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第三磨牙是发育和萌出最晚的牙齿,临床上以第三磨牙的阻生最为常见,尤其是下颌第三磨牙。下颌第三磨牙的阻生容易引发冠周炎、龋齿、间隙感染和骨髓炎等病症,通常需要外科拔除或者进行正畸矫治。而在拔除或者保留第三磨牙的选择上,临床医生各持不同的看法。在正畸治疗中,常遇到需拔除下颌第二磨牙或第一磨牙。因此,保留第三磨牙以替代缺失的磨牙就有很重要的意义。本文通过对相关文献的分析,以期为临床上拔除或保留第三磨牙的选择提供参考。
The third molar is the development and eruption of the latest teeth, clinically impacted by the third molars the most common, especially the third molar mandibular. Occlusion of the third molars of the mandible easily lead to pericoronitis, dental caries, interstitial infection and osteomyelitis and other diseases, usually require surgical removal or orthodontic treatment. Clinicians hold different opinions on the choice of removing or retaining the third molars. In orthodontic treatment, often encounter the need to remove the mandibular second molar or first molar. Therefore, it is very important to keep the third molars to replace the missing molars. This article through the analysis of relevant literature, with a view to the clinical removal or retention of the third molars to provide a reference.