{"id":44868,"date":"2023-01-21T06:36:25","date_gmt":"2023-01-21T01:06:25","guid":{"rendered":"https:\/\/royalimplant.com\/blogs\/?p=44868"},"modified":"2025-11-28T09:15:44","modified_gmt":"2025-11-28T03:45:44","slug":"what-is-coronectomy","status":"publish","type":"post","link":"https:\/\/royalimplant.com\/blogs\/what-is-coronectomy\/","title":{"rendered":"What is Coronectomy?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Most people get their wisdom teeth removed because they don\u2019t have enough room to come in and can grow in a way that leads to pain or dental issues. This is called an impacted wisdom tooth.&nbsp;\u200cThe difference between a coronectomy and a traditional wisdom tooth removal is that the Coronectomy removes only the&nbsp;crown or visible parts&nbsp;of the tooth. It leaves the&nbsp;roots&nbsp;intact and in place.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7d812b4c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"tel:+919820446633\" style=\"border-radius:2px;color:#fffffa;background-color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Call Now<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/royalimplant.com\/enquiry5\/?utm_source=blogs&amp;utm_medium=organic&amp;utm_campaign=5%20foods%20that%20make%20your%20kids%20teeth%20stronger\" style=\"border-radius:2px;color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Get In Touch<\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">The coronectomy came about\u00a0because the roots of wisdom teeth sometimes grow too close or even on top of the inferior alveolar nerve, which connects to your tongue, lips, and lower jaw. Injury to this nerve from a faulty wisdom tooth removal may affect your feeling in these areas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-are-your-wisdom-teeth\"><strong>What are your wisdom teeth?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Located in the very back of your mouth, your\u00a0wisdom teeth\u00a0are your third set of molars. They typically come in when you\u2019re in your late teen years and are your last set of adult teeth. For many people, one or more wisdom teeth don\u2019t have enough room to grow properly and break (or erupt) through the gum. These wisdom teeth are referred to as being impacted. Often, your dentist will suggest removing\u00a0impacted wisdom teeth\u00a0\u2014 called an extraction \u2014 because they tend to be prone to decay and disease.<\/p>\n\n\n<div class=\"wp-block-image is-style-rounded\">\n<figure class=\"aligncenter size-medium is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2020\/08\/18bf801f-0de3-4237-ba21-880f6356b552-510x510.jpg\" alt=\"wisdom tooth recovery | Coronectomy\" class=\"wp-image-4979\" width=\"233\" height=\"233\" title=\"\"><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\" id=\"h-coronectomy-vs-extraction\"><strong>Coronectomy vs. Extraction<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A standard wisdom tooth extraction will remove the entire tooth, and sometimes all four are removed at once. A coronectomy will remove the crown of the tooth and leave the tooth\u2019s <a href=\"https:\/\/royalimplant.com\/blogs\/does-everyone-have-wisdom-teeth\/\" target=\"_blank\" rel=\"noreferrer noopener\">roots<\/a> in your jaw, intact. It isn\u2019t recommended if the wisdom tooth or root is infected.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/royalimplant.com\/blogs\/wp-content\/uploads\/2022\/05\/ziliute-extraction.jpg\" alt=\"implant vs dental extraction\" class=\"wp-image-11185\" width=\"303\" height=\"201\" title=\"\"><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">Both procedures may be done by a dentist or oral surgeon. Your dentist will likely decide on one procedure over the other depending on factors such as your age and likelihood of nerve damage. A standard wisdom tooth extraction will remove the entire tooth, and sometimes all four are removed at once.\u00a0A coronectomy will remove the crown of the tooth and leave the tooth&#8217;s roots in your jaw, intact. A coronectomy isn&#8217;t recommended if the wisdom tooth or root is infected.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-why-have-a-coronectomy\"><strong>Why have a Coronectomy?