Cargando…

Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review

This systematic review aimed to review the literature on the coronectomy technique and evaluate the incidence of success and complications as a surgical approach for inferior third molars. Online databases were searched for data on the frequency of inferior alveolar nerve damage, lingual nerve damag...

Descripción completa

Detalles Bibliográficos
Autores principales: Póvoa, Raphaela Capella de Souza, Mourão, Carlos Fernando de Almeida Barros, Geremias, Thaise Cristina, Sacco, Roberto, Guimarães, Ludmilla Silva, Montemezzi, Pietro, Cardarelli, Angelo, Moraschini, Vittorio, Calasans-Maia, Mônica Diuana, Louro, Rafael Seabra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8234010/
https://www.ncbi.nlm.nih.gov/pubmed/34207131
http://dx.doi.org/10.3390/healthcare9060750
_version_ 1783713983539183616
author Póvoa, Raphaela Capella de Souza
Mourão, Carlos Fernando de Almeida Barros
Geremias, Thaise Cristina
Sacco, Roberto
Guimarães, Ludmilla Silva
Montemezzi, Pietro
Cardarelli, Angelo
Moraschini, Vittorio
Calasans-Maia, Mônica Diuana
Louro, Rafael Seabra
author_facet Póvoa, Raphaela Capella de Souza
Mourão, Carlos Fernando de Almeida Barros
Geremias, Thaise Cristina
Sacco, Roberto
Guimarães, Ludmilla Silva
Montemezzi, Pietro
Cardarelli, Angelo
Moraschini, Vittorio
Calasans-Maia, Mônica Diuana
Louro, Rafael Seabra
author_sort Póvoa, Raphaela Capella de Souza
collection PubMed
description This systematic review aimed to review the literature on the coronectomy technique and evaluate the incidence of success and complications as a surgical approach for inferior third molars. Online databases were searched for data on the frequency of inferior alveolar nerve damage, lingual nerve damage, root migration, pain, infection, dry socket, and extraction of the remaining root, and data on the necessity of reintervention were also extracted. Randomized clinical trials, controlled clinical trials, prospective cohort studies, and prospective and retrospective studies with or without the control group were intercepted. This systematic review was registered in PROSPERO (CDR 42020135485). Sixteen papers analyzed 2176 coronectomies in total, and only five of them were judged as appropriate according to methodological quality assessment. The incidence of inferior alveolar nerve injury was documented in 0.59% of the procedures, lingual nerve injury in 0.22%, infection 3.95%, dry socket 1.12%, extraction of the root 5.28%, and reintervention 1.13%. The pain was the most reported, in 22.04% of the population. This study provides an overview of the clinical success and complications of coronectomy, and their prevalence. A coronectomy may be considered a low-risk procedure and an option for treatment to avoid potential damage to nervous structures. However, patients should still undergo a full screening and evaluation of postsurgical procedures.
format Online
Article
Text
id pubmed-8234010
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-82340102021-06-27 Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review Póvoa, Raphaela Capella de Souza Mourão, Carlos Fernando de Almeida Barros Geremias, Thaise Cristina Sacco, Roberto Guimarães, Ludmilla Silva Montemezzi, Pietro Cardarelli, Angelo Moraschini, Vittorio Calasans-Maia, Mônica Diuana Louro, Rafael Seabra Healthcare (Basel) Review This systematic review aimed to review the literature on the coronectomy technique and evaluate the incidence of success and complications as a surgical approach for inferior third molars. Online databases were searched for data on the frequency of inferior alveolar nerve damage, lingual nerve damage, root migration, pain, infection, dry socket, and extraction of the remaining root, and data on the necessity of reintervention were also extracted. Randomized clinical trials, controlled clinical trials, prospective cohort studies, and prospective and retrospective studies with or without the control group were intercepted. This systematic review was registered in PROSPERO (CDR 42020135485). Sixteen papers analyzed 2176 coronectomies in total, and only five of them were judged as appropriate according to methodological quality assessment. The incidence of inferior alveolar nerve injury was documented in 0.59% of the procedures, lingual nerve injury in 0.22%, infection 3.95%, dry socket 1.12%, extraction of the root 5.28%, and reintervention 1.13%. The pain was the most reported, in 22.04% of the population. This study provides an overview of the clinical success and complications of coronectomy, and their prevalence. A coronectomy may be considered a low-risk procedure and an option for treatment to avoid potential damage to nervous structures. However, patients should still undergo a full screening and evaluation of postsurgical procedures. MDPI 2021-06-18 /pmc/articles/PMC8234010/ /pubmed/34207131 http://dx.doi.org/10.3390/healthcare9060750 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Póvoa, Raphaela Capella de Souza
Mourão, Carlos Fernando de Almeida Barros
Geremias, Thaise Cristina
Sacco, Roberto
Guimarães, Ludmilla Silva
Montemezzi, Pietro
Cardarelli, Angelo
Moraschini, Vittorio
Calasans-Maia, Mônica Diuana
Louro, Rafael Seabra
Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title_full Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title_fullStr Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title_full_unstemmed Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title_short Does the Coronectomy a Feasible and Safe Procedure to Avoid the Inferior Alveolar Nerve Injury during Third Molars Extractions? A Systematic Review
title_sort does the coronectomy a feasible and safe procedure to avoid the inferior alveolar nerve injury during third molars extractions? a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8234010/
https://www.ncbi.nlm.nih.gov/pubmed/34207131
http://dx.doi.org/10.3390/healthcare9060750
work_keys_str_mv AT povoaraphaelacapelladesouza doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT mouraocarlosfernandodealmeidabarros doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT geremiasthaisecristina doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT saccoroberto doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT guimaraesludmillasilva doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT montemezzipietro doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT cardarelliangelo doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT moraschinivittorio doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT calasansmaiamonicadiuana doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview
AT lourorafaelseabra doesthecoronectomyafeasibleandsafeproceduretoavoidtheinferioralveolarnerveinjuryduringthirdmolarsextractionsasystematicreview