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目的:旨对临床进行下颌阻生第三磨牙拔除的各种方法进行综合性分析。方法:选取2012年1月~2014年8月间,笔者单位收治的980例(980颗牙)行下颌阻生第三磨牙拔除术者为研究对象。通过对980例患者进行拍全景片、阻力分析、颊侧翻瓣、去骨、劈牙等对980例患者进行下颌阻生第三磨牙拔出术。结果:本组980例患者术后,共46例发生并发症(4.6%);且并发症的发生与男女性别无明显差异(P>0.05)。结论:临床实施下颌阻生第三磨牙拔除术时,须对患者患牙进行综合性分析,拟定最佳手术方案;并通过规范、严密的手术流程来全面降低并发症的发生。
Objective: To carry out a comprehensive analysis of various methods of mandibular third molar removal. Methods: From January 2012 to August 2014, 980 patients (980 teeth) underwent mandibular third molar extraction were selected as the study subjects. A total of 980 patients underwent maxillary impaction of the third molars through 980 panoramic views, resistance analysis, buccal flaps, deboning, and chopped teeth. Results: A total of 46 patients (4.6%) had postoperative complications in 980 patients. There was no significant difference in the incidence of complications between men and women (P> 0.05). CONCLUSIONS: In the clinical implementation of mandibular third molar extraction surgery, the patients’ teeth should be analyzed comprehensively and the best surgical plan should be drawn. The complication should be reduced through standardized and rigorous surgical procedures.