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Synapse
February 22, 20260 citations

Intentional partial odontectomy and effect on inferior alveolar nerve injuries: a systematic review.

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BBBenjamin BrudnerTJTyler JacobsVZVincent B. Ziccardi

Key Points

  • To evaluate the effectiveness of intentional partial odontectomy in preventing inferior alveolar nerve injuries during tooth extractions.
  • Conducted a systematic review of existing literature on coronectomy and nerve injuries.
  • Analyzed data comparing coronectomy versus traditional extraction methods.
  • Assessed outcomes related to inferior alveolar nerve injuries and root migration.
  • Coronectomy significantly lowers the risk of inferior alveolar nerve injuries compared to standard extraction.
  • Root migration occurs frequently post-coronectomy but is rarely a clinical concern.
  • Proper patient selection and monitoring are essential for successful outcomes in these procedures.

Abstract

Coronectomy significantly reduces the risk of inferior alveolar nerve injury in mandibular third molar surgery compared to extraction in cases with inferior alveolar nerve proximity. The main drawback to this technique is subsequent root migration, which is common but rarely clinically problematic. Careful patient selection and follow-up are essential in selecting this procedure.

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Cite This Study

Brudner et al. (2026) studied this question.

synapsesocial.com/papers/699a9e00482488d673cd44d1https://doi.org/10.3290/j.qi.b6912877
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