オトガイ神経知覚異常回避のための下顎智歯2回法抜歯の臨床的検討 Clinical evaluation of two-stage mandibular wisdom tooth extraction method to avoid mental nerve paresthesia

この論文にアクセスする

この論文をさがす

著者

    • 野添 悦郎 NOZOE Etsuro
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 中村 康典 NAKAMURA Yasunori
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 大河内 孝子 [他] OKAWACHI Takako
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 石畑 清秀 ISIHIHATA Kiyohide
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 新中須 真奈 SHINNAKASU Mana
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences
    • 中村 典史 NAKAMURA Norifumi
    • 鹿児島大学大学院医歯学総合研究科顎顔面機能再建学講座口腔顎顔面外科学分野 Department of Oral and Maxillofacial Surgery, Field of Oral and Maxillofacial Rehabilitation, Kagoshima University Graduate School of Medical and Dental Sciences

抄録

Clinical courses following two-stage mandibular wisdom tooth extraction (TMWTE) carried out for preventing postoperative mental nerve paresthesia (MNP) were analyzed. When panoramic X-ray showed 1) overlapping of wisdom tooth root on the superior 1/2 or more of the mandibular canal, 2) interruption of the white line of the superior wall of the canal, or 3) diversion of the canal, CT examination was facilitated. In cases where contact between the tooth root and canal was demonstrated in CT examination, TMWTE was then selected after gaining the patient's consent. TMWTE consisted of removing more than a half of the tooth crown and tooth root extraction at the second step after 2-3 months. The clinical features of wisdom teeth extracted and postoperative courses including tooth movement and occurrence of MNP during two-stage MWTE were evaluated.<br>TMWTE was carried out for 40 teeth among 811 wisdom teeth (4.9%) that were extracted from 2007 to 2009. Among them, complete procedures were accomplished in 39 teeth, and crown removal was performed insufficiently at the first-stage operation in one tooth. Tooth movement was detected in 37 of 40 cases (92.5%). No postoperative MNP was observed in cases in which complete two-stage MWTE was carried out, but one case with insufficient crown removal was complicated by postoperative MNP. Seven mild complications (dehiscence, cold sensitivity, etc.) were noted after the first-stage operation.<br>Therefore, we conclude that TMWTE for high-risk cases assessed by X-ray findings is useful to avoid MNP after MWTE.

収録刊行物

  • 日本口腔科学会雜誌

    日本口腔科学会雜誌 60(4), 317-324, 2011-09-10

    特定非営利活動法人 日本口腔科学会

参考文献:  15件中 1-15件 を表示

各種コード

  • NII論文ID(NAID)
    10030271147
  • NII書誌ID(NCID)
    AN00189050
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00290297
  • NDL 記事登録ID
    11282051
  • NDL 雑誌分類
    ZS43(科学技術--医学--耳鼻咽喉科学) // ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-215
  • データ提供元
    CJP書誌  NDL  J-STAGE 
ページトップへ