CAJ | 학술논문

目的：探讨上颌埋伏多生牙在颌骨中埋伏的部位、定位诊断以及手术径路。方法选取牙科患者68例，通过拍摄X线根尖片、全景片、咬颌片及螺旋CT，结合临床检查，分析判断埋伏多生牙位置，以确定手术径路，包括腭侧径路、唇侧径路、联合径路及牙槽嵴顶径路，行手术拔除。结果68例患者手术中所见位置与术前判断一致，依术前定位采用相应的手术径路，所有埋伏阻生牙均顺利拔除。结论定位X线根尖片、全景片、咬颌片，必要时行螺旋CT，可以对上颌埋伏多生牙进行准确地定位，从而选择合适的手术径路，利于手术拔除。
목적：탐토상합매복다생아재합골중매복적부위、정위진단이급수술경로。방법선취아과환자68례，통과박섭X선근첨편、전경편、교합편급라선CT，결합림상검사，분석판단매복다생아위치，이학정수술경로，포괄악측경로、진측경로、연합경로급아조척정경로，행수술발제。결과68례환자수술중소견위치여술전판단일치，의술전정위채용상응적수술경로，소유매복조생아균순리발제。결론정위X선근첨편、전경편、교합편，필요시행라선CT，가이대상합매복다생아진행준학지정위，종이선택합괄적수술경로，리우수술발제。
Objective To investigate the location and location of the maxillary impacted teeth in the jaw, and the surgical approach.Methods 68 cases of dental patients were selected, and combined with the clinical examination to determine the location of the impacted teeth, including the palate side, the side of the mouth, the combined path and the diameter of the ridge.Results The position of the 68 cases was consistent with the preoperative judgment, and the corresponding operation path was used to determine all the impacted teeth.Conclusion X-ray periapical fi lm and panoramic radiographs, bite jaw plate, if necessary, spiral CT can of maxillary impacted many teeth accurately positioning, so as to select the appropriate surgical path, to pull out the operation.