Coronectomy 3rd Molar

Question 1

What are indications for coronectomy?

Answer 1

Close proximity to IAN

Question 2

What are CI for coronectomy?

Answer 2

PA pathology, pt increased risk of infection e.g immunocompromised

Question 3

What is informed consent?

Answer 3

Permission by the patient to receive a given treatment in full knowledge of facts or consequences to facilitate a decision that most reflects their own values and wishes

Question 4

What is Montgomery principle of consent?

Answer 4

Ensuring patients are aware of any risks in proposed treatment and reasonable
alternative
Consider what pt would consider risks

Question 5

What are potential risks for coronectomy?

Answer 5

Infection of retained tissue
Nerve injury
Root migration
Development of PA pathology
Inoperative mobilisation of root - need full XLA

Question 6

What are steps of coronectomy?

Answer 6

1. Incision - full thickness flap raised
2. Exposure - buccal bone removed to level CEJ
3. Decoration - fissure bur
4. Finishing w/ rose-head bur
5. Closure

Question 7

If note mobility during coronectomy, what should you do?

Answer 7

Mobility of roots 3-9%
If occurs need to tell pt require full XLA to prevent pathology - this can be associated w/ higher risk of nerve damage

Question 8

Are prophylactic ab required?

Answer 8

in healthy individual no ab are required as can lead to resistance

Question 9

What is risk of developing infection post coronectomy?

Answer 9

between 10-12%