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Sometimes the wisdom teeth roots are close to and press on your\u00a0lingual nerve (LN)\u00a0or\u00a0inferior alveolar nerve (IAN), the nerves that supply feeling to your tongue, lips, and chin. In situations like this, your dentist or <a href=\"http:\/\/chiragchamria.com\" target=\"_blank\" rel=\"noreferrer noopener\">oral surgeon<\/a> might recommend a coronectomy as an option that could lower risk for potential nerve damage as compared to an extraction. Damage to your LN and IAN might result in;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/coolsymbol.com\/copy\/Circled_White_Star_Symbol_%E2%9C%AA\" target=\"_blank\" rel=\"noopener\">\u272a<\/a> Pain or odd sensations in your lower lip, lower teeth, lower jaw, or chin<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/coolsymbol.com\/copy\/Heavy_Asterisk_Symbol_%E2%9C%B1\" target=\"_blank\" rel=\"noopener\">\u2731<\/a> Difficulties speaking or chewing<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/coolsymbol.com\/copy\/Circled_White_Star_Symbol_%E2%9C%AA\" target=\"_blank\" rel=\"noopener\">\u272a<\/a> Loss of taste<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-when-to-have-a-coronectomy\"><strong>When to have a Coronectomy<\/strong>?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The coronectomy came about because the roots of wisdom teeth sometimes grow too close or even on top of the inferior alveolar nerve, which connects to your tongue, lips, and lower jaw. Injury to this nerve from a faulty wisdom tooth removal may affect your feeling in these areas.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"atbssuga-responsive-video\"><iframe title=\"Is It Necessary To Remove Wisdom Teeth? Know More About Oral Health: Ep 9 | Dr Chirag Chamria\" width=\"1200\" height=\"675\" src=\"https:\/\/www.youtube.com\/embed\/o9Bi57HgwxU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\">Wisdom teeth are the third molars in the very back of our mouths and don&#8217;t always need to be removed so long as they&#8217;re healthy, grown in completely, biting correctly, and are able to be cleaned as part of regular hygiene practices. Often, wisdom teeth don&#8217;t have room to grow properly and end up creating problems for your other teeth. So is it really necessary to remove your wisdom teeth?<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">You can avoid the risk of permanent numbness or tingling by leaving the tooth\u2019s roots. But you shouldn\u2019t have a coronectomy if there is any issue of decay or infection with your tooth or the roots. Leaving in decayed or infected roots will only lead to more complications.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-what-should-i-expect-from-a-coronectomy\">What Should I Expect From a Coronectomy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">You will typically have a coronectomy before the wisdom tooth has fully emerged. Your dentist will first have to make a small cut into your gum and remove some of the bone around the tooth. This will let them remove only the crown of the wisdom tooth.&nbsp;Afterward, the gum will be sewn back together. The procedure usually takes about 40 minutes. You notice side effects like these for up to 14 days:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Trouble opening your mouth<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bleeding from the wound<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Infection at the wound site<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bruised or injured nerves<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Swollen gums<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">It might help to switch your diet to soft or liquid foods while you heal. You may also need to wear bandages to protect the inside of your mouth. Be careful and gentle with your dental hygiene, and make sure to clean your mouth thoroughly.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7d812b4c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"tel:+919820446633\" style=\"border-radius:2px;color:#fffffa;background-color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Call Now<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/royalimplant.com\/enquiry5\/?utm_source=blogs&amp;utm_medium=organic&amp;utm_campaign=5%20foods%20that%20make%20your%20kids%20teeth%20stronger\" style=\"border-radius:2px;color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Get In Touch<\/a><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-coronectomy-specific-warnings\"><strong>Coronectomy:  Specific Warnings:<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Roots inadvertently removed at the time of attempted coronectomy<\/strong>: When the crown of the tooth is mobilised, the roots (if the crown is still attached to them) may become mobile as well. This ranges from 3 \u2013 9%. If the roots are mobile, we are obliged to remove them and there is obviously the risk to the IAN (which this procedure was trying to avoid). This is more likely to happen if the roots are conical in shape.