Coronectomy: a retrospective outcome study

Pitros, Panagiotis; Jackson, I.; O’Connor, N.

doi:10.1007/s10006-019-00794-x

Cited by 15 publications

(20 citation statements)

References 20 publications

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“…The dental pulp is left untouched at all times. Then the wound is irrigated using saline and closed primarily (Hatano, Kurita, Kuroiwa, Yuasa, & Ariji, 2009; Pitros, Jackson, & O'Connor, 2019).…”

Section: Other Treatment Optionsmentioning

confidence: 99%

“…The incidence of IAN injury, one of the most significant complications related to third molar extraction, appears to be lower with coronectomy, as reported in many studies (Cervera‐Espert et al, 2016; Dolanmaz, Yildirim, Isik, Kucuk, & Ozturk, 2009; Hatano et al, 2009; Leung & Cheung, 2009; Martin et al, 2015; O'Riordan, 2004). The incidence of IAN injury with coronectomy is in the range 0–4.3% (Hatano et al, 2009;Leung & Cheung, 2012; Pitros et al, 2019). However, some studies state that the entire teeth were removed if the roots were mobile (Leung & Cheung, 2012; Pitros et al, 2019).…”

Section: Other Treatment Optionsmentioning

confidence: 99%

“…The incidence of IAN injury with coronectomy is in the range 0–4.3% (Hatano et al, 2009;Leung & Cheung, 2012; Pitros et al, 2019). However, some studies state that the entire teeth were removed if the roots were mobile (Leung & Cheung, 2012; Pitros et al, 2019). This means that even after resection of the crown, some force could be applied to the MC by an elevator that could result in IAN paresthesia.…”

Section: Other Treatment Optionsmentioning

confidence: 99%

“…Different study protocols could be one reason for the different results. Another potential reason could be differences in skill levels of the surgeons (Pitros et al, 2019).…”

Section: Other Treatment Optionsmentioning

confidence: 99%

“…High‐risk radiographic signs such as a relationship between the MC and the root of the lower third molar tooth have not been related to the incidence of postcoronectomy complications (Pitros et al, 2019). Dry socket associated with the coronectomy has been reported at 0.86–14.6% (Frenkel, Givol, & Shoshani, 2015; Kohara, Kurita, Kuroiwa, Goto, & Umemura, 2015; Monaco, de Santis, Gatto, Corinaldesi, & Marchetti, 2012; Pitros et al, 2019). Thus, coronectomy could reduce the incidence of dry socket (Cervera‐Espert et al, 2016; Martin et al, 2015).…”

Section: Other Treatment Optionsmentioning

confidence: 99%

See 4 more Smart Citations

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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Section: Other Treatment Optionsmentioning

confidence: 99%

Section: Other Treatment Optionsmentioning

confidence: 99%

Section: Other Treatment Optionsmentioning

confidence: 99%

“…Different study protocols could be one reason for the different results. Another potential reason could be differences in skill levels of the surgeons (Pitros et al, 2019).…”

Section: Other Treatment Optionsmentioning

confidence: 99%

Section: Other Treatment Optionsmentioning

confidence: 99%

See 3 more Smart Citations

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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The success rates and outcomes of mandibular third molar coronectomy: 167 cases

Nowak,

Justice,

Aslam

et al. 2024

Oral Maxillofac Surg

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Purpose The purpose of this study was to assess success rates and to report complications of coronectomy of mandibular third molars (M3M), including intra-operative failure, pain, infection, dry socket, inferior dental alveolar (IAN) and lingual nerve (LN) injuries and re-operation rates. Methods Retrospective analysis of 167 coronectomies completed between January 2017 to December 2022 was undertaken. Results The success of coronectomy was 93%. Intra-operative failure was reported to be 3.6% (n = 8). Complications accounted for pain (15%, n = 24), infection (9%, n = 15) and dry socket (3.6%, n = 6). Three patients required removal of M3M root at 3 months (n = 2) and 24 months (n = 1), accounting for 1.8% re-operation rate. A total of number of patients who suffered a nerve injury was 12; three of these were permanent (LN – 1.2%, n = 2; IAN – 0.6%, n = 1), nine were temporary (IAN – 1.2%; n = 2, LN – 2.4%; n = 4; site not specified – 1.8%, n = 3). No patients with intra-operative failure and re-operation suffered IAN or LN injury post-operatively. Conclusion Coronectomy offers a successful strategy for management of high risk M3M. The treatment outcomes can be improved with careful case selection and adjusting surgical technique, including assessment of root morphology, incomplete crown sectioning technique and avoidance of lingual retraction. Reporting of coronectomy success as a factor of surgical outcome, presence or absence of permanent IAN injury, persistent symptoms or any other long-standing complications (such as LN injury), and the need for re-operation accounting for root migration status may be a useful tool to measure coronectomy outcomes.

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