하악 제3대구치의 위치와 각도가 발치 후 합병증에 미치는 영향

홍선표; 임헌준; 김원기; 김용운; 오세리; 이준; 민승기

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하악 제3대구치의 위치와 각도가 발치 후 합병증에 미치는 영향
Effect on complications associated with its position and angulation following mandibular third molar extraction

대한구강악안면외과학회지 2011년 37권 5호 p.349 ~ 354

홍선표, 임헌준, 김원기, 김용운, 오세리, 이준, 민승기,

소속 상세정보

홍선표 ( Hong Sun-Pyo ) - 원광대학교 치과대학 구강악안면외과학교실
임헌준 ( Lim Hun-Jun ) - 원광대학교 치과대학 구강악안면외과학교실
김원기 ( Kim Won-Ki ) - 원광대학교 치과대학 구강악안면외과학교실
김용운 ( Kim Yong-Woon ) - 원광대학교 치과대학 구강악안면외과학교실
오세리 ( O Se-Ri ) - 원광대학교 치과대학 구강악안면외과학교실
이준 ( Lee Jun ) - 원광대학교 치과대학 구강악안면외과학교실
민승기 ( Min Seung-Ki ) - 원광대학교 치과대학 구강악안면외과학교실

KMID : 0355620110370050349

Abstract

Introduction:Mandibular third molar extraction is one of the most common procedures performed in oral and maxillofacial surgery units. Although the overall complication rate is low with most complications being minor, mandibular third molar removal is so common that the population morbidity of complications might be significant1,2. Therefore, efforts to limit intraoperative or postoperative complications might have a significant impact in terms of enhancing the patient outcome. The aims of this study were to identify the position and angulation associated complications after mandibular third molar extractions.

Materials and Methods : This study surveyed 568 patients who had a mandibular third molar extracted, showed clinical complications and underwent a radiographic measurement of the available space, depth and spatial relationship.

Results:The results obtained were as follows: 1. The complications were a dry socket, nerve injury, root rest, infection, bleeding, hamatoma, and adjacent teeth injury.2. There were no significant differences between the complication and ramus relationship (available space) of the mandibular third molar.3. There were no significant differences between the complications and depth of the mandibular third molar.4. There were no significant differences between the complications and spatial relationship of the mandibular third molar.

Conclusion:There were no significant differences in the complication rate, ramus relationship, depth andspatial relationship of the mandibular third molar. This suggests that the position and angulation of the mandibular third molar may not have an impact on the complications. The relationship between the position and angulation of the mandibular third molar, and complications deserves a further study using longitudinal data.