《中国实用口腔科杂志》 CAS 2017年第7期427-431,共5页
目的探讨应用牙椅慢速直机去除下颌复杂中、低位阻生智齿拔除阻力的可行性。方法 (1)选择拔除的完整智齿20颗,将每颗智齿纵向分开,左右分为两组,比较应用牙椅慢速直机(实验组)与高速涡轮机(对照组)分割牙体组织的效率。(2)选择2016年1-1... 目的探讨应用牙椅慢速直机去除下颌复杂中、低位阻生智齿拔除阻力的可行性。方法 (1)选择拔除的完整智齿20颗,将每颗智齿纵向分开,左右分为两组,比较应用牙椅慢速直机(实验组)与高速涡轮机(对照组)分割牙体组织的效率。(2)选择2016年1-12月北京大学口腔医院第二门诊部口腔外科诊治的需要预防性或治疗性拔除下颌中、低位复杂阻生智齿且无拔牙禁忌证的患者166例,用牙椅慢速直机辅助拔除阻生智齿。分析其阻生类型、去阻的细节、拔除时间、术后并发症和患者的主观感受。结果 (1)应用慢速直机与高速涡轮机的冠根分开时间分别为15.1 s和12.6s,差异有统计学意义(P<0.05);牙冠分割时间分别为18.2s和17.5s,差异无统计学意义(P>0.05)。(2)牙椅慢速直机辅助拔除下颌复杂阻生智齿的平均手术时间为10.5 min。术后并发症中,出现下齿槽神经暂时损伤1例,没有病例发生皮下气肿和舌神经损伤,患者对拔牙过程评价为容易配合者158例(95.2%)。结论在下颌复杂中、低位阻生智齿拔除中应用牙椅慢速直机辅助去骨和分牙,可明显缩短拔牙时间,减少术后并发症,减轻患者对拔牙的焦虑和恐惧。该方法不需要额外配置设备,方法简便,利于临床推广应用。 展开更多
关键词 牙椅慢速直机 下颌复杂阻生智齿 主观满意度
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