拔牙时车针断入软腭内1例报告并文献复习

doi:10.19438/j.cjoms.2024.02.016

中国口腔颌面外科杂志 ›› 2024, Vol. 22 ›› Issue (2): 202-205.doi: 10.19438/j.cjoms.2024.02.016

拔牙时车针断入软腭内1例报告并文献复习

郭磊^1,2, 雷荣昌^1,2,*, 曲彬彬^1,2,*, 郭阁^1,2, 柴安^1,2, 罗莹^1,2

1.湖南中医药大学口腔医学院,湖南长沙 410208;
2.长沙市口腔医院口腔颌面外科, 湖南长沙 410004

收稿日期:2023-07-12 修回日期:2023-08-15 出版日期:2024-02-20 发布日期:2024-03-27
通讯作者: 雷荣昌,E-mail: leroch@163.com;曲彬彬,qubinbin2017@163.com。^*共同通信作者
作者简介:郭磊（1998-）,男,硕士,住院医师,E-mail: gl562756839@163.com
基金资助:
湖南省自然科学基金（2018JJ6130）; 湖南省卫健委课题资助项目（A20182008）

The bur broken into soft palate during tooth extraction: a case report and literature review

GUO Lei^1,2, LEI Rong-chang^1,2,*, QU Bin-bin^1,2,*, GUO Ge^1,2, CHAI An^1,2, LUO Ying^1,2

1. School of Stomatology, Hunan University of Chinese Medicine. Changsha 410208;
2. Department of Oral and Maxillofacial Surgery, Changsha Municipal Stomatological Hospital. Changsha 410004, Hunan Province, China

Received:2023-07-12 Revised:2023-08-15 Online:2024-02-20 Published:2024-03-27

摘要/Abstract

摘要： 高速涡轮手机联合外科专用切割车针拔除阻生牙时,器械分离发生较为少见,而断针断入软腭内则更为罕见。本文报告1例拔牙时车针断入软腭内的罕见病例,断针在影像学及三维可视化技术辅助定位下,局麻下顺利取出。结合文献复习,总结该并发症发生的原因以及相应的处理方式,探讨如何减少该并发症的发生。

关键词: 下颌阻生第三磨牙, 高速涡轮手机, 车针, 并发症, 三维可视化

Abstract: When high-speed dental handpiece combined with surgical cutting bur are used to remove impacted teeth, instrument separation is rare, and bur breaking into the soft palate is even rarer. This paper reported a rare case in which the bur broke into the soft palate during tooth extraction and was successfully removed under local anesthesia with the help of imaging and 3D visualization techniques. Combined with literature review, this paper discussed the causes of this complication and corresponding treatment methods, and explored how to reduce the occurrence of this complication.

Key words: Impacted mandibular third molar, High-speed dental handpiece, Bur, Complications, Three-dimensional visualization

中图分类号:

R782.11

郭磊, 雷荣昌, 曲彬彬, 郭阁, 柴安, 罗莹. 拔牙时车针断入软腭内1例报告并文献复习[J]. 中国口腔颌面外科杂志, 2024, 22(2): 202-205.

GUO Lei, LEI Rong-chang, QU Bin-bin, GUO Ge, CHAI An, LUO Ying. The bur broken into soft palate during tooth extraction: a case report and literature review[J]. China J Oral Maxillofac Surg, 2024, 22(2): 202-205.

