神戸大学附属図書館デジタルアーカイブ
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学内刊行物
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https://hdl.handle.net/20.500.14094/90008683
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2024-04-20
12:31 集計
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90008683 (fulltext)
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メタデータID
90008683
アクセス権
open access
出版タイプ
Accepted Manuscript
タイトル
Can CT predict the development of oroantral fistula in patients undergoing maxillary third molar removal?
著者
Iwata, Eiji ; Hasegawa, Takumi ; Kobayashi, Masaki ; Tachibana, Akira ; Takata, Naoki ; Oko, Toshiya ; Takeda, Daisuke ; Ishida, Yoshiki ; Fujita, Tsuyoshi ; Goto, Ikuko ; Takeuchi, Junichiro ; Akashi, Masaya
著者名
Iwata, Eiji
岩田, 英治
イワタ, エイジ
著者ID
A1489
研究者ID
1000050546497
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=322ffbb7f3848e30520e17560c007669
著者名
Hasegawa, Takumi
長谷川, 巧実
ハセガワ, タクミ
所属機関名
医学研究科
著者名
Kobayashi, Masaki
著者名
Tachibana, Akira
著者名
Takata, Naoki
著者名
Oko, Toshiya
著者ID
A2567
研究者ID
1000080755637
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f59f62b200a1f47c520e17560c007669
著者名
Takeda, Daisuke
武田, 大介
タケダ, ダイスケ
所属機関名
医学部附属病院
著者名
Ishida, Yoshiki
著者名
Fujita, Tsuyoshi
著者名
Goto, Ikuko
著者名
Takeuchi, Junichiro
著者ID
A1492
研究者ID
1000040597168
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=b7649a2950dc725a520e17560c007669
著者名
Akashi, Masaya
明石, 昌也
アカシ, マサヤ
所属機関名
医学研究科
収録物名
Oral and Maxillofacial Surgery
巻(号)
25(1)
ページ
7-17
出版者
Springer Verlag
刊行日
2021-03
公開日
2022-04-01
抄録
Purpose In maxillary wisdom tooth extraction, the necessity of CT is unknown. The purpose of this study was to investigate whether CT adding to orthopantomography is useful for predicting oroantral perforation during maxillary third molar extraction. Methods Various risk factors for oroantral perforation during maxillary third molar extraction were investigated by univariate and multivariate analyses. We analyzed those of all patients and the patients who underwent CT, respectively. The proximity of the roots to the maxillary sinus floor (root-sinus [RS] classification) and Archer classification were assessed using panoramic radiography. The number of roots and vertical relationship were assessed using CT. Results A total of 604 out of 3299 patients underwent CT adding to orthopantomography. In all cases, multivariate analyses except for CT findings showed that the RS classification type III/IV and the Archer classification Type B/C/D in panoramic findings were significantly correlated with oroantral perforation as radiological findings. In cases for which CT was performed, multivariate analyses showed that one root (OR 12.87) and the vertical relationship Type D (OR 5.63) in CT findings, besides the RS classification type III/IV (OR 4.47) in panoramic findings, were significantly related to oroantral perforation. Conclusion The RS classification and the Archer classification in panoramic findings can predict the risk of oroantral perforation. The usefulness of CT adding to orthopantomography is limited. However, when the relationship between the upper wisdom tooth and maxillary sinus floor (RS classification) is unclear, to check whether the number of roots is one and the apex of one root is projecting into the maxillary sinus in CT findings, is useful for the prediction.
キーワード
Maxillary wisdom tooth extraction
Oroantral perforation
Computed tomography
RS classification
Archer classification
One root
Vertical relationship
カテゴリ
医学研究科
医学部附属病院
学術雑誌論文
権利
© Springer-Verlag GmbH Germany, part of Springer Nature 2020. This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature's AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: https://doi.org/10.1007/s10006-020-00878-z
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資源タイプ
journal article
言語
English (英語)
eISSN
1865-1569
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関連情報
DOI
https://doi.org/10.1007/s10006-020-00878-z
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