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拔複雜難牙後患者須註意什麼?

Posted By vickong pun     July 9, 2021    

Body

拔除復雜牙患者須知


復雜牙(包括埋伏牙、阻生牙、劈裂牙、死髓牙等)拔除係拔牙術中較為復雜、創傷大、術後局部反應及併發症較重的牙科手術,拔牙術中同術後可能出現下列情況:

1、術中牙根折斷,可按具體情況手術取出或保留觀察,有時需二次手術拔除。

2、術後出血,需排除血液系統或頜骨血管瘤病變,需使用止血藥物或手術縫合,必要時可在醫院觀察或輸血。

3、術後數天出現面部腫痛、開口受限、吞咽疼痛等須及時來醫院復查,需采取對症治療,特殊情況者上述症狀可持續較長時間。

4、術後感染、幹槽症、需定期換藥、抗菌素等治療。

5、術後有時半側下唇麻木或舌麻,持續時間唔定,給予藥物、理療等。

6、上頜後牙與上頜竇接近,取根時有可能牙根進入上頜竇內需手術取出牙根,後行上頜竇瘺修復術。

7、其它手術意外如損傷鄰牙、鄰近組織及併發症,對症處理。

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