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中华口腔医学研究杂志(电子版) ›› 2023, Vol. 17 ›› Issue (06) : 394 -399. doi: 10.3877/cma.j.issn.1674-1366.2023.06.004

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下颌第三磨牙拔除术中下牙槽神经损伤的原因、临床评估与预防
吴家顺, 孙伟, 曾国忠, 申仪, 郑广森, 唐海阔()   
  1. 中山大学附属口腔医院,光华口腔医学院,广东省口腔医学重点实验室,广东省口腔疾病临床医学研究中心,广州 510055
  • 收稿日期:2023-09-21 出版日期:2023-12-01
  • 通信作者: 唐海阔

The causes, clinical evaluation, and prevention of inferior alveolar nerve injury in the mandibular third molar extraction surgery

Jiashun Wu, Wei Sun, Guozhong Zeng, Yi Shen, Guangsen Zheng, Haikuo Tang()   

  1. Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangdong Provincial Clinical Research Center of Oral Diseases, Guangzhou 510055, China
  • Received:2023-09-21 Published:2023-12-01
  • Corresponding author: Haikuo Tang
  • Supported by:
    Natural Science Foundation of Guangdong Province(2023A1515010399); China Postdoctoral Science Foundation(2022M723595)
引用本文:

吴家顺, 孙伟, 曾国忠, 申仪, 郑广森, 唐海阔. 下颌第三磨牙拔除术中下牙槽神经损伤的原因、临床评估与预防[J]. 中华口腔医学研究杂志(电子版), 2023, 17(06): 394-399.

Jiashun Wu, Wei Sun, Guozhong Zeng, Yi Shen, Guangsen Zheng, Haikuo Tang. The causes, clinical evaluation, and prevention of inferior alveolar nerve injury in the mandibular third molar extraction surgery[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(06): 394-399.

下颌第三磨牙拔除术是造成下牙槽神经(IAN)损伤的主要原因,其导致的感觉麻木、感觉过敏和疼痛等症状给患者带来沉重的后果,是临床上待解决的难题。本文将围绕下颌第三磨牙拔除术中IAN损伤的临床病理表现与功能评估、危险因素及预防进展进行综述,以期为理解IAN损伤的原因和病理机制,指导IAN损伤评估和临床预防策略提供参考。

Inferior alveolar nerve (IAN) injury was mainly caused by the extraction of the mandibular third molar, and it is regarded as a difficult clinical problem since its symptoms including numbness, hypersensitivity, and pain influence the patients′ quality of life. This article reviewed the clinical signs, pathological changes, functional assessment, risk factors, and prevention progress of IAN injury in order to provide references for understanding its causes and pathological mechanisms, and developing its evaluation and clinical prevention strategies.

表1 改良英国医学研究委员会感觉神经评估量表
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