牙拔除术是口腔颌面外科领域最常见、最基本、应用最广泛的治疗性手术.微创拔牙可减少牙拔除诊疗过程对患者产生的身心创伤,在临床运用中具有重要意义,被广泛推荐用于临床一线诊疗,但当前国内外尚无指南或共识对微创拔牙进行系统性介绍,无法为临床牙拔除整个过程提供实践指导.针对该问题,本共识根据国内外相关资料和临床工作经验,对微创拔牙的临床应用(适应证、适应群体和禁忌证)、整体流程(术前准备、手术步骤、术后处置、术后医嘱、用药及随访)和术后并发症进行系统整合,为微创拔牙临床运用进行全面指导.
Tooth extraction is a common and widely employed therapeutic procedure in oral and maxillofacial surgery.Minimally invasive tooth extraction can reduce both physical and psychological trauma to the patients,and is widely recommended as a first-line clinical treatment.But currently no guidelines or consensus has been available to provide a systematic introduction of minimally invasive tooth extraction to guide the clinical practices.To address this issue,this consensus,based on a comprehensive literature review and clinical experiences of experts,systematically summarizes the indications,target patients,and contraindications of minimally invasive tooth extraction,the overall workflow of this procedure(preoperative preparation,surgical steps,postoperative management,postoperative instructions,medications,and follow-up),and its common postoperative complications to provide a comprehensive guidance for clinical application of this technique.
贾搏;刘丰;欧阳可雄;张磊涛;吕晓智;赵建江;王勤;陈军;郑广森;范松;叶青松;贺燕;张富贵;吴亚东
南方医科大学口腔医院口腔颌面外科,广东 广州 510280湖南省人民医院口腔颌面外科,湖南 长沙 410018广州医科大学附属口腔医院口腔颌面外科,广东 广州 510160南方医科大学南方医院口腔科,广东 广州 510515南方医科大珠江医院口腔科,广东 广州 510282南方医科大深圳口腔医院口腔颌面外科,广东 深圳 518001中山大学光华口腔医学院·附属口腔医院口腔颌面外科,广东 广州 510055中山大学孙逸仙纪念医院口腔颌面外科,广东 广州 510120武汉大学人民医院口腔医学中心,湖北 武汉 430060武汉科技大学同济天佑医院口腔科,湖北 武汉 430070重庆医科大学附属口腔医院口腔颌面外科,重庆 400042贵州医科大学口腔医学院口腔颌面外科,贵州 贵阳 550001
微创拔牙;规范化;操作流程;专家共识
minimally invasive tooth extraction;standardization;operation procedure;expert consensus
《南方医科大学学报》 2024 (005)
1004-1014 / 11
10.12122/j.issn.1673-4254.2024.05.24
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