中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (3): 284-288.

• 病例报告 • 上一篇    

埋伏2颗多生牙拔除1例报道

胡颖恺, 杨驰*, 徐光宙*   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院 口腔外科,上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2014-05-04 修回日期:2014-07-06 出版日期:2015-05-20 发布日期:2015-06-18
  • 通讯作者: 徐光宙,E-mail: xgzmy@126.com;杨驰,E-mail: yangchi63@hotmail.com。*共同通信作者
  • 作者简介:胡颖恺(1990-),女,在读硕士研究生, E-mail:hykcangcang@gmail.com

A case report of extraction of two difficult embedded supernumerary teeth

HU Ying-kai, YANG Chi, XU Guang-zhou   

  1. Department of Oral Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2014-05-04 Revised:2014-07-06 Online:2015-05-20 Published:2015-06-18

摘要: 本文报告1例罕见的位于腭骨水平板和前颌骨的高位埋伏多生牙,应用超声骨刀拔除该2颗高难度多生牙。重点阐述如何进行手术入路和去骨设计,在采用超声骨刀去骨,同期拔除2颗多生牙的同时,尽可能保存骨的结构解剖、形态,不损伤相邻健康恒牙,并通过临床检查、影像学检查等评价其效果。

关键词: 前颌骨, 腭骨水平板, 埋伏多生牙, 超声骨刀, 锥形束CT

Abstract: In this article, we discussed a rare case with 2 supernumerary teeth impacted in the horizontal plate of palatine bone and premaxilla, with emphasis on the choice of surgical approach and design of osteotomy lines to preserve normal anatomical morphology of premaxilla and protect adjacent teeth when extracted them contemporaneously with the application of piezosurgery. We also evaluated the clinical effect through clinical and imaging examination.

Key words: Premaxilla, Horizontal plate of palatine bone, Embedded supernumerary teeth, Piezosurgery, Cone-beam CT

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