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- Publisher Website: 10.1016/j.identj.2023.08.006
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Article: Third Molar Coronectomy vs Total Removal in Second Molar Periodontal Healing
Title | Third Molar Coronectomy vs Total Removal in Second Molar Periodontal Healing |
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Authors | |
Keywords | Alveolar bone loss Bone regeneration Molar, third Periodontal attachment loss Randomised controlled trial |
Issue Date | 1-Jan-2023 |
Publisher | Wiley Open Access |
Citation | International Dental Journal, 2023 How to Cite? |
Abstract | Objectives: The objective of this randomised controlled trial was to compare the periodontal healing at the distal of the adjacent second molar after coronectomy or surgical removal and the surgical morbidities of the 2 techniques. Methods: This is a pilot study of a split-mouth randomised clinical trial comparing the periodontal healing of the adjacent second molar after coronectomy or total removal of lower third molars, which was registered with the University of Hong Kong Clinical Trial Centre as HKUCTR-2948 on 21 February 2020. Cone beam computed tomography (CBCT) scans were taken preoperatively and at 6 months postoperatively. Changes in the bone level from the cemento-enamel junction, periodontal probing depth (PPD), and clinical attachment level (CAL) at the distal of the adjacent second molar were compared. Surgical morbidities in terms of pain, infection, neurologic deficit, root exposure, and need for second surgery for removal were assessed. Results: Forty patients (22 male, 18 female) with mean age of 26.7 years were evaluated at 6 months postoperatively. Both coronectomy and total removal groups demonstrated statistically significant reduction in PPD and CAL. There was an alveolar bone gain of 1.28 ± 0.88 mm in the coronectomy group and 1.13 ± 0.73mm in the control group, which was statistically significant (P < .001 for both groups). Conclusions: Early findings show the periodontal healing at the adjacent second molar of coronectomy was as good as that of total removal of lower third molar. There were no differences in terms of surgical morbidities between both groups. |
Persistent Identifier | http://hdl.handle.net/10722/331654 |
ISSN | 2023 Impact Factor: 3.2 2023 SCImago Journal Rankings: 0.803 |
DC Field | Value | Language |
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dc.contributor.author | Pang, Si Ling | - |
dc.contributor.author | Yeung, Wai Kan Andy | - |
dc.contributor.author | Hung, Kuo Feng | - |
dc.contributor.author | Hui, Liuling | - |
dc.contributor.author | Chung, Hui Zhen Jasmine | - |
dc.contributor.author | Leung, Yiu Yan | - |
dc.date.accessioned | 2023-09-21T06:57:44Z | - |
dc.date.available | 2023-09-21T06:57:44Z | - |
dc.date.issued | 2023-01-01 | - |
dc.identifier.citation | International Dental Journal, 2023 | - |
dc.identifier.issn | 0020-6539 | - |
dc.identifier.uri | http://hdl.handle.net/10722/331654 | - |
dc.description.abstract | <p><strong>Objectives: </strong>The objective of this randomised controlled trial was to compare the periodontal healing at the distal of the adjacent second molar after coronectomy or surgical removal and the surgical morbidities of the 2 techniques.</p><p><strong>Methods: </strong>This is a pilot study of a split-mouth randomised clinical trial comparing the periodontal healing of the adjacent second molar after coronectomy or total removal of lower third molars, which was registered with the University of Hong Kong Clinical Trial Centre as HKUCTR-2948 on 21 February 2020. Cone beam computed tomography (CBCT) scans were taken preoperatively and at 6 months postoperatively. Changes in the bone level from the cemento-enamel junction, periodontal probing depth (PPD), and clinical attachment level (CAL) at the distal of the adjacent second molar were compared. Surgical morbidities in terms of pain, infection, neurologic deficit, root exposure, and need for second surgery for removal were assessed.</p><p><strong>Results: </strong>Forty patients (22 male, 18 female) with mean age of 26.7 years were evaluated at 6 months postoperatively. Both coronectomy and total removal groups demonstrated statistically significant reduction in PPD and CAL. There was an alveolar bone gain of 1.28 ± 0.88 mm in the coronectomy group and 1.13 ± 0.73mm in the control group, which was statistically significant (P < .001 for both groups).</p><p><strong>Conclusions: </strong>Early findings show the periodontal healing at the adjacent second molar of coronectomy was as good as that of total removal of lower third molar. There were no differences in terms of surgical morbidities between both groups.</p> | - |
dc.language | eng | - |
dc.publisher | Wiley Open Access | - |
dc.relation.ispartof | International Dental Journal | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Alveolar bone loss | - |
dc.subject | Bone regeneration | - |
dc.subject | Molar, third | - |
dc.subject | Periodontal attachment loss | - |
dc.subject | Randomised controlled trial | - |
dc.title | Third Molar Coronectomy vs Total Removal in Second Molar Periodontal Healing | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.identj.2023.08.006 | - |
dc.identifier.scopus | eid_2-s2.0-85170102498 | - |
dc.identifier.eissn | 1875-595X | - |
dc.identifier.issnl | 0020-6539 | - |