Rico-Barroso L, Barroso-Medel ME, Gutiérrez-Pérez JL, Serrera-Figallo MA, Torres-Lagares D. Coronectomy as an alternative technique to complete extraction of mandibular third molars with risk of nerve injury. Med Oral Patol Oral Cir Bucal. 2026 Jan 1;31 (1):e19-e30.

doi:10.4317/medoral.27459

https://dx.doi.org/doi:10.4317/medoral.27459

1. Long H, Zhou Y, Liao L, Pyakurel U, Wang Y, Lai W. Coronectomy vs total removal for third molar extraction: A systematic review. J Dent Res. 2012;91(7):659-665
https://doi.org/10.1177/0022034512449346
PMid:22622663

2. Mavrodi A, Ohanyan A, Kechagias N, Tsekos A, Vahtsevanos K. Influence of two different surgical techniques on the difficulty of impacted lower third molar extraction and their post-operative complications. Med Oral Patol Oral Cir Bucal. 2015;20(5):e640-e644
https://doi.org/10.4317/medoral.20605
PMid:26116843 PMCid:PMC4598936

3. Moreno-Vicente J, Schiavone-Mussano R, Clemente-Salas E, Marí-Roig A, Jané-Salas E, López-López J. Coronectomy versus surgical removal of the lower third molars with a high risk of injury to the inferior alveolar nerve: A bibliographical review. Med Oral Patol Oral Cir Bucal. 2015;20(4):e508-e517
https://doi.org/10.4317/medoral.20432
PMid:25858081 PMCid:PMC4523265

4. Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Lingual nerve damage after third lower molar surgical extraction. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(5):567-573
https://doi.org/10.1067/moe.2000.110034
PMid:11077378

5. Palma-Carrió C, García-Mira B, Larrazabal-Morón C, Peñarrocha-Diago M. Radiographic signs associated with inferior alveolar nerve damage following lower third molar extraction. Med Oral Patol Oral Cir Bucal. 2010;15(6):e886-e890
https://doi.org/10.4317/medoral.15.e886
PMid:20526245

6. Kang F, Sah MK, Fei G. Determining the risk relationship associated with inferior alveolar nerve injury following removal of mandibular third molar teeth: A systematic review. J Stomatol Oral Maxillofac Surg. 2020;121(1):63-69
https://doi.org/10.1016/j.jormas.2019.06.010
PMid:31476533

7. Ali AS, Benton JA, Yates JM. Risk of inferior alveolar nerve injury with coronectomy vs surgical extraction of mandibular third molars: A comparison of two techniques and review of the literature. J Oral Rehabil. 2018;45(3):250-257
https://doi.org/10.1111/joor.12589
PMid:29171914

8. Ecuyer J, Debien J. Déductions opératoires. Actual Odontostomatol (Paris). 1984;38(148):695-702
PMid:6599376

9. Pogrel MA. Coronectomy: Partial odontectomy or intentional root retention. Oral Maxillofac Surg Clin North Am. 2015;27(3):373-382
https://doi.org/10.1016/j.coms.2015.04.003
PMid:26093820

10. Renton T. Update on coronectomy: A safer way to remove high risk mandibular third molars. Dent Update. 2013;40(5):362-364, 366-368
https://doi.org/10.12968/denu.2013.40.5.362
PMid:23909229

11. Mukherjee S, Vikraman B, Sankar D, Veerabahu MS. Evaluation of outcome following coronectomy for the management of mandibular third molars in close proximity to inferior alveolar nerve. J Clin Diagn Res. 2016;10(8):ZC57-ZC62
https://doi.org/10.7860/JCDR/2016/20991.8273
PMid:27656565 PMCid:PMC5028523

12. Meek MF, Coert JH, de Visscher JG. Re: Renton T, Hankins M, Sproate C, McGurk M. A randomised controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molars. Br J Oral Maxillofac Surg. 2006;44(1):75-76
https://doi.org/10.1016/j.bjoms.2005.03.029
PMid:15998557

13. Leung YY, Cheung LK. Safety of coronectomy versus excision of wisdom teeth: A randomized controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108(6):821-827
https://doi.org/10.1016/j.tripleo.2009.07.004
PMid:19782621

14. Hatano Y, Kurita K, Kuroiwa Y, Yuasa H, Ariji E. Clinical evaluations of coronectomy for mandibular third molars using dental computed tomography: A case-control study. J Oral Maxillofac Surg. 2009;67(9):1806-1814
https://doi.org/10.1016/j.joms.2009.04.018
PMid:19686914

15. Cilasun U, Yildirim T, Guzeldemir E, Pektas ZO. Coronectomy in patients with high risk of inferior alveolar nerve injury diagnosed by computed tomography. J Oral Maxillofac Surg. 2011;69(6):1557-1561
https://doi.org/10.1016/j.joms.2010.10.026
PMid:21288616