参考文献

[1] Li K, Xie B, Chen J, et al.Breakage and displacement of the high-speed hand-piece bur during impacted mandibular third molar extraction: three cases[J]. BMC Oral Health, 2022, 22(1): 222-228.
[2] 寇强勇, 李麒麟, 陈卫民. 45°仰角高速涡轮手机与加长裂钻在上颌磨牙断根拔除中的应用[J]. 临床口腔医学杂志, 2017, 33(8): 481-483.
Kou QY, Li QL, Chen WM.The application of 45° elevation high speed turbine handpiece armed with extended fissure bur in extraction of maxillary molars'broken roots[J].Journal of Clinical Stomatology, 2017, 33(8): 481-483.
[3] Matsuda S, Yoshimura H, Yoshida H, et al.Breakage and migration of a high-speed dental hand-piece bur during mandibular third molar extraction: two case reports[J]. Medicine (Baltimore), 2020, 99(7): e19177.
[4] Siegel SC, Von Fraunhofer JA.Assessing the cutting efficiency of dental diamond burs[J]. J Am Dent Assoc, 1996, 127(6): 763-72.
[5] 李泽溪, 郑恺, 尉超, 等. 微创拔除阻生下颌第三磨牙时高速涡轮手机车针断裂30例临床分析[J]. 中国实用口腔科杂志, 2022, 15(3): 341-344.
Li ZX, Zheng K, Wei C, et al.Clinical study of 30 cases of the fracture of high-speed handpiece bur during minimally invasive extraction of impacted mandibular third molar[J]. Chinese Journal of Practical Stomatology, 2022, 15(3): 341-344.
[6] Tenglikar P, Munnangi A, Mangalgi A, et al.An assessment of factors influencing the difficulty in third molar surgery[J]. Ann Maxillofac Surg, 2017, 7(1): 45-50.
[7] Yalcin S, Aktas I, Emes Y, et al.Accidental displacement of a high-speed handpiece bur during mandibular third molar surgery: a case report[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 105(3): e29-31.
[8] Reia VCB, De Toledo Telles-Araujo G, Peralta-Mamani M, et al. Diagnostic accuracy of CBCT compared to panoramic radiography in predicting IAN exposure: a systematic review and meta-analysis[J]. Clin Oral Investig, 2021, 25(8): 4721-4733.
[9] 朱玉佳,蒋博,孙玉春,等. 口腔三维冠根整合模型构建方法的研究进展[J]. 中华口腔医学杂志, 2020, 55(4): 280-284.
Zhu YJ, Jiang B, Sun YC, et al.Research and development of three-dimensional reconstruction of tooth crown and root with digital models[J].Chinese Journal of Stomatology, 2020, 55(4): 280-284.
[10] 沈末伦, 高超, 翟沁凯, 等. 三维重建可视化技术在埋伏牙拔除术前设计中的应用[J]. 口腔颌面外科杂志, 2019, 29(4): 201-205.
Shen ML, Gao C, Zhai QK, et al.Application of three-dimensional reconstruction visualization technology in preoperative planning of embedded teeth removal[J]. Journal of Oral and Maxillofacial Surgery, 2019, 29(4): 201-205.
[11] 赖永圳, 王承勇, 蔡志宇, 等. 影像学检查辅助舌根内异物取出1例[J]. 口腔颌面外科杂志, 2023, 33(1): 54-56.
Lai YZ, Wang CY, Cai ZY, et al.Removal of foreign body in the root of tongue assisted by imaging examination: a case report[J]. Journal of Oral and Maxillofacial Surgery, 2023, 33(1): 54-56.
[12] Taylor H, Alsabbagh AY, Downie I.Endoscope-assisted surgical removal of an ectopic wisdom tooth below lower border of the mandible-a case report[J]. Ann Maxillofac Surg, 2022, 12(1): 117-120.
[13] Huang ZQ, Huang ZX, Wang YY, et al.Removal of the residual roots of mandibular wisdom teeth in the lingual space of the mandible via endoscopy[J]. Int J Oral Maxillofac Surg, 2015, 44(3): 400-403.
[14] Stein KM.Use of intraoperative navigation for minimally invasive retrieval of a broken dental needle[J]. J Oral Maxillofac Surg, 2015, 73(10): 1911-1916.

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拔牙时车针断入软腭内1例报告并文献复习

The bur broken into soft palate during tooth extraction: a case report and literature review

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