CAJ | 학술논문

目的：总结微创拔除埋伏多生牙的经验体会。方法：35例埋伏多生牙，排除拔牙禁忌证，术前拍摄 X 线片或牙科 CT片，评估患牙位置与毗邻重要解剖结构的位置关系，选择手术入路，利用微创拔牙器械与方法拔除患牙。记录术中、术后患者主观感受、并发症发生率，评估微创拔牙方法的效果。结果：微创拔牙手术时间为10～40 min，平均为15 min。患者手术中保持了良好的舒适度，微创拔牙术后不良反应发生率为8．6％，均为轻度疼痛或轻度不适。35例均未出现严重并发症。结论：微创技术拔除埋伏多生牙可增加患者在手术中的舒适度，减少手术创伤及各种术中、术后并发症。
목적：총결미창발제매복다생아적경험체회。방법：35례매복다생아，배제발아금기증，술전박섭 X 선편혹아과 CT편，평고환아위치여비린중요해부결구적위치관계，선택수술입로，이용미창발아기계여방법발제환아。기록술중、술후환자주관감수、병발증발생솔，평고미창발아방법적효과。결과：미창발아수술시간위10～40 min，평균위15 min。환자수술중보지료량호적서괄도，미창발아술후불량반응발생솔위8．6％，균위경도동통혹경도불괄。35례균미출현엄중병발증。결론：미창기술발제매복다생아가증가환자재수술중적서괄도，감소수술창상급각충술중、술후병발증。
Objective:To evaluate the clinical effect of minimally invasive extraction of impacted supernumerary teeth.Methods :35 cases of impacted supernumerary teeth were included.Excluding extraction contraindications,preoperative X-ray or dental CT examina-tion was executed to find out the location of the impacted teeth and adjacent anatomical structures.According to the location,operation approach was selected to extract the impacted supernumerary teeth using minimally invasive apparatus.Intraoperative and postoperative feeling of the patients and the complications were recorded.Results:Operation time lasted from 1 0 to 40 minutes,average 1 5 minutes. All patients maintained good comfort in the operation.8.6% patients had postoperative adverse reactions such as mild pain and discom-fort.None had serious reactions.Conclusion:Minimally invasive extraction of impacted supernumerary teeth has less complication and less uncomfort.