Review Article

Evaluation of the Outcomes of Coronectomy Procedure versus Surgical Extraction of Lower Third Molars Which Have a High Risk for Inferior Alveolar Nerve Injury: A Systematic Review

Table 3

Summarized data of the other findings of the 7 included studies.

Authors and yearGenderAgeTeeth no C or EPharmacological treatment: antibiotics, analgesics, CHX, othersPainInfectionAlveolar osteitis (AO)Root migration rateFollow-up and reoperationImplication and conclusion

Renton et al., 2005C:C: 29.0 ± 6.47C:94Preoperative chlorhexidine mouth washes.C:8 (13.8%)C:3 (5.2%)C: 12.1% (7/58)(5/94) 5.3%25 ± 13 monthsLow risk of complications than extraction
M 30; F 64Failed C: 27.93 ± 5.8Failed C: 11.1% (4/36)<2 mmReoperation; 0
E:E: 27.54 ± 5.5E:102E:22 (21.5%)E:1 (0.98%)E: 9.6% (10/102)
M 35; F 67TX: irrigation with chlorhexidine and dressing with alveogyl (butyl aminobenzoate, eugenol, and iodoform)

Hatano et al., 2009C:C: 32.36 ± 10.39C:102NAC:C: 1 (0.98%)C: 1.96% (2/102)(85.29%)Follow-up; 13 monthsLow risk of complications than extraction
M 27; F 7519 (18.6%)
VAS
Day of surgery: 59.6
Postoperatively
Day 1: 37
Day 3: 29.8
Day 5: 20.2
Day 7: 7.6
Reoperation; 5 patients (4.90%)
E:E: 32.19 ± 8.47E:118E:E: 4 (3.39%)E: 8.47% (10/118)
M 34; F 848 (6.78%)
VAS
Day of surgery: 47.7
Postoperatively
Day 1: 32.6
Day 3: 18.7
Day 5: 17.8
Day 7: 2.8
TX: NA

Leung and Cheung, 2009M 70; F 101C: 27.2 ± 7.3C:171No antibiotics were prescribed.C: 65 (41.9%)C:9 (5.8%)E: 2.8% (5/178) of cases first postoperative week3 months; 1.90 ± 1.23 mmC: 10.6 ± 7.7 monthsLow risk of complications than extraction.
VAS: end of the 1st post-op week: 3.1 (SD, 1.9)C: NA12 months; 2.97 ± 1.47 mmFailed C 11.4 ± 7.9 months
E: 26.2 ± 6.3E:178Analgesics: paracetamol and codeine for 3 days.E: 102E: 12 (6.7%)TX: NA24 months; 3.06 ± 1.67 mmE: 7.7 ± 6.6 months
VAS: End of 1st post-op week: 3.7 (SD, 1.8)Reoperation; 2 (1.17%) in month 9

Cilasun et al., 2011C: NA
E: NA
C: 27.36
E: 27.19
C:88
E:87
Postoperative antibiotics: (amoxicillin clavulanate 625 mg, 2 × 1) and oral rinses (benzydamine HCl plus chlorhexidine gluconate, 2 × 1) for 5 days.C: 1 (1.1%)
E: 0%
C: 1 (1.1%)
E: 0%
E (1/87)
C: NO

TX: irrigation and dressing with alveogyl (Septodont, France)
NAC: 16.97 ± 12 months
E: 17.62 ± 12 months
Reoperation; 1 (1.13%) patient who underwent reoperation at her own decision
Effective alternative to extraction when there is a high risk of IAN injury

Singh et al., 2018M 5; F 1024.9 ± 3.933C:15 E:15Post-op antibiotics: capsule ampicillin 250 mg and capsule cloxacillin 250 mg and tablet metronidazole 400 mg 3 times daily
Analgesics: ibuprofen 400 mg and paracetamol 325 mg 3 times daily for 3 days.
Pain intensity:
C:
VAS
Pre-op: 19.10
1st day: 16.97
7th day: 17.33
E:
VAS
Pre-op: 11.90
1st day: 14.03
7th day: 13.67
C: 0%
E: 0%
NA1 day; 1.53 mm
1 month; 2.07 mm
3 months; 2.97 mm
6 months; 3.43 mm
Follow-up; 6 months
Re-operation; 3 (20%) patients
Effective alternative to extraction

Kang et al., 2019M 49
F 43
C: 26.5
E: 25.3
C: 55
E: 55
Postoperative antibiotics: (cephradine and metronidazole) and discutient prescribed for 3 days.C (days): 2.61 ± 1.95No infectionE: 5.45% (2/55)3 months; 2.19 ± 0.80 mmFollow-up; 36 monthsCoronectomy should be considered superior to extraction in managing the risk of IANI.
E (days): 3.40 ± 1.55C: 1.82% (1/55)6 months; 2.91 ± 0.87 mmReoperation; 5 (9.09%) patients
TX: wound debridement and irrigation.12 months; 3.15 ± 0.90 mm
36 months; 3.19 ± 0.92 mm

Yan et al., 2020M 49; F 91 teeth (pts:121)C: 27.20 ± 4.31C: 93
E: 47
NoC
VAS (mean): 1.99% ± 1.38
E: VAS (mean):1.84% ± 1.86
C: 10 (10.99%)
E: 5 (10.2)
No significant difference between the two groups.
TX: NA
NAFollow-up;
6 months,
Only 1 case (1.07%) of more than 6 months
Coronectomy had less influence on IAN function than conventional extraction.

M: male; F: female (in gender and age columns); C: coronectomy; E: extraction; S: success; F: failure (in success and failure column); and NA: not available.