下颌阻生第三磨牙手术的地静力学研究。

X Wang
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引用次数: 0

摘要

探索微创技术在下颌阻生第三磨牙(IMTM)拔除中的应用,实现“创伤小、时间短、恢复快”的治疗目标,一直是牙医关注的焦点。目前,IMTM多采用45°反角高速涡轮、压电手术、凿子等动力系统,通过除骨、分牙等方法去除冠根阻力后成片提取。但不同省份和基层医院缺乏原理层面的解析,在复杂的IMTM拔牙过程中避免过多剔骨,优化分牙的具体位置和角度,寻找支点,在存在牙根阻力的情况下设计最佳脱位路径,经验仍然是主要因素。本文将地静力学原理引入到IMTM的提取中。根据这一原理,分析了如何巧妙地设计智能切牙线以提高切齿效率,以及如何优化牙根位错和牙根位错路径的机械设计。同时,我们也将重点探讨如何在拔牙过程中尽量减少对牙槽骨的损伤,从而降低术中及术后并发症的发生风险,为牙医在微创拔牙的手术设计和技术方面提供解读和参考。
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[Geostatics in impacted mandibular third molar surgury].

Exploring the application of minimally invasive techniques in the extraction of impacted mandibular third molar (IMTM), to achieve the treatment goal of "less trauma, short time, fast recovery", remains the focus of dentists. For now, the IMTM are mostly extracted in pieces after removing the crown and root resistance by bone removal and tooth segmentation, using 45°reverse-angle high speed turbine, piezosurgery, chisel or other dynamic system. However, There is a lack of principle-level parsing in different provinces and primary hospitals, while experience is still the main factor in avoiding excessive bone removal in complex IMTM extraction, as well as optimizing the specific position and angle of the parting teeth, finding the fulcrum and designing the best dislocation path when there is root resistance. In this review, the principle of geostatics was introduced into the extraction of IMTM. According to this principle, we analyzed how to design a clever tooth cutting line cleverly to enhance the efficiency of tooth segmentation, and how to optimize the mechanical design of root dislocation and the root dislocation path. Meanwhile, we will also focus on how to minimize trauma to alveolar bone during tooth extraction, so as to reduce the risk of intraoperative and postoperative complications, and provide interpretation and reference for dentists in surgical design and techniques of minimally invasive tooth extraction.

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来源期刊
中华口腔医学杂志
中华口腔医学杂志 Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
9692
期刊介绍: Founded in August 1953, Chinese Journal of Stomatology is a monthly academic journal of stomatology published publicly at home and abroad, sponsored by the Chinese Medical Association and co-sponsored by the Chinese Stomatology Association. It mainly reports the leading scientific research results and clinical diagnosis and treatment experience in the field of oral medicine, as well as the basic theoretical research that has a guiding role in oral clinical practice and is closely combined with oral clinical practice. Chinese Journal of Over the years, Stomatology has been published in Medline, Scopus database, Toxicology Abstracts Database, Chemical Abstracts Database, American Cancer database, Russian Abstracts database, China Core Journal of Science and Technology, Peking University Core Journal, CSCD and other more than 20 important journals at home and abroad Physical medicine database and retrieval system included.
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