16. Frenkel B, Givol N, Shoshani Y. Coronectomy of the mandibular third molar: A retrospective study of 185 procedures and the decision to repeat the coronectomy in cases of failure. J Oral Maxillofac Surg. 2015;73(4):587-594
https://doi.org/10.1016/j.joms.2014.10.011
PMid:25544301

17. Kang F, Xue Z, Zhou X, Zhang X, Hou G, Feng Y. Coronectomy: A useful approach in minimizing nerve injury compared with traditional extraction of deeply impacted mandibular third molars. J Oral Maxillofac Surg. 2019;77(11):2221.e1-2221.e14
https://doi.org/10.1016/j.joms.2019.06.186
PMid:31356802

18. Leung YY, Cheung LK. Long-term morbidities of coronectomy on lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(1):5-11
https://doi.org/10.1016/j.oooo.2015.07.012
PMid:26337212

19. Mendes PA, Neiva IM, de Arruda JAA, Brasileiro CB, Souza ACRA, Mesquita RA, Souza LN. Coronectomy of partially erupted lower third molars performed by an undergraduate dentistry student: A case series. Oral Maxillofac Surg. 2020;24(4):417-422
https://doi.org/10.1007/s10006-020-00860-9
PMid:32556618

20. Cosola S, Kim YS, Park YM, Giammarinaro E, Covani U. Coronectomy of mandibular third molar: Four years of follow-up of 130 cases. Medicina (Kaunas). 2020;56(12):654
https://doi.org/10.3390/medicina56120654
PMid:33261207 PMCid:PMC7760348

21. Agbaje JO, Heijsters G, Salem AS, Van Slycke S, Schepers S, Politis C, Vrielinck L. Coronectomy of deeply impacted lower third molar: Incidence of outcomes and complications after one year follow-up. J Oral Maxillofac Res. 2015;6(2):e1
https://doi.org/10.5037/jomr.2015.6201
PMid:26229580 PMCid:PMC4516853

22. Pedersen MH, Bak J, Matzen LH, Hartlev J, Bindslev J, Schou S, Nørholt SE. Coronectomy of mandibular third molars: A clinical and radiological study of 231 cases with a mean follow-up period of 5.7 years. Int J Oral Maxillofac Surg. 2018;47(12):1596-1603
https://doi.org/10.1016/j.ijom.2018.06.006
PMid:30017572

23. Monaco G, Angelino C, Vignudelli E, Ferri A, Felice P. What is the incidence of late complications associated with lower third molar coronectomy? 10-year follow-up results. J Oral Maxillofac Surg. 2023;81(10):1279-1285
https://doi.org/10.1016/j.joms.2023.06.011
PMid:37463659

24. Yan ZY, Yan XY, Guo CB, Xie QF, Yang GJ, Cui NH. Somatosensory changes in Chinese patients after coronectomy vs total extraction of mandibular third molar: A prospective study. Clin Oral Investig. 2020;24(9):3017-3028
https://doi.org/10.1007/s00784-019-03169-4
PMid:31853899

25. Hamad SA. Outcomes of coronectomy and total odontectomy of impacted mandibular third molars. Int Dent J. 2024;74(2):195-198
https://doi.org/10.1016/j.identj.2023.07.015
PMid:37563080 PMCid:PMC10988245

26. James O, Oyeneyin AO, Adeyemi MO, Erinoso OA, Adekunle AA, Adeyemo WL. Neurosensory deficits of inferior alveolar nerve following impacted mandibular third molar extraction: Comparison of one-stage complete extraction with two-stage partial coronectomy surgical technique. J Maxillofac Oral Surg. 2023;22(1):178-186
https://doi.org/10.1007/s12663-021-01601-5
PMid:36703659 PMCid:PMC9871121

27. Simons RN, Gonesh MS, Tuk JG, de Lange J, Lindeboom JA. Association of indications for mandibular third molar coronectomy and the Pell and Gregory and the Winter classification systems. Oral Maxillofac Surg. 2024;28(2):885-892
https://doi.org/10.1007/s10006-024-01222-5
PMid:38334855 PMCid:PMC11144674

28. Dalle Carbonare M, Zavattini A, Duncan M, Williams M, Moody A. Injury to the inferior alveolar and lingual nerves in successful and failed coronectomies: Systematic review. Br J Oral Maxillofac Surg. 2017;55(9):892-898
https://doi.org/10.1016/j.bjoms.2017.09.006
PMid:29061470

29. Peixoto AO, Bachesk AB, Leal MOCD, Jodas CRP, Machado RA, Teixeira RG. Benefits of coronectomy in lower third molar surgery: A systematic review and meta-analysis. J Oral Maxillofac Surg. 2024;82(1):73-92
https://doi.org/10.1016/j.joms.2023.09.024
PMid:37925166

30. Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Inferior alveolar nerve damage after lower third molar surgical extraction: A prospective study of 1117 surgical extractions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92(4):377-383
https://doi.org/10.1067/moe.2001.118284
PMid:11598570

31. Gomes AC, Vasconcelos BC, Silva ED, Caldas Ade F Jr, Pita Neto IC. Sensitivity and specificity of pantomography to predict inferior alveolar nerve damage during extraction of impacted lower third molars. J Oral Maxillofac Surg. 2008;66(2):256-259
https://doi.org/10.1016/j.joms.2007.08.020
PMid:18201605

32. Jerjes W, Upile T, Shah P, Nhembe F, Gudka D, Kafas P, McCarthy E, Abbas S, Patel S, Hamdoon Z, Abiola J, Vourvachis M, Kalkani M, Al-Khawalde M, Leeson R, Banu B, Rob J, El-Maaytah M, Hopper C. Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery-revisited. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(3):335-345
https://doi.org/10.1016/j.tripleo.2009.10.010
PMid:20097103

33. Queral-Godoy E, Figueiredo R, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Frequency and evolution of lingual nerve lesions following lower third molar extraction. J Oral Maxillofac Surg. 2006;64(3):402-407
https://doi.org/10.1016/j.joms.2005.11.010
PMid:16487801

34. Cervera-Espert J, Pérez-Martínez S, Cervera-Ballester J, Peñarrocha-Oltra D, Peñarrocha-Diago M. Coronectomy of impacted mandibular third molars: A meta-analysis and systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;21(4):e505-e513
https://doi.org/10.4317/medoral.21074
PMid:27031064 PMCid:PMC4920466

35. Nowak SM, Justice J, Aslam A, Suida MI. The success rates and outcomes of mandibular third molar coronectomy: 167 cases. Oral Maxillofac Surg. 2024;28(3):1227-1239
https://doi.org/10.1007/s10006-024-01244-z
PMid:38565824 PMCid:PMC11330377

36. Blum IR. Contemporary views on dry socket (alveolar osteitis): A clinical appraisal of standardization, aetiopathogenesis and management: A critical review. Int J Oral Maxillofac Surg. 2002;31(3):309-317
https://doi.org/10.1054/ijom.2002.0263
PMid:12190139

37. Torres-Lagares D, Gutierrez-Perez JL, Infante-Cossio P, Garcia-Calderon M, Romero-Ruiz MM, Serrera-Figallo MA. Randomized, double-blind study on effectiveness of intra-alveolar chlorhexidine gel in reducing the incidence of alveolar osteitis in mandibular third molar surgery. Int J Oral Maxillofac Surg. 2006;35(4):348-351
https://doi.org/10.1016/j.ijom.2005.08.002
PMid:16289676

38. Leung YY, Cheung KY. Root migration pattern after third molar coronectomy: A long-term analysis. Int J Oral Maxillofac Surg. 2018;47(6):802-808
https://doi.org/10.1016/j.ijom.2018.01.015
PMid:29433766

39. Goto S, Kurita K, Kuroiwa Y, Hatano Y, Kohara K, Izumi M, Ariji E. Clinical and dental computed tomographic evaluation 1 year after coronectomy. J Oral Maxillofac Surg. 2012;70(5):1023-1029
https://doi.org/10.1016/j.joms.2011.09.037
PMid:22209102

40. Barcellos BM, Velasques BD, Moura LB, Xavier CB. What are the parameters for reoperation in mandibular third molars submitted to coronectomy? A systematic review. J Oral Maxillofac Surg. 2019;77(6):1108-1115
https://doi.org/10.1016/j.joms.2019.01.013
PMid:30776332

41. Mann A, Scott JF. Coronectomy of mandibular third molars: A systematic literature review and case studies. Aust Dent J. 2021;66(2):136-149
https://doi.org/10.1111/adj.12825
PMid:33486775

42. Themkumkwun S, Sawatdeenarunat S, Manosuthi P. Surgical removal of third molars in a young adult: Review of indications and surgical techniques. J Korean Assoc Oral Maxillofac Surg. 2023;49(4):184-191
https://doi.org/10.5125/jkaoms.2023.49.4.184
PMid:37641900 PMCid:PMC10466014

43. Ouaabbou H, Hakkou F, Chbicheb S. Mandibular third-molar germectomy: Case report. Ann Med Surg (Lond). 2024;86:4780-4783
https://doi.org/10.1097/MS9.0000000000002092
PMid:39118689 PMCid:PMC11305812

44. Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars: The relationship between age and incidence of complications. J Oral Maxillofac Surg. 1995;53(4):418-422; discussion 422-423
https://doi.org/10.1016/0278-2391(95)90715-7
PMid:7699496