From: Coronectomy as a surgical approach to impacted mandibular third molars: a systematic review
Study | Study design | Sample size (n) | Sex and age (range or mean or mean ± SD) | Teeth (n) | Adjunct pharmacological treatments | Surgical success or failure [n(%)] | IANI [n(%)] | LNI [n(%)] | Adverse effects [n(%)] | Pulp disease [n(%)] | Root migration [n(%)] and/or (mm and timepoint) | Reoperation [n(%)] | Follow-up (range or mean ± SD) | Clinical implications |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
O’Riordan et al. [22] | RS | 52 | 31 yrs* | 95 | Antibiotics | S: 87 (91.6%) | t-IANI: 3 (3.4%) | t-LNI: 1 (1.1%) | I: 3 (3.4%) | No | NA | 3 (3.4%) | 24 months* | Effective alternative to extraction |
F: 8 (8.4%) | ||||||||||||||
Progrel et al. [14] | PCS | 41 | NA | 50 | Preoperative antibiotics | S: 50 (100%) | No | t-LNI: 1 (2%) | NA | NA | 15 (30%) 2–3 mm in 6 months | 3 (6%) | 22 months | Effective alternative to extraction |
F: 0 (0%) | ||||||||||||||
Renton et al. [7] | RCT | 128 | M 30; F 64 | 94 | Preoperative Chlorhexidine mouth washes | S: 58 (61.7%) | No | No | P: 8 (13.8%) | No | 5 (13.2%) 2 mm in 12 months | No | 25 ± 13 months | Low risk of complications than extraction |
I: 3 (5.2%) | ||||||||||||||
DSI: 7 (12%) | ||||||||||||||
28.2 ± 5.9 yrs* | F: 36 (38.3%) | t-IANI: 3 (8%) | No | P: 4 (11.1%) | / | / | / | |||||||
DSI: 4 (11,1%) | ||||||||||||||
Dolanmaz et al. [25] | PCS | 43 | M 23; F 20 | 47 | Antibiotics | S: 46 (97.9%) | p-IANI: 1 (2.2%) | NA | NA | No | 3.4Â mm in 6Â months | No | 9.3Â months | Effective alternative to extraction |
18–38 yrs | F: 1 (2.1%) | 3.8 mm in 12 months | ||||||||||||
4Â mm in 24Â months | ||||||||||||||
Hatano et al. [16] | CCT | 107* | M 27; F 75 | 107* | NