Case report: coronectomy of an impacted and submerged second deciduous molar

Key Points

  • Informs the viability of coronectomy of deciduous teeth as a viable treatment option applicable to oral surgeons, orthodontists and GDPs.

  • Highlights importance of discussing associated risks.

  • Highlights importance of sparing the inferior dental nerve and associated litigation.

Abstract

Coronectomy is a widely-accepted technique available for the treatment of impacted wisdom teeth. The fundamental principle is to prevent trauma to the inferior dental nerve (IDN). Many publications have demonstrated its positive outcomes but there is no literature available regarding coronectomy of deciduous teeth. This case report highlights the complex approach to managing a severely infraoccluded 85 in the mixed dentition of a 10-year-old female. The report demonstrates and discusses the combined orthodontic and oral surgical approach to prevent damage to the IDN and to allow space for orthodontic movement. This case demonstrates how nerve sparing techniques in the mixed dentition are achievable.

Clinical relevance statement When managing severely infraoccluded and impacted deciduous second molars, clinicians must be aware that the option of a coronectomy should be considered and may be the difference between sparing the nerve or causing permanent injury.

Objective The reader should understand that coronectomy is a suitable treatment option in managing impacted deciduous teeth.

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Correspondence to M. G. Hussain.

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Hussain, M., Sah, S. & McHenry, I. Case report: coronectomy of an impacted and submerged second deciduous molar. Br Dent J 224, 20–21 (2018). https://doi.org/10.1038/sj.bdj.2018.3

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