
Digital technology-assisted extraction of impacted maxillary third molar located between the furcation of maxillary second molar by root dislocation: a case report
He Lanxi, Jurat·Omar , Zhou Zihang, Yu Jian, Wang Zhaoling, Chen Hongyu
Digital technology-assisted extraction of impacted maxillary third molar located between the furcation of maxillary second molar by root dislocation: a case report
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.
impacted maxillary third molar / extraction / maxillary tuberosity / minimally invasive / digital simu-lation technology
R782.11
1 | Farish SE, Bouloux GF. General technique of third molar removal[J]. Oral Maxillofac Surg Clin North Am, 2007, 19(1): 23-43. |
2 | Lim AA, Wong CW, Allen JC. Maxillary third molar: patterns of impaction and their relation to oroantral perforation[J]. J Oral Maxillofac Surg, 2012, 70(5): 1035-1039. |
3 | Wang D, He X, Wang Y, et al. External root resorption of the second molar associated with mesially and horizontally impacted mandibular third molar: evidence from cone beam computed tomography[J]. Clin Oral Investig, 2017, 21(4): 1335-1342. |
4 | Oenning AC, Melo SL, Groppo FC, et al. Mesial inclination of impacted third molars and its propensity to stimulate external root resorption in second molars: a cone-beam computed tomographic evaluation[J]. J Oral Maxillofac Surg, 2015, 73(3): 379-386. |
5 | Smailien? D, Trakinien? G, Beinorien? A, et al. Relationship between the position of impacted third molars and external root resorption of adjacent second molars: a retrospective CBCT study[J]. Medicina (Kaunas), 2019, 55(6): E305. |
6 | 赖颖, 潘韦霖, 刘畅, 等. 埋伏阻生牙导致牙根外吸收邻牙的预后的临床观察[J]. 华西口腔医学杂志, 2019, 37(3): 280-284. |
6 | Lai Y, Pan WL, Liu C, et al. Prognosis of teeth with external root resorption caused by adjacent impacted teeth[J]. West China J Stomatol, 2019, 37(3): 280-284. |
7 | Carvalho RW, Araújo-Filho RC, Vasconcelos BC. Adver-se events during the removal of impacted maxillary third molars[J]. Int J Oral Maxillofac Surg, 2014, 43(9): 1142-1147. |
8 | Hasegawa T, Tachibana A, Takeda D, et al. Risk factors associated with oroantral perforation during surgical removal of maxillary third molar teeth[J]. Oral Maxillofac Surg, 2016, 20(4): 369-375. |
9 | 张述寅, 莫静珍, 胡开进.两种手术拔除下颌水平阻生第三磨牙的效果比较[J]. 实用口腔医学杂志, 2023, 39(1): 64-68. |
9 | Zhang SY, Mo JZ, Hu KJ. Comparison of two methods in the extraction of horizontally impacted mandibular third molars[J]. J Pract Stomatol, 2023, 39(1): 64-68. |
10 | 孙宇琪, 赵吉宏. 牙根先脱位法拔除上颌超高位阻生第三磨牙1例[J]. 口腔医学研究, 2022, 38(12): 1205-1207. |
10 | Sun YQ, Zhao JH. Application of “root removal first” strategy in the extraction of impacted maxillary third molar in position D: a case report[J]. J Oral Sci Res, 2022, 38(12): 1205-1207. |
11 | Hong B, Bulsara Y, Gorecki P, et al. Minimally invasive vertical versus conventional tooth extraction: an interrupted time series study[J]. J Am Dent Assoc, 2018, 149(8): 688-695. |
12 | 吴詹强, 林汉武, 巫俊躯. 微创拔牙技术应用于下颌低位埋伏阻生智齿拔除中的临床效果[J]. 数理医药学杂志, 2020, 33(10): 1485-1486. |
12 | Wu ZQ, Lin HW, Wu JQ. Clinical efficacy of application of minimally invasive tooth extraction technique in mandibular lower position impacted wisdom tooth extraction[J]. J Mathemat Med, 2020, 33(10): 1485-1486. |
13 | 邓文正, 周诺, 覃求, 等. 螺旋CT结合Mimics软件实现颏管区测量和可视化[J]. 口腔颌面修复学杂志, 2014, 15(5): 297-300. |
13 | Deng WZ, Zhou N, Qin Q, et al. Measurement and vi-sualization of mental canal by spiral CT combined with mimics software[J]. Chin J Prosthodont, 2014, 15(5): 297-300. |
14 | 李爽, 施益军, 朱静峰, 等. Mimics软件系统行三维重建指导胸腔镜下解剖性肺段切除术的临床应用分析[J]. 中国胸心血管外科临床杂志, 2024, 31(1): 59-64. |
14 | Li S, Shi YJ, Zhu JF, et al. Clinical application of Mi-mics software system to three-dimensional reconstruction to guide thoracoscopic anatomic pulmonary segmentectomy[J]. Chin J Clin Thorac Cardiovasc Surg, 2024, 31(1): 59-64. |
15 | Shan T, Tay FR, Gu L. Application of artificial intelligence in dentistry[J]. J Dent Res, 2021, 100(3): 232-244. |
/
〈 |
|
〉 |