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Is endodontic treatment necessary during coronectomy procedure?
Metin Sencimen1, Kerim Ortakoglu, Cumhur Aydin
1Department of Oral and Maxillofacial Surgery, Gülhane Military Medical Academy, GATA Dişhekimliği Bilimleri Merkezi, Etlik, Ankara, Turkey. metinsencimen@yahoo.com
Summary
Coronectomy effectively protects the inferior alveolar nerve (IAN) during third molar extraction. Endodontic treatment did not impact the success of this nerve-sparing procedure, showing low complication rates.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Anesthesiology
- Neurosurgery
Background:
- Proximity of the inferior alveolar nerve (IAN) to third molars poses a risk of nerve injury during extraction.
- Accurate assessment of the IAN-molar relationship is crucial for preventing nerve damage.
Purpose of the Study:
- To evaluate the efficacy of coronectomy in preventing inferior alveolar nerve (IAN) damage during lower third molar extraction.
- To assess the impact of endodontic treatment on the success of coronectomy.
Main Methods:
- A comparative study involving 10 patients with 16 lower third molars at risk.
- Study group: coronectomy with endodontic treatment. Control group: coronectomy without endodontic treatment.
- Follow-up duration of at least 1 year.
Main Results:
- In the study group, 7 roots required extraction due to infection, with 3 cases of IAN damage.
- The control group experienced no infections and no instances of IAN damage.
- Coronectomy demonstrated a low incidence of complications.
Conclusions:
- Coronectomy is a reliable technique for protecting the inferior alveolar nerve (IAN) during third molar surgery.
- Endodontic treatment does not appear to influence the success rate of coronectomy.
- The procedure offers a low complication profile for IAN preservation.
