Coronectomy Alternative Wisdom Teeth Extraction

Coronectomy Alternative Wisdom Teeth Extraction Health And Social Care Essay

A female patient aged 23 attends her general dental practitioner with repeated episodes of pain from the back of her lower jaw. Intra oral examination reveals swelling, soreness and erythema overlying the operculum of a partially erupted wisdom tooth, indicating pericoronitis. Radiographic examination reveals an impacted wisdom tooth with narrowing of the root and loss of the inferior alveolar canal lamina dura.

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Realising the potential complications, the general dental practitioner refers the patient to the oral and maxillofacial department of the dental hospital where you are working as a Senior House Officer. Upon consultation, the patient reveals that she is worried about the complications associated with the procedure, and whether it will affect her future career as an actress.

She informs you that a friend of hers recently underwent wisdom tooth extraction and as a result can no longer feel her lower lip and tongue. She asks you questions such as; what are the chances of this happening to me? how long will it last? and is there are any alternative treatments?

Upon reviewing the radiographs, you realise the associated high risk of nerve damage to this patient, and recall that you recently overheard a fellow colleague talking about coronectomy as an alternative to extraction of wisdom teeth.

You remember the colleague saying that this technique reduces post operative complications, and wonder if this technique would be a suitable treatment option for this patient. Before informing the patient, you want to know if there is any evidence to support this technique, and its potential harms and benefits………………….