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Long-term morbidities of coronectomy on lower third molar
Yiu Yan Leung1, Lim Kwong Cheung2
1Clinical Assistant Professor, Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
Objective:
To monitor the long-term morbidity of retained roots up to 5 years following lower third molars coronectomy with close proximity to the inferior alveolar nerve (IAN).
Study Design:
A prospective study on long-term morbidities after lower third molar coronectomy.
Results:
This study included 612 lower third molar coronectomies in 458 patients. The prevalence of IAN injury was 0.16% (1/612) and was temporary. Long-term postoperative infection occurred in 1 case at 6 months following surgery and another at 12 months. No infection was found after 12 months. The incidence rates of pain at 6 months, 12 months, 24 months after surgery were 0.50% (3/596), 0.38% (2/529), 0.49% (2/411), respectively. Root exposure was noted in 2.3% of cases (14/612). Reoperation to remove the exposed root did not cause any IAN deficit.
Conclusions:
Lower third molar coronectomy is safe in the long term.
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