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Analysis of clinical and radiographic outcomes at least 5 years after coronectomy for deeply impacted mandibular third molars.
J Stomatol Oral Maxillofac Surg
December 2024
Private Clinic Adana, Adana, Turkey.
Objective: Coronectomy is an alternative to traditional mandibular third molar extraction when the inferior alveolar nerve (IAN) is closely associated with the roots of these molars. Given the paucity of research on the long-term outcomes after coronectomy, we conducted this study to evaluate clinical and radiographic outcomes at least 5 years post-coronectomy.
Methods: This retrospective study enrolled all patients with impacted mandibular third molars treated with coronectomy at our institution who were willing to return for follow-up evaluation 5 years or more after their original procedure.
Searching for third molars atraumatic removal method remains a challenge in oral surgery. Method of partial removal of impacted tooth leaving a non-extracted root in the wound becomes more popular recently. Determining medical indications for this method, as well as searching for standards for its implementation is important.
View Article and Find Full Text PDFEstablishing universal sectioning depth and angle for surgical coronectomy of impacted mandibular third molars: an imaging-based study.
Front Oral Health
September 2024
Department of Oral Surgery, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, United Kingdom.
Introduction: Coronectomy is a safer option than extraction for third molars with an increased risk of injury to the inferior alveolar nerve. However, it can still cause complications due to a lack of standardized and effective tooth sectioning techniques. We proposed a standardized protocol for third molar coronectomy involving standardized tooth sectioning parameters to minimize potential complications, surgical failure, and the need for further procedures.
View Article and Find Full Text PDFComprehensive management of pericoronitis in lower third molars: extraction, operculectomy, and coronectomy approaches.
Wiad Lek
September 2024
DEPARTMENT OF CRANIO-MAXILLO-FACIAL SURGERY, PROVINCIAL SPECIALIST HOSPITAL No. 5 IN SOSNOWIEC, SOSNOWIEC, POLAND.
Pericoronitis is a common dental condition involving the inflammation of soft tissues around a partially erupted wisdom tooth, typically the lower third molars. It is most frequently diagnosed in young adults aged 20-29, with a higher prevalence in women. The condition often results from the accumulation of bacteria and food debris under the operculum, leading to infection and inflammation.
View Article and Find Full Text PDF[A comparative study of a two-stage surgical approach combining coronectomy with microimplant anchorage traction for extraction of impacted mandibular third molars with different traction angles].
Zhonghua Kou Qiang Yi Xue Za Zhi
July 2024
Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
To establish a two-stage surgical procedure of impacted mandibular third molars (IMTMs) extractions assisted by coronectomy and microimplant anchorage traction and to investigate the influencing factors of root movement and the effects of different traction angles on the clinical outcomes. Fifty-three IMTM in contact with inferior alveolar nerve (IAN) that underwent tooth extraction in the Peking University School of Stomatology from January 2022 to June 2023 were included, with coronectomy and microimplant anchorage implantation in the first stage of the surgery, root traction was achieved with orthodontic elastic and microimplant anchorages by about 600 g of force, when the IMTM root was detached from IAN, a second surgery was performed to extract the residual root. The basic information of patients and M3M, data on the microimplant anchorage implantation and traction, imaging measurements, and complications were recorded and analyzed.
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