Notes on coronectomy

Coronectomy

“…However, some authors suture without raising a buccal flap and without periosteal release, so that the socket is not completely closed. 21 Again, success rates seem to be similar. The Distance Below the Alveolar Crest to Leave the Roots As originally described, this technique recommended removal of the tooth until it was 2 to 3 mm below the alveolar crest of bone (Fig.…”

“…11), they seem to be easy to remove without complication and this may occur in 1% to 5% of cases. 21,43 It was believed that if the nerve truly perforated the roots, or the roots were deeply grooving them, they could not in fact migrate. However, cases have been described where the roots have migrated apically taking the inferior alveolar nerve up with them.…”

“…The crown is then removed and the roots smoothed if necessary to the correct level. 21 In this technique there is a reasonable possibility of mobilizing the retained roots, which must then be removed. However, the proponents of this particular technique state if the roots are mobilized or loosened, it normally means that the nerve could not be too intimately involved with the roots and therefore they can be removed without undue risk.…”

“…However, several authors have published on carrying out the technique without using any antibiotics, and the success rates and infection rates seem similar. 21,[25][26][27] Suturing In our technique we raise a buccal flap, and undermine and release the periosteum if necessary, to obtain a tension-free, water tight, primary closure of the socket. 28 This was believed to be important for primary healing and for new bone to grow over the socket.…”

Treating the whole patient

“…3,4 The guidance is similar to that recommended for patients on treatment with BRITISH DENTAL JOURNAL VOLUME 215 NO. 3 AUG 10 2013 103…”