THE BONY LID APPROACH FOR THE APICAL ROOT RESECTION OF LOWER MOLARS
THE BONY LID APPROACH FOR THE APICAL ROOT RESECTION OF LOWER MOLARS
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DOI：
10.1016/s0901-5027(87)80125-x
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发表时间：
1987-04-01
影响因子：
2.4
通讯作者：
HENSHER, R
中科院分区：
文献类型：
--
作者：
KHOURY, F;HENSHER, R
摘要下颌磨牙根尖根切除术是一种少见的手术，且主要局限于下颌第一磨牙。虽然关于这一主题的第一篇论文发表于世纪初，但自那时以来进展甚微。这是由于下臼齿区域的颊侧骨板的厚度使得手术非常困难并且导致骨的大量损失。由此产生的手术视野的限制妨碍了良好的视力。我们的方法的目的是最大限度地减少或消除这些问题，通过打开一个骨盖以上的根被切除。这可以做得足够大，以便外科医生在根尖手术期间容易进入和良好的视野。在手术结束时，为了避免骨缺损并促进愈合过程，更换相同的盖子。在3年期间使用该技术治疗的75例患者中，仅观察到一例术后并发症。 大多数病例在6个月内观察到骨完全愈合。
The apical root resection of mandibular molaris is an operation seldom performed and then one limited primarily to the lower first molars. Although the first paper on this topic was published at the beginning of the 20th century, little progress has been observed since then. This is due to the thickness of the buccal bony plate in the lower molar region which makes surgery very difficult and leads to a substantial loss of bone. The resultant limitation of the operating field prevents good vision. The aim of our approach is to minimize or to eliminate these problems by opening a bony lid above the roots which are to be resected. This can be made large enough for the surgeon to have easy access and good vision during apical surgery. At the end of the operation the same lid is replaced in order to avoid a bony defect and to facilitate the healing process. Of the 75 patients treated using this technique during a 3-year period, only one post-operative complication has been observed. A complete healing of the bone was observed in the majority of cases within 6 months.