What Are the Types and Frequencies of Complications Associated With Mandibular Third Molar Coronectomy? A Follow-Up Study

Monaco, Giuseppe; Santis, G. De; Pulpito, Giuseppe; Gatto, Maria Rosaria; Vignudelli, Elisabetta; Marchetti, Claudio

doi:10.1016/j.joms.2015.01.016

Cited by 47 publications

(24 citation statements)

References 20 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Systematic reviews and meta‐analyses are the best evidence and the conclusions usually contribute to recommendations and formation of a medical consensus on the best form of intervention. SRM3 causes facial swelling, pain and trismus, and the severity is influenced by the patients’ age, gender, medical conditions, body mass index, smoking, oral hygiene, degree of impaction, root morphology, duration of surgery and surgeon's experience . The included studies of the present systematic review reveal considerable heterogeneity in patient characteristics, study design, pre‐ and post‐surgical medication, no information about the surgeons skills, different degree of impaction, dissimilar evaluation methods and outcome measures as well as various methodological confounding factors, which posed substantial restrictions to review the current literature in a quantitative systematic manner and applying a well‐defined meta‐analysis.…”

Section: Discussionmentioning

confidence: 98%

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Larsen

Kofod

Starch‐Jensen

2019

J of Oral Rehabilitation

View full text Add to dashboard Cite

The objective was to test the hypothesis of no difference in facial swelling, pain, trismus and immediate quality of life after surgical removal of mandibular third molars, with or without post-operative cryotherapy. A MEDLINE (PubMed), EMBASE database and Cochrane library search in combination with a hand search of relevant journals were conducted by including human randomised controlled trials published in English until 17 July 2018. The search identified 37 titles. Six studies with low or unclear risk of bias fulfilled the inclusion criteria. Intermittent cryotherapy for 30 minutes during the first post-operative days significantly diminished facial swelling, pain and trismus compared with no cryotherapy. Patient's satisfaction and perception of recovery were significantly increased with cryotherapy. Therapeutic efficacy of intermittent cryotherapy on post-operative facial swelling, pain and trismus seems to be improved compared with continuous cryotherapy. Considerable variations in study design, diversity of used evaluation methods, outcome measures and various methodological confounding factors posed serious restrictions to review the literature in a quantitative systematic manner. Thus, conclusions drawn from the results of this systematic review should be interpreted with caution. Further well-designed randomised controlled trials including standardised protocol, larger patient sample, blinded outcome assessors, patient-reported outcome measures and three-dimensional volumetric analysis of facial swelling are required before evidence-based recommendations can be provided. K E Y W O R D S cryotherapy, dentistry, mandible, pain, review, third molar, trismus

show abstract

Section: Discussionmentioning

confidence: 98%

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Larsen

Kofod

Starch‐Jensen

2019

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…24 The postoperative infection and dry socket rates were similar to those reported in published studies. 1,26,27 A second surgery to correct or extract retained roots was necessary for 4 teeth (11.8%). This rate was higher than that in previous studies, which reported a range of 0 to 6%; this difference could have resulted from the small sample size.…”

Section: Vignudelli Et Almentioning

confidence: 99%

Periodontal Healing Distally to Second Mandibular Molar After Third Molar Coronectomy

Vignudelli

Monaco

Gatto

et al. 2017

Journal of Oral and Maxillofacial Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…For this, all enamel must be removed. This procedure can be performed safely on impacted third molars regardless of their classification, minimizing the amount of bone removed and allowing reduction of force applied during dislocation [ 6 , 7 ]. However, clinical and radiographic follow-up should begin immediately and maintained for 12 months [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Extending Coronectomy Indications to Third Molars with Taurodontism to Prevent Paresthesia and Mandible Fracture

Mendes

Neiva

Brasileiro

et al. 2018

Case Reports in Dentistry

View full text Add to dashboard Cite

Taurodontism is considered a dental anomaly responsible for a morphoanatomical change in the shape of the tooth in which the roots are reduced in size but the body of the tooth is enlarged and bulky. The aim of this paper is to present a case of a 25-year-old female patient with taurodontism of mandibular partially erupted third molars, presenting a high risk of angle fracture and paresthesia in case of their removal, treated by means of coronectomy. The postoperative period was uneventful and the patient remained in follow-up for 12 months. In conclusion, the identification of third molars with higher risk of complications related to their extractions is the key to consider conservative measures to avoid problems. Coronectomy is a relatively simple technique that should be taken into account when considering bulky, deeply located third molars with a high risk of paresthesia or mandibular fracture, even in presence of taurodontism.

show abstract

What Are the Types and Frequencies of Complications Associated With Mandibular Third Molar Coronectomy? A Follow-Up Study

Cited by 47 publications

References 20 publications

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Therapeutic efficacy of cryotherapy on facial swelling, pain, trismus and quality of life after surgical removal of mandibular third molars: A systematic review

Periodontal Healing Distally to Second Mandibular Molar After Third Molar Coronectomy

Extending Coronectomy Indications to Third Molars with Taurodontism to Prevent Paresthesia and Mandible Fracture

Contact Info

Product

Resources

About