南方医科大学学报 ›› 2024, Vol. 44 ›› Issue (5): 1004-1014.doi: 10.12122/j.issn.1673-4254.2024.05.24

• 临床研究 • 上一篇    

微创拔牙技术的规范化临床应用专家共识

贾搏1(), 王勤1, 陈军1, 郑广森2, 范松3, 叶青松4, 贺燕5, 张富贵6, 吴亚东7, 刘丰8, 欧阳可雄9, 张磊涛10, 吕晓智11, 赵建江12()   

  1. 1.南方医科大学口腔医院口腔颌面外科,广东 广州 510280
    2.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
    3.中山大学孙逸仙纪念医院口腔颌面外科,广东 广州 510120
    4.武汉大学人民医院口腔医学中心,湖北 武汉 430060
    5.武汉科技大学同济天佑医院口腔科,湖北 武汉 430070
    6.重庆医科大学附属口腔医院口腔颌面外科,重庆 400042
    7.贵州医科大学口腔医学院口腔颌面外科,贵州 贵阳 550001
    8.湖南省人民医院口腔颌面外科,湖南 长沙 410018
    9.广州医科大学附属口腔医院口腔颌面外科,广东 广州 510160
    10.南方医科大学南方医院口腔科,广东 广州 510515
    11.南方医科大珠江医院口腔科,广东 广州 510282
    12.南方医科大深圳口腔医院口腔颌面外科,广东 深圳 518001
  • 收稿日期:2023-11-13 出版日期:2024-05-20 发布日期:2024-06-04
  • 通讯作者: 赵建江 E-mail:dentist-jia@163.com;zjj2521@sina.com
  • 作者简介:贾 搏,博士,副主任医师,E-mail: dentist-jia@163.com

Expert consensus on standardized clinical applications of minimally invasive tooth extraction techniques

Bo JIA1(), Qin WANG1, Jun CHEN1, Guangsen ZHENG2, Song FAN3, Qingsong YE4, Yan HE5, Fugui ZHANG6, Yadong WU7, Feng LIU8, Kexiong OUYANG9, Leitao ZHANG10, Xiaozhi LV11, Jianjiang ZHAO12()   

  1. 1.Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Southern Medical University, Guangzhou 510282, China
    2.Department of Oral and Maxillofacial Surgery, Stomatology Hospital of Sun Yat-sen University, Guangzhou 510055, China
    3.Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China
    4.Stomatology Center, People's Hospital of Wuhan University, Wuhan 430060, China
    5.Department of Stomatology, Tianyou Hospital of Wuhan University of Science and Technology, Wuhan 430070, China
    6.Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Chongqing Medical University, Chongqing 400042, China
    7.Department of Oral and Maxillofacial Surgery, College of Stomatology of Guizhou Medical University, Guiyang 550001, China
    8.Department of Oral and Maxillofacial Surgery, Hunan Provincial People's Hospital, Changsha 410018, China
    9.Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Guangzhou Medical University School, Guangzhou 510160, China
    10.Department of Stomatology, Nangfang Hospital, Southern Medical University, Guangzhou 510515, China
    11.Department of Stomatology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
    12.Department of Oral and Maxillofacial Surgery, Shenzhen Stomatology Hospital of Southern Medical University, Shenzhen 518001, China
  • Received:2023-11-13 Online:2024-05-20 Published:2024-06-04
  • Contact: Jianjiang ZHAO E-mail:dentist-jia@163.com;zjj2521@sina.com

摘要:

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。

关键词: 微创拔牙, 规范化, 操作流程, 专家共识

Abstract:

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.

Key words: minimally invasive tooth extraction, standardization, operation procedure, expert consensus