Long-term morbidities of coronectomy on lower third molar

Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):5-11. doi: 10.1016/j.oooo.2015.07.012. Epub 2015 Jul 22.

Abstract

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.

Publication types

  • Clinical Trial, Phase IV

MeSH terms

  • Adult
  • Female
  • Humans
  • Incidence
  • Male
  • Molar, Third / surgery*
  • Pain Measurement
  • Pain, Postoperative / epidemiology
  • Postoperative Complications / epidemiology*
  • Prospective Studies
  • Radiography, Panoramic
  • Reoperation
  • Surgical Wound Infection / epidemiology
  • Tooth Crown / surgery*
  • Tooth Migration / epidemiology
  • Tooth Root / pathology
  • Tooth Root / surgery
  • Tooth, Impacted / surgery*
  • Treatment Outcome
  • Trigeminal Nerve Injuries / epidemiology