Evidence map›Paper›PMID 38565824›Full record

ArticleOral and maxillofacial surgery2024

The success rates and outcomes of mandibular third molar coronectomy: 167 cases.

Sylwia Maria Nowak, Jessie Justice, Aneesah Aslam, Mohamed Imran Suida

Abstract read
In one paragraph

Article in Oral and maxillofacial surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sylwia Maria NowakOral Surgery Department, Leeds Dental Institute, Leeds Teaching Hospitals NHS Trust, Leeds, UK. sylwia.nowak@nhs.net.ORCID http://orcid.org/0000-0002-7820-6100
Jessie JusticeOral and Maxillofacial Department, Bradford Teaching Hospitals NHS Trust, Bradford, UK.
Aneesah AslamFacial Department, Mid-Yorkshire Teaching Hospitals NHS Trust, Wakefield, UK.
Mohamed Imran SuidaOral Surgery Department, Cardale and Huddersfield NHS Trust, Huddersfield, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to assess success rates and to report complications of coronectomy of mandibular third molars (M3M), including intra-operative failure, pain, infection, dry socket, inferior dental alveolar (IAN) and lingual nerve (LN) injuries and re-operation rates.

methodsRetrospective analysis of 167 coronectomies completed between January 2017 to December 2022 was undertaken.

resultsThe success of coronectomy was 93%. Intra-operative failure was reported to be 3.6% (n = 8). Complications accounted for pain (15%, n = 24), infection (9%, n = 15) and dry socket (3.6%, n = 6). Three patients required removal of M3M root at 3 months (n = 2) and 24 months (n = 1), accounting for 1.8% re-operation rate. A total of number of patients who suffered a nerve injury was 12; three of these were permanent (LN - 1.2%, n = 2; IAN - 0.6%, n = 1), nine were temporary (IAN - 1.2%; n = 2, LN - 2.4%; n = 4; site not specified - 1.8%, n = 3). No patients with intra-operative failure and re-operation suffered IAN or LN injury post-operatively.

conclusionCoronectomy offers a successful strategy for management of high risk M3M. The treatment outcomes can be improved with careful case selection and adjusting surgical technique, including assessment of root morphology, incomplete crown sectioning technique and avoidance of lingual retraction. Reporting of coronectomy success as a factor of surgical outcome, presence or absence of permanent IAN injury, persistent symptoms or any other long-standing complications (such as LN injury), and the need for re-operation accounting for root migration status may be a useful tool to measure coronectomy outcomes.

Indexed as

MandibleMolar, ThirdPostoperative ComplicationsTooth CrownAdolescentAdultFemaleHumansIntraoperative ComplicationsMaleMiddle AgedReoperationRetrospective StudiesTooth ExtractionTooth, ImpactedTreatment OutcomeComplicationsCoronectomyNerve injurySuccess ratesThird molarWisdom tooth

Identifiers

PMID38565824
PMCPMC11330377

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.