{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:13:47Z","timestamp":1791828827041,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,11]],"date-time":"2017-12-11T00:00:00Z","timestamp":1512950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The removal of mandibular third molar teeth is one of the most common oral surgical procedures. In a significant number of patients, it carries a degree of associated morbidity, including damage to the inferior alveolar nerve (IAN). For this reason, practitioners desire the most up\u2010to\u2010date guidance on the most appropriate technique, informed by the best available evidence that will produce the lowest incidence of iatrogenic complications. The aim of this study was to perform a systematic review comparing the effect of coronectomy vs complete surgical extraction of mandibular third molar teeth on the risk of IAN injury and other complications in adults. Studies were identified through Embase (1980\u20102016) and Ovid MEDLINE (1946\u20102016) database searches. Search terms included coronectomy, partial root removal, deliberate vital root retention, odontectomy, surgical removal, surgical extraction, complete tooth extraction and extract. Limits of the study included humans, English language and randomised controlled trials (RCTs). Only RCTs comparing IAN damage associated with surgical extraction of mandibular third molars vs coronectomy were included. From our database searches, we identified two unique RCTs matching the inclusion criteria. Both evaluated patients who had specific radiographic signs of intimate relationships with the IAN. Upon detailed analysis, the studies were noted to exhibit a high risk of bias in many categories, thereby rendering their results inconclusive. Although evidence from two RCTs suggests that coronectomy can reduce the risk of IAN injury compared to surgical removal of high\u2010risk mandibular third molars, the quality of evidence is insufficient to provide definitive conclusions regarding the preferred technique.<\/jats:p>","DOI":"10.1111\/joor.12589","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T16:17:11Z","timestamp":1511540231000},"page":"250-257","source":"Crossref","is-referenced-by-count":49,"title":["Risk of inferior alveolar nerve injury with coronectomy vs surgical extraction of mandibular third molars\u2014A comparison of two techniques and review of the literature"],"prefix":"10.1111","volume":"45","author":[{"given":"A. S.","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Division of Dentistry University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. A.","family":"Benton","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Division of Dentistry University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8187-023X","authenticated-orcid":false,"given":"J. M.","family":"Yates","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery Division of Dentistry University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,11]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"CD004345","article-title":"Surgical techniques for the removal of mandibular wisdom teeth","volume":"7","author":"Coulthard P","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_3_1","unstructured":"Guidance on the extraction of wisdom teeth[Internet].London (UK): national institute for health and clinical excellence.2000.https:\/\/www.nice.org.uk\/guidance\/ta1\/resources\/guidance-on-the-extraction-of-wisdom-teeth-63732983749. Accessed October 01 2017."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2013.832"},{"key":"e_1_2_8_5_1","unstructured":"Guidelines on the management of lower third molars[Internet].Finland: Kaypa Hoito\/Current care guidelines.2014.http:\/\/www.kaypahoito.fi\/web\/english\/guidelines\/guideline?id=ccg00003&suositusid=ccs00056. Accessed October 08 2017."},{"key":"e_1_2_8_6_1","unstructured":"White paper on management of third molar teeth[Internet].USA: American association of oral & maxillofacial surgeons.2016.https:\/\/www.aaoms.org\/media\/third-molar-research-newsandhttps:\/\/www.aaoms.org\/docs\/govt_affairs\/advocacy_white_papers\/management_third_molar_white_paper.pdf. Accessed October 8 2017."},{"key":"e_1_2_8_7_1","first-page":"e74","article-title":"Complications in third molar removal: a retrospective study of 588 patients","volume":"15","author":"Contar CM","year":"2010","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-006-0089-5"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2009.258"},{"key":"e_1_2_8_10_1","article-title":"Quality of life following injury to the inferior dental or lingual nerve \u2013 a cross\u2010sectional mixed\u2010methods study","author":"Patel N","year":"2016","journal-title":"Oral Surgery"},{"key":"e_1_2_8_11_1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.aodf.2009.04.011","article-title":"Coronectomy to prevent damage to the inferior alveolar nerve","volume":"102","author":"Pogrel M","year":"2009","journal-title":"Alpha Omegan"},{"key":"e_1_2_8_12_1","first-page":"15","article-title":"Postoperative status after partial removal of the mandibular third molar","volume":"13","author":"Knutsson K","year":"1989","journal-title":"Swed Dent J"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(92)90412-S"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-2391(97)90708-4"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-4356(90)90005-6"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.04.018"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_8_19_1","first-page":"50","article-title":"Can coronectomy of wisdom teeth reduce the incidence of inferior dental nerve injury?","volume":"19","author":"Leung YY","year":"2008","journal-title":"Ann R Australas Coll Dent Surg"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2009.07.004"},{"key":"e_1_2_8_21_1","first-page":"93","article-title":"Coronectomy as the treatment of choice in wisdom teeth showing radiographic signs of close proximity to inferior dental nerve","volume":"20","author":"Leung YY","year":"2010","journal-title":"Ann R Australas Coll Dent Surg"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2004.09.002"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoor.12589","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.12589","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T17:41:56Z","timestamp":1695750116000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.12589"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,11]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/joor.12589"],"URL":"https:\/\/doi.org\/10.1111\/joor.12589","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,11]]}}}