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Coronectomy practice. Paper 2: complications and long term management
Vinod Patel1, Clare F Gleeson, Jerry Kwok
1Oral Surgery Dept, Guys Dental Hospital, Floor 23 Tower Wing, Great Maze Pond, London SE1 9RT, United Kingdom.
The British Journal of Oral & Maxillofacial Surgery
|July 17, 2012
Summary
Coronectomy, a technique for mandibular third molar surgery, aims to prevent inferior dental nerve injury. This paper details managing common complications associated with this procedure.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Anesthesiology
Background:
- Iatrogenic injury to the inferior dental nerve is a risk during mandibular third molar extraction.
- Coronectomy was introduced as a technique to mitigate this risk.
- Despite positive early results, coronectomy is not widely adopted.
Purpose of the Study:
- To provide a detailed understanding of coronectomy management.
- To focus on the practical aspects of handling complications following coronectomy.
Main Methods:
- This paper is the second part of a two-part series on coronectomy.
- It specifically addresses the management of common complications.
- Relies on established surgical principles and clinical experience.
Main Results:
- Early studies indicated positive outcomes for coronectomy.
- This paper focuses on the clinical management strategies for post-operative issues.
- Effective complication management is crucial for successful coronectomy.
Conclusions:
- Coronectomy offers a viable alternative to complete extraction for mandibular third molars.
- Understanding and managing potential complications are key to its successful implementation.
- Further adoption may be facilitated by clear guidance on complication management.
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