国际口腔医学杂志

国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (6): 718-722.doi: 10.7518/gjkq.2023105

• 综述 • 上一篇    下一篇

评估下颌第三磨牙拔除难度分类方法的概述

柴安1(),雷荣昌2(),蒋智升2,曲彬彬2,郭锦材3,李鹤2,邵奇2   

  1. 1.湖南中医药大学附属口腔医院口腔颌面外科 长沙 410208
    2.长沙市口腔医院口腔颌面外科 长沙 410006
    3.长沙市口腔医院药剂科 长沙 410006
  • 收稿日期:2023-02-08 修回日期:2023-07-12 出版日期:2023-11-01 发布日期:2023-10-24
  • 通讯作者: 雷荣昌
  • 作者简介:柴安，医师，硕士，Email： chaian123@yeah.net

Review of classification methods for evaluating the difficulty of mandibular third molar extraction

Chai An1(),Lei Rongchang2(),Jiang Zhisheng2,Qu Binbin2,Guo Jincai3,Li He2,Shao Qi2   

  1. 1.Dept. of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital, Hunan University of Chinese Medicine, Changsha 410208, China
    2.Dept. of Oral and Maxillofacial Surgery, Changsha Stomatological Hospital, Changsha 410006, China
    3.Dept. of Pharmacy, Changsha Stomatological Hospital, Changsha 410006, China
  • Received:2023-02-08 Revised:2023-07-12 Online:2023-11-01 Published:2023-10-24
  • Contact: Rongchang Lei

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摘要：

为了选择合适的拔除方法，一般通过口内检查辅以影像学检查来评估下颌第三磨牙位置关系及拔除难度。目前在临床上应用广泛的下颌第三磨牙分类主要有Winter分类和Pell-Gregory分类，但有研究表明评估结果和实际偏差较大，临床适用性不强。因此，学者们以此为基础，结合下颌第三磨牙的解剖学特点，进行更细化的分类，提出了如Pederson指数、综合阻生指数、Juodzbalys和Daugela分类法等。本文对评估下颌第三磨牙拔除难度的分类方法进行概述，为更安全高效地拔除下颌第三磨牙提供参考依据。

关键词: 下颌第三磨牙, 拔除难度, 分类方法, 预测模型

Abstract:

To select an appropriate extraction method, the position relationship and extraction difficulty of mandibular third molars are generally evaluated by intraoral examination and imaging examination. Now, the classification of mandi-bular third molars widely used in clinical practice mainly includes Winter classification and Pell-Gregory classification.Therefore some studies show that the evaluation results have a large deviation from the actual situation, and the clinical applicability is not strong. On this basis, the scholars combined with the anatomical characteristics of the mandibular third molar to make a more detailed classification, and proposed classification methods such as Pederson Index, Comprehensive Impacted Index, Juodzbalys and Daugela. This article summarizes the classification methods for evaluating the difficulty of mandibular third molar extraction, and provides a reference for safer and more efficient extraction of mandibular third molars.

Key words: mandibular third molars, difficulty of removal, classification method, forecast model

中图分类号: 

  • R 782
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