Safety of coronectomy versus excision of wisdom teeth: A randomized controlled trial

Abstract

Objective: The objective of this study was to compare the surgical complications and neurosensory disturbances of coronectomy and total excision of lower wisdom teeth with roots in close proximity to the inferior dental nerve (IDN). Study design: A randomized controlled trial was conducted to compare the surgical complications and IDN deficit of coronectomy and total removal of wisdom teeth. Patients with specific radiographic signs of close proximity of wisdom teeth roots to the IDN were randomized. Results: A total of 231 patients underwent surgery for 349 lower wisdom teeth (171 coronectomies, 178 controls); 16 coronectomies failed and were removed in total. Nine patients in the control group presented with IDN deficit, compared with 1 in coronectomy group (P = .023). Pain and dry socket incidence was significantly lower in the coronectomy group, and there were no statistical differences in infection rate between the 2 groups. Reoperation of one coronectomy case was performed owing to persistent root exposure. Conclusion: There are fewer complications in terms of IDN deficit, pain, and dry socket after coronectomy, but the infection rate is similar to that of total excision. © 2009 Mosby, Inc. All rights reserved.