The Success Rates and Outcomes of Mandibular Third Molar Coronectomy: 167 Cases

Overview

Journal Oral Maxillofac Surg

Specialties Dentistry
General Surgery

Date 2024 Apr 2

PMID 38565824

Authors

Sylwia Maria Nowak

Jessie Justice

Aneesah Aslam

Mohamed Imran Suida

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

Prevalence of Surgical Site Infections Following Coronectomy: A Systematic Review and Meta-Analysis.

Kostares E, Kostare G, Kostares M, Tsakris A, Kantzanou M Dent J (Basel). 2024; 12(12).

PMID: 39727436 PMC: 11674566. DOI: 10.3390/dj12120379.

The Use of Platelet-Rich Fibrin (PRF) in the Management of Dry Socket: A Systematic Review.

Laforgia A, Inchingolo A, Riccaldo L, Avantario P, Buongiorno S, Malcangi G Int J Mol Sci. 2024; 25(18).

PMID: 39337554 PMC: 11432458. DOI: 10.3390/ijms251810069.

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