Coronectomy

Lately the trend among specialist dentists is to focus only on the area where they have invested more time.
By covering a narrow range of dental treatments, they are able to progress and provide complex, low-risk treatments with outstanding results.
With the evolution of dental techniques and appliances, dentistry has become a profession in which almost every doctor focuses on a limited number of procedures.
Oral surgery comes to the aid of patients when tooth-preserving treatments can no longer be applied. Oral surgery doesn’t just mean tooth extractions. Fortunately for patients, there are a number of treatments that can be performed on the tooth to prolong the life of the tooth in the arches before extraction is necessary.

Conditions

Coronectomy is a minimally invasive surgical maneuver designed to help the wisdom molar erupt completely. It is a procedure that involves preserving the wisdom molar in the dental arches and can only be performed if two conditions are met:

• The wisdom molar in question must be covered by the gum only. The wisdom molars may be fully impacted when they are entirely covered by bone or partially impacted when they have a cap of gingiva on the surface which prevents eruption. It is only in the second case, when the molar is covered by gum, that dec Coronectomy can be practiced.

• The wisdom molar must have a position favorable to eruption. A favorable position for a wisdom molar is one that allows physiological eruption, a vertical one, without any blockage, which may be represented by the anterior molar or the posterior bone. An oblique or horizontal position is often a sign that the molar will not have the right trajectory to erupt harmoniously.

Symptoms

The procedure called Coronectomy, which involves the surgical removal of gingival tissue that prevents the harmonious eruption of the wisdom molar, is applied if the patient presents with the following symptoms:

Bad odor – food accumulates between the gingiva and the wisdom molar, which will ferment and imprint the fetid taste and odor of the oral cavity

Pain during chewing

Inability to fully open the mouth – limited mouth opening is a sign of local inflammation. By removing the gum covering the wisdom molar and supplementing with treatment consisting of anti-inflammatory drugs and daily local rinses, the inflammation will subside and the patient will be able to open the mouth as before.
After the Coronectomy, the patient should continue to take the medication prescribed by the doctor, present daily or whenever called for check-ups and washings, and follow the rules of oral hygiene.
The problems that may occur following this intervention are characterized by pain of a much more severe character than that experienced before the therapy was instituted.
Tooth scaling is recommended to decrease the amount of bacterial plaque and food accumulation in the space between the gum and the tooth. Healing is good if the indications are followed and the result is harmonious eruption of the wisdom molar in the dental arches.