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Coronectomy: a case series demonstrating its value in younger patients Dental Update 2024 9:4, 707-709.
Abstract
This article describes the value of coronectomy as an alternative to the removal of teeth in the management of younger patients when intervention is required but extraction is associated with a heightened risk of post-operative neuropathy. Three cases are presented of children who underwent a coronectomy procedure which was planned within a multidisciplinary Orthodontic, Oral Surgery and Paediatric Dentistry team at King's College Hospital. None of the children experienced post-operative neuropathy.
CPD/Clinical Relevance: This article describes the value of coronectomy (partial odontectomy) as an alternative to the removal of teeth in the management of younger patients when intervention is required but extraction is associated with a heightened risk of post-operative neuropathy.
Article
Coronectomy, or partial odontectomy, is a conservative surgical technique in which the crown of a tooth is removed but its roots/root are deliberately left in situ. In carefully selected cases, this alternative to the complete removal of a tooth may represent the treatment of choice in a number of clinical scenarios. It is most frequently used to reduce the risk of post-operative neuropathy in the management of symptomatic mandibular third molar teeth (M3M) which are considered, after the interpretation of available imaging, likely to be closely related to the inferior alveolar nerve (IAN).1,2 There is a growing body of evidence that M3M coronectomy can reduce the incidence of post-operative disturbance in the function of the IAN when compared to extraction of these teeth when surgical intervention is unavoidable.2-6
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