以舌側皮瓣術式移除意外移位之下顎阻生智齒－三病例報告

Surgical Management of the Displaced Lower Third Molar with Lingual Flap Approach-Three Case Reports

呂邁(Mai Lu) ； 許瑞瑾(Rui-Jin Xu) ； 陳韋全(Wei-Chuan Chen)

《臺灣口腔顎面外科學會雜誌》 21卷4期 (2010/12) Pp. 342-349

https://doi.org/10.7104/TJOMS.201012.0342

摘要

拔除下顎阻生齒是牙科臨床中常見的手術之一，併發症包括腫痛、出血、暫時或永久性神經傷害等。其中牙齒移位也爲其中之一雖較罕見，但卻可能產生較嚴重的組織傷害，甚至引起醫療糾紛。因此牙醫師必須慎重處理。本文報告三個病例均是在牙醫診所拔除下顎第三大臼齒時意外造成移位，而轉診至本院，本院以舌側皮瓣術式來移除移位之下顎第三大臼齒。本文提出對於拔除第三大臼齒時意外移位掉入組織間隙的處理原則以及探討第三大臼齒移位的原因。

關鍵字

後遺症 ； 下顎第三大臼齒移位 ； 舌側皮瓣

並列摘要

Extraction of mandibular third molar is a common surgical procedure in dental clinic. But complications, including swelling, bleeding, temporary or permanent nerve damage may be happened. Tooth displacement into pterygomandibular space, although rare, may produce more severe tissue damage and even lead to medicolegal disputes. Therefore, dentists must manage very carefully. We report three cases of mandibular third molar displacement, and provide the management for removal of third molar displaced into the tissue space, technique, and comparison.

並列關鍵字

complication ； displaced lower third molar ； lingual flap approach