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Article: Volume 48 Number 3 Page 217 - March 2021

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  Dent Update 2021; 48: 217-223

Oral surgery:  The use of coronectomy to manage symptomatic mandibular third molars: techniques, pitfalls and suggested guidelines

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Abstract: Coronectomy is a valuable technique in the management of symptomatic mandibular third molars at high risk of inferior alveolar nerve injury. When applied appropriately, the technique may reduce the incidence of inferior alveolar nerve injury in comparison to full surgical removal. Currently, no definitive guidelines exist on when to opt for coronectomy versus full surgical removal, and therefore significant variation in clinical practice exists. This article summarizes the surgical stages involved in the coronectomy procedure, reviews the indications and hazards of the technique, and finally provides suggested guidelines to assist the practitioner in the decision-making process of when to opt for coronectomy versus full surgical removal in the management of symptomatic mandibular third molars.

Clinical relevance: To review the coronectomy technique and highlight potential hazards with inappropriate application of the technique.

Author notes: Robert Bolt, BDS, MFDS, MBChB, MClinRes, PhD, MOralSurg, FDS, FHEA, Clinical Lecturer and Specialist in Oral Surgery, School of Clinical Dentistry, University of Sheffield. Murtaza Hirani, BDS, MFDS, Specialty Doctor in Oral Surgery, Sheffield Teaching Hospitals NHS Trust. Elena Kyriakidou, BDS, MFDS, MClinDent, MOralSurg, Consultant in Oral Surgery, Sheffield Teaching Hospitals NHS Trust. Abdurahman El-Awa, BDS, MFDS, MSurgDent, FDS, Consultant in Oral Surgery. Sheffield Teaching Hospitals NHS Trust. Simon Atkins, BDS, MFDS, PhD, FDS, FHEA, Senior Clinical Lecturer and Honorary Consultant in Oral Surgery, School of Clinical Dentistry, University of Sheffield. Preeni Shah, Undergraduate Dental Student, School of Clinical Dentistry, University of Sheffield. email: pshah6@sheffield.ac.uk

Objective: To review the coronectomy technique and highlight potential hazards with its inappropriate application.

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