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解某、女、33岁。1991—07以左下颌近1个月间歇剧烈性阵痛来我院就诊。查体:68在原医院已治愈,唯8远中似有一骨庞状物。查其表面稍粗糙,用力压之有痛感,局部软组织有创伤性溃疡。经常规药物冲洗处理后,摄X线片见有第四多生磨牙,确诊为第9多生齿不全阻生,因9多生牙病情特异少见,再次摄局部对比牙片,病情同上9牙冠近远中有线状低密度阴影,尤其根尖距下颌管甚近,分界不清,初步印诊:第9多生牙为痛灶?由此而引起疼涌。在1h左右发作一次,持续时间数秒,呈闪击样痛。患者自认为疼痛中心是左下颌角深部,与冷、热、酸、甜无明显关系。处置:2%利多卡因2ml下颌阻滞,观察
Solutions some, female, 33 years old. 1991-07 to the left jaw nearly 1 month intermittent severe pain to our hospital. Physical examination: 68 in the original hospital has been cured, the only eight seems to have a long bone pangs. Check its surface a little rough, hard-pressed pain, local soft tissue traumatic ulcer. Routine drug rinse after the photo taken to see the fourth abortion X-ray, diagnosed as the ninth more incomplete impaction of the teeth, due to the 9 rare cases of dental special rare, once again take partial contrast of the teeth, the same as above 9 teeth Near the crown in a linear low-density shadows, especially near the root tip from the mandibular canal, the boundary is unclear, the initial test: the 9th birth of the teeth as a result of pain? Attack in 1h or so, the duration of a few seconds, was flash stroke pain. The patient thinks that the pain center is deep in the left mandibular angle, and has no obvious relationship with cold, heat, sour and sweet. Disposal: 2ml lidocaine 2ml mandibular block, observation