Digital technology-assisted extraction of impacted maxillary third molar located between the furcation of maxillary second molar by root dislocation: a case report.

Lanxi He, Jurat Omar, Zihang Zhou, Jian Yu, Zhaoling Wang, Hongyu Chen
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Abstract

Most of the maxillary impacted third molars are located in the maxillary tuberosity, where the vision and operation space are limited. This paper reports a case of surgical extraction of the left maxillary horizontal superhigh impacted third molar, which is located between the roots of the adjacent teeth and is closely related to the maxillary sinus. The digital simulation technology was used to reconstruct a three-dimensional visual image of the patient's maxilla, related teeth, and other adjacent anatomical structures to assist in finding the optimal surgical method accurately. Root dislocation before the crown not only protects the roots of the adjacent tooth, but also reduces the risk of maxillary sinus lining damage or perforation during operative procedures, improves the efficiency of the operation, and reduces surgical trauma, which conforms to the concept of minimally invasive surgery and provides a new idea and experience for the clinical extraction of such maxillary impacted third molars.

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数字化技术辅助拔除位于上颌第二磨牙毛面之间的上颌第三磨牙牙根错位:病例报告。
上颌撞击性第三磨牙大多位于上颌结节内,视野和操作空间有限。本文报道了一例手术拔除左侧上颌水平超高撞击性第三磨牙的病例,该磨牙位于邻牙牙根之间,与上颌窦密切相关。该病例采用数字模拟技术重建了患者上颌骨、相关牙齿及其他邻近解剖结构的三维可视图像,有助于准确找到最佳手术方法。牙冠前牙根错位不仅保护了邻牙的牙根,还降低了手术过程中上颌窦内膜损伤或穿孔的风险,提高了手术效率,减少了手术创伤,符合微创手术的理念,为临床拔除此类上颌撞击性第三磨牙提供了新的思路和经验。
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