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-royal-dental-clinics-blog wp-block-embed-royal-dental-clinics-blog\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"pijLDABPNR\"><a href=\"https:\/\/royalimplant.com\/blogs\/does-everyone-have-wisdom-teeth\/\">Does everyone have Wisdom Teeth?<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; clip: rect(1px, 1px, 1px, 1px);\" title=\"&#8220;Does everyone have Wisdom Teeth?&#8221; &#8212; Royal Dental Clinics Blog\" src=\"https:\/\/royalimplant.com\/blogs\/does-everyone-have-wisdom-teeth\/embed\/#?secret=M7GT8xBCJ6#?secret=pijLDABPNR\" data-secret=\"pijLDABPNR\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete Crown <a href=\"https:\/\/royalimplant.com\/blogs\/does-everyone-have-wisdom-teeth\/\" target=\"_blank\" rel=\"noreferrer noopener\">Removal<\/a> (link to annotated picture). Not being able to visualize the root surface is a common problem with disto-angular impactions and makes root finishing difficult. This may mean that all the enamel has not been removed. Retained enamel or spicules of enamel can cause irritation to the overlying gum or, as the enamel acts as foreign body, increases the chances of infection of the unhealed socket.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-coronectomy-guidelines\"><strong>Coronectomy guidelines<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Coronectomy can be beneficial but success requires both good patient selection and operator technique. There are some simple guidelines which clinicians need to be aware of to avoid failure. They are as follows:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Teeth with associated infection, particularly infection involving the root portion, should be excluded from this technique<\/li>\n\n\n\n<li>Teeth that are mobile should be excluded as they act as a mobile foreign body and become a nidus for infection or migration<\/li>\n\n\n\n<li>If the pulp of the tooth is exposed, the technique of leaving the retained root fragment at least 3&nbsp;mm inferior to the crest of the bone seems appropriate and appears to encourage bone formation over the retained root fragment over a period of time.<\/li>\n\n\n\n<li>Late migration of the root fragment may occur in some cases, but is unpredictable. However, in most cases the root fragments move into a safer position with regard to the nerve and then can be removed. Case reports have suggested that it can take up to ten years for the root fragments to erupt.<\/li>\n\n\n\n<li>The operative site should be primarily closed in a tension free manner.<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-buttons is-horizontal is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-7d812b4c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-text-color has-background wp-element-button\" href=\"tel:+919820446633\" style=\"border-radius:2px;color:#fffffa;background-color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Call Now<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--3\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/royalimplant.com\/enquiry5\/?utm_source=blogs&amp;utm_medium=organic&amp;utm_campaign=5%20foods%20that%20make%20your%20kids%20teeth%20stronger\" style=\"border-radius:2px;color:#ba0c49\" target=\"_blank\" rel=\"noreferrer noopener\">Get In Touch<\/a><\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-post-operative-management-of-coronectomy\"><strong>Post Operative Management of Coronectomy<\/strong><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-swelling\"><strong>Swelling<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">In case there is swelling, it lasts for up to a week. The amount of swelling varies from patient to patient. In addition to this the application of an ice pack during the first 24 hours postoperatively may help. Do not apply the ice pack directly to your skin, but wrap the ice pack in a towel first.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-restricted-mouth-opening\"><strong>Restricted mouth opening<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">This occurs sometimes and is a consequence of swelling; it often settles once the swelling disappears. During this time when your mouth opening is restricted you may have to modify your diet, eating soft foods. There are however no hard and fast rules about what you should eat. You must however keep your mouth as clean as possible to reduce the risk of infection using regular mouthwashes.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-bleeding\"><strong>Bleeding<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Although there may be a little bleeding at the time of the procedure this usually stops very quickly and is unlikely to be a problem if the wound is stitched. If by chance the area bleeds again when you get home this can usually be stopped by applying pressure over the area for at least 10 minutes with a rolled-up damp cotton or swab.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-minimising-infection\"><strong>Minimising Infection<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Infection can be minimised by adopting scrupulous <a href=\"https:\/\/royalimplant.com\/blogs\/tips-for-good-oral-hygiene\/\" target=\"_blank\" rel=\"noreferrer noopener\">oral hygiene<\/a> during the recovery phase. This usually encompasses normal tooth brushing with additional mouthwashes as advised plus the avoidance of smoking.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-advantage-of-coronectomy\"><strong>Advantage of Coronectomy<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Two nerves lie in close proximity to impacted wisdom teeth. The&nbsp;<em>lingual&nbsp;nerve<\/em>&nbsp;provides sensation in your tongue whilst the&nbsp;<em>inferior alveolar nerve<\/em>&nbsp;gives sensation to the lower lip and skin overlying the chin. These nerves may be bruised during tooth removal. A coronectomy technique ELIMINATES THE CHANCES OF NERVE DAMAGE and consequently the numbness to the lip and chin.<strong>&nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Royal Dental Clinics is known for its comprehensive, corrective and preventative procedures which are performed in a comfortable environment. <a href=\"http:\/\/royaldentalclinics.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Royal Dental Clinics<\/a> not<\/strong><a href=\"https:\/\/royalimplant.com\/\"><strong>&nbsp;<\/strong><\/a><strong>only excels at implants, but also modern cosmetic dentistry. It provides excellent cosmetic solutions, thereby providing a \u2018smile makeover\u2019.&nbsp;<\/strong><\/p>\n\n\n\n<div class=\"wp-block-qubely-map qubely-block-099e01\"><iframe width=\"100%\" height=\"350px\" src=\"https:\/\/maps.google.com\/maps?q=Royal%20Dental%20Clinic%20%7C%20Same%20Day%20Dental%20Implant%20%26%20Cosmetic%20Treatment%2C%20Kandivali%20Thakur%20Complex%2C%20V%20Mall%2C%20Western%20Express%20Hwy%2C%20Kandivali%20East%2C%20Mumbai%2C%20Maharashtra%20400101&amp;t=&amp;z=16&amp;ie=UTF8&amp;iwloc=&amp;output=embed\" frameborder=\"0\" scrolling=\"no\" marginheight=\"0\" marginwidth=\"0\"><\/iframe><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-suggested-article\">Suggested Article:<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/can-you-implant-a-missing-wisdom-tooth\/\" target=\"_blank\" rel=\"noreferrer noopener\">Can you Implant a missing Wisdom Tooth?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/how-can-i-stop-wisdom-tooth-pain-at-night\/\" target=\"_blank\" rel=\"noreferrer noopener\">How can I stop wisdom tooth pain at night?<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/royalimplant.com\/blogs\/safer-to-get-wisdom-teeth-pulled-or-saved\/\" target=\"_blank\" rel=\"noreferrer noopener\">Safer to get wisdom teeth pulled or saved?<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Most people get their wisdom teeth removed because they don\u2019t have enough room to come in and can grow in a way that leads to pain or dental issues. This is called an impacted wisdom tooth.&nbsp;\u200cThe difference between a coronectomy and a traditional wisdom tooth removal is that the Coronectomy removes only the&nbsp;crown or visible parts&nbsp;of the tooth. It leaves the&nbsp;roots&nbsp;intact and in place. The coronectomy came about\u00a0because the roots of wisdom teeth sometimes grow too close or even on top of the inferior alveolar nerve, which connects to your tongue, lips, and lower jaw. Injury to this nerve from [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":3568,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[860,694],"tags":[445,60,161,180,712],"class_list":["post-44868","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-education","category-save-natural-teeth","tag-dental-clinic-mumbai","tag-dental-implant","tag-dr-chirag-chamria","tag-royal-dental-clinics","tag-royal-implant"],"_links":{"self":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/44868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/comments?post=44868"}],"version-history":[{"count":1,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/44868\/revisions"}],"predecessor-version":[{"id":66526,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/posts\/44868\/revisions\/66526"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/media\/3568"}],"wp:attachment":[{"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/media?parent=44868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/categories?post=44868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/royalimplant.com\/blogs\/wp-json\/wp\/v2\/tags?post=44868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}