Can coronectomy of wisdom teeth reduce the incidence of inferior dental nerve injury?

Yiu Yan Leung, Lim Kwong Cheung
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Abstract

The aim of the study was to compare the surgical complications and neurosensory disturbance of coronectomy and conventional excision of lower third molars with roots in close proximity to inferior dental nerve. We conducted a randomized clinical trial of patients with lower third molars showing specific radiographic signs was conducted. Patients were randomized to undergo either coronectomy or total excision (control) of the lower third molar. It was concluded that coronectomy can significantly reduce the incidence of inferior dental nerve deficit when compared with conventional excision when the roots show radiographic signs of close proximity, and the technique showed a similar rate of other surgical morbidities.

智齿冠切除术能降低下牙神经损伤的发生率吗?
本研究的目的是比较牙根靠近下牙神经的下三磨牙冠切除与常规切除的手术并发症及神经感觉障碍。我们进行了一项随机临床试验,对显示特定放射学征象的下第三磨牙患者进行了研究。患者随机接受冠状切除术或完全切除(对照组)下第三磨牙。结论:与常规切除相比,冠状切除术可以显著降低下牙神经缺损的发生率,当根表现出接近的影像学征象时,冠状切除术显示出相似的其他手术发病率。
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