Coronectomy as a surgical treatment of impacted lower molars with mandibular canal close relationship

Kuzin A.V.; Vedyaeva A.P.; Sogacheva V.V.; Remizov G.V.; Potapova A.I.

doi:https://doi.org/10.17116/stomat202410305163

Kuzin A.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0001-6167-5421

Vedyaeva A.P.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-7783-0841

Sogacheva V.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-7465-1100

Remizov G.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0003-4794-7181

Potapova A.I.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0001-6651-7748

Coronectomy as a surgical treatment of impacted lower molars with mandibular canal close relationship

Authors:

Kuzin A.V., Vedyaeva A.P., Sogacheva V.V., Remizov G.V., Potapova A.I.

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Journal: Stomatology. 2024;103(5): 63‑66

DOI: 10.17116/stomat202410305163

Read: 1145 times

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To cite this article:

Kuzin AV, Vedyaeva AP, Sogacheva VV, Remizov GV, Potapova AI. Coronectomy as a surgical treatment of impacted lower molars with mandibular canal close relationship. Stomatology. 2024;103(5):63‑66. (In Russ.)
https://doi.org/10.17116/stomat202410305163

Подписка 2026 Стоматология (Stomatology)

Использование инфографики авторами научных работ

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Abstract:

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. The paper presents a review on latest technique of performing a coronectomy, and the long-term results of this method. However, the technique of incomplete tooth extraction is highly controversial in terms of harm to the patient’s health. There are also uncertain medical indications for this method and the legal treatment consequences.

Keywords:

coronectomy

mandibular canal

third molars removal

lower lip paresthesia

lower alveolar nerve

Authors:

Kuzin A.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0001-6167-5421

Vedyaeva A.P.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-7783-0841

Sogacheva V.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-7465-1100

Remizov G.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0003-4794-7181

Potapova A.I.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0001-6651-7748

Received:

12.10.2024

Accepted:

03.06.2024

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References:

Badaljan VA, Drobot GV, Brutjan VA, Kopylov MV. Metodika udalenija retinirovannyh tret’ih moljarov pri tesnom raspolozhenii s nizhneal’veoljarnym nervom. Klinicheskaya stomatologiya. 2019;2:58-61.
Long H, Zhou Y, Liao L, Pyakurel U, Wang Y, Lai W. Coronectomy vs. Total Removal for Third Molar Extraction: A Systematic Review. J Dental Res. 2012;91(7):659-665. https://doi.org/10.1177/0022034512449346
Richards JA, Coyle MJ, Beech AN. Plain radiographs for the assessment of coronectomy: not always a case of black or white. Br J Oral Maxillofac Surg. 2019;57(7):663-665. https://doi.org/10.1016/j.bjoms.2019.06.004
Póvoa RCS, Mourão CFAB, Geremias TC, Sacco R, Guimarães LS, Montemezzi P, Cardarelli A, Moraschini V, Calasans-Maia MD, Louro RS. Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review. Healthcare (Basel). 2021;9(6):750. https://doi.org/10.3390/healthcare9060750
Renton T, Hankins M, Sproate C, McGurk M. A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. Br J Oral Maxillofac Surg. 2005;43(1):7-12. https://doi.org/10.1016/j.bjoms.2004.09.002
Landi L, Manicone PF, Piccinelli S, Raia A, Raia R. A Novel Surgical Approach to Impacted Mandibular Third Molars to Reduce the Risk of Paresthesia: A Case Series. J Oral Maxillofac Surg. 2010;68(5):969-974. https://doi.org/10.1016/j.joms.2009.09.097
Metin Sencimen, Kerim Ortakoglu, Cumhur Aydın, Yavuz S Aydintug, Aykut Ozyigit, Tuncer Ozen, Yilmaz Gunaydin. Is Endodontic Treatment Necessary During Coronectomy Procedure? J Oral Maxillofac Surg. 2010;68(10): 2385-2390. https://doi.org/10.1016/j.joms.2010.02.024
Plata RL, Kelln EE, Linda L. Intentional retention of vital submerged roots in dogs. Oral Surg Oral Med Oral Pathol. 1976;42(1):100-108. https://doi.org/10.1016/0030-4220(76)90036-0
Patel V, Sproat C, Kwok J, Beneng K, Thavaraj S, McGurk M. Histological evaluation of mandibular third molar roots retrieved after coronectomy. Br J Oral Maxillofac Surg. 2014;52(5):415-419. https://doi.org/10.1016/j.bjoms.2014.02.016
Goto S, Kurita K, Kuroiwa Y, Hatano Y, Kohara K, Izumi M, Ariji E. Clinical and dental computed tomographic evaluation 1 year after coronectomy. J Oral Maxillofac Surg. 2012;70(5):1023-1029. https://doi.org/10.1016/j.joms.2011.09.037
Leung YY, Cheung LK. Long-term morbidities of coronectomy on lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(1):5-11. https://doi.org/10.1016/j.oooo.2015.07.012.PMID:26337212
Bernabeu-Mira JC, Peñarrocha-Oltra D, Peñarrocha-Diago M. Coronectomy of impacted mandibular third molars: a clinical and radiological retrospective case series study with 2—9 years of follow-up. Med Oral Patol Oral Cir Bucal. 2023:26159. https://doi.org/10.4317/medoral.26159.
Monaco G, Angelino C, Vignudelli E, Ferri A, Felice P. What is the Incidence of Late Complications Associated With Lower Third Molar Coronectomy? 10-Year Follow-Up Results. J Oral Maxillofac Surg. 2023:S0278-2391(23)00541-4. https://doi.org/10.1016/j.joms.2023.06.011
Pedersen MH, Matzen LH, Hermann L, Nørholt SE. Migration of the root complex after coronectomy occurs within the first year after surgery: a 5-year radiographic analysis and protocol suggestion. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128(4):357-365. https://doi.org/10.1016/j.oooo.2019.04.013
Kohara K, Kurita K, Kuroiwa Y, Goto S, Umemura E. Usefulness of mandibular third molar coronectomy assessed through clinical evaluation over three years of follow-up. Int J Oral Maxillofac Surg. 2015;44(2):259-266. https://doi.org/10.1016/j.ijom.2014.10.003
Steinberg MJ, Nick MJ. Displacement of the Inferior Alveolar Bundle Secondary to Post Coronectomy Root Migration: A Case Report. J Oral Maxillofac Surg. 2021;79(9):1837-1841. https://doi.org/10.1016/j.joms.2021.04.012.
Leung YY. Guided bone regeneration to reduce root migration after coronectomy of lower third molar: a randomized clinical trial. Clin Oral Investig. 2019;23(4):1595-1604. https://doi.org/10.1007/s00784-018-2594-8.
Pang SL, Yeung WKA, Hung KF, Hui L, Chung HZJ, Leung YY. Third Molar Coronectomy vs Total Removal in Second Molar Periodontal Healing. Int Dent J. 2023 Sep 2:S0020-6539(23)00439-2. https://doi.org/10.1016/j.identj.2023.08.006
Shehab A.H., Outcomes of Coronectomy and Total Odontectomy of Impacted Mandibular Third Molars. Int Dent J. 2023 https://doi.org/10.1016/j.identj.2023.07.015
Szalma J, Lovász BV, Lempel E, Maróti P. Three-Dimensionally Printed Individual Drill Sleeve for Depth-Controlled Sections in Third Molar Surgery. J Oral Maxillofac Surg. 2019;77(4):704.e1-704.e7. https://doi.org/10.1016/j.joms.2018.11.028.PMID:30610836.