AJETI ABDURAMANI, Albina and VELICKOVSKI, Boris and AJETI, Fjolla and AJETI, Ngadhnjim (2026) MANAGEMENT OF HIGH-RISK IMPACTED MANDIBULAR THIRD MOLARS USING SURGICAL METOHOD OF CORONECTOMY: A CASE REPORT. In: INTERNATIONAL CONFERENCE “FROM RESEARCH TO APPLICATION”, 20 May, 2026.
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Abstract
Impacted mandibular third molars, due to their proximity with the mandibular canal, often are categorized as high- risk tooth for surgical intervention and may be accompanied by postoperative neurosensory deficit. The management of these situations, show better results by performing coronectomy, as a technique for surgical extraction of these teeth and prevention of potential neuropathy. This paper focuses on the importance of using coronectomy as an alternative surgical technique in cases with impacted mandibular third molars with high risk of nerve injury, in order to minimize possible postoperative complications. Case presentation: a 26 years old female patient presented with vertical impacted mandibular third molar, and a radiographic evaluation of a close proximity with the inferior alveolar nerve. CBCT confirmed the position. The procedure of coronectomy was performed, sectioning the crown and leaving the roots in situ. The follow-up time included radiographic evaluation of the root migration in 6 and 12 months after the coronectomy. The postoperative complications, including injury of inferior alveolar nerve, postoperative pain, swelling, trismus and wound infection, were followed the first week after the surgical procedure. There were no signs injury of IAN, infection or exposure of the roots. The root migration was visible in radiographic imaging after 6 and 12 months after the surgery. Postoperative morbidity consisted on moderate pain, trizmus and swelling. Coronectomy is a safe method for surgical extraction of impacted mandibular molars for patients who demonstrate elevated risk for injury to the inferior alveolar nerve. This surgical method minimizes the incidence of damage to the inferior alveolar nerve and is safer than complete extraction in situations in which the root of the impacted mandibular third molar are in close proximity to the mandibular canal.
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) |
| Divisions: | Faculty of Medicine, Health and Life Sciences > School of Medicine |
| Depositing User: | Unnamed user with email zshi@unite.edu.mk |
| Date Deposited: | 22 Sep 2026 12:13 |
| Last Modified: | 22 Sep 2026 12:13 |
| URI: | http://eprints.unite.edu.mk/id/eprint/2444 |
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