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Int J Oral Max Surg: 下颌第三磨牙拔除时水平倾角与下牙槽神经损伤的关系

2017-11-19 MedSci MedSci原创

拔除下颌第三磨牙可导致下牙槽神经受损。因此,在拔牙之前评估牙根与下牙槽神经的接近程度是很重要的。

拔除下颌第三磨牙可导致下牙槽神经受损。因此,在拔牙之前评估牙根与下牙槽神经的接近程度是很重要的。Pell和Gregory的分类系统和Winter分类通常用于评估X光片上第三磨牙的位置关系。这项研究包括105个下颌第三磨牙,用于评估这些系统是否反映了根部与神经管的接近程度(基于计算机断层扫描图像),并确定神经损伤的危险因素。对于计算机断层扫描确诊的神经管侵袭的预测,有放射学影像的每个Pell和Gregory分类的敏感性,特异性,阳性和阴性预测值均较高。 III 类的入侵的平均距离显着大于 I类,但在Winter倾向类别之间没有显着差异。颊侧水平倾斜角度> 5°和角度≤5°之间平均距离之间存在显着差异。因此,水平倾角> 5°代表了神经损伤的一个新的危险因素。

原始出处:

S. Ishii, et al. The horizontal inclination angle is associated with the risk of inferior alveolar nerve injury during the extraction of mandibular third molars.  International Journal of Oral and Maxillofacial Surgery. 2017 December. doi: 10.1016/j.ijom.2017.07.010

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    2018-09-07 xlysu
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    2018-08-04 小几洁
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