安徽医科大学学报2024，Vol.59Issue(5)：909-913,5.DOI:10.19405/j.cnki.issn1000-1492.2024.05.027
上颌正中埋伏多生牙拔除入路选择的临床研究
Clinical research of approach selection of extraction of maxillary embedded mesiodens
摘要
Abstract
Objective To explore the related factors for the unilateral flap and bilateral flap by changing the origi-nal operation plan in the extraction of maxillary impacted mesiodens.Methods 81 patients with impacted mesio-dens in the middle of the maxillary were retrospectively analyzed.The primary outcome variables were planned sur-gery (unilateral flap) and unplanned surgery (bilateral flap) .The secondary outcome variables consisted of opera-tion time and postoperative swelling.The predictive variables were as follows:the differential value of the shortest distance from the supernumerary tooth to the labial and palatal bone plates, which was divided into≥1.5 mm group and<1.5 mm group; the ratio of the distance from the adjacent tooth apex to the nasal floor, compared to the length of the supernumerary teeth, was recorded as≥1 and< 1.A statistical software SPSS 20 was used to com-plete the statistical analysis.Results When the differential value was less than 1.5 mm, the possibility of un-planned surgery increased, and the probability of planned surgery was 0.085 times than that of unplanned surgery.With age growing each 1-year, the probability of planned surgery gradually decreased, HR=0.745.The postopera-tive swelling of the palatal approach was only 0.374 times than that of the labial approach.With age increasing, the operation time increased gradually, B=1.213.The ratio of the distance from the adjacent tooth apex to the na-sal floor to the length of the supernumerary teeth did not affect the change of the surgical plan during the operation.Conclusion The shortest distance difference between the supernumerary teeth and the labial and palatal bone plates can be used as a reference for the selection of surgical approach for the extraction of maxillary impacted me-siodens.关键词
正中多生牙/单双侧翻瓣/手术入路/拔牙Key words
mesiodens/unilateral and bilateral flap/surgical approach/tooth extraction分类
口腔医学引用本文复制引用
叶虎,翟沁凯,郝新河,许晓波,韩爽..上颌正中埋伏多生牙拔除入路选择的临床研究[J].安徽医科大学学报,2024,59(5):909-913,5.基金项目
安徽省重点研究与开发计划项目(编号:2022e07020059) （编号:2022e07020059）
安徽医科大学校科研基金(编号:2021xkj249) （编号:2021xkj249）
