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目的探讨下颌阻生智齿拔除并发症发生的原因及防治方法。方法回顾性分析2003年3月—2011年4月间下颌阻生智齿拔除1 256颗,发生并发症198例。结果 198例并发症中术中并发症89例。术后并发症109例,其中59例术中术后均发生并发症。结论阻生齿拔除应选择合适的手术方式,术前对阻生齿详细检查,了解牙根阻力情况,进行综合分析。曲面体层摄影应列为术前常规检查项目,术中减少手术创伤,缩短手术时间,降低并发症的发生。
Objective To investigate the causes of mandibular impacted wisdom tooth extraction and its prevention and treatment. Methods Retrospective analysis from March 2003 to April 2011 impacted mandibular wisdom teeth removal of 1 256, 198 cases of complications. Results 198 cases of complications in 89 cases of intraoperative complications. Postoperative complications in 109 cases, of which 59 cases were postoperative complications occurred. Conclusion Residual tooth extraction should choose the appropriate surgical methods, preoperative detailed examination of the impacted teeth to understand the root resistance, a comprehensive analysis. Surface tomography should be classified as preoperative routine examination, surgery to reduce surgical trauma, shorten the operation time and reduce the incidence of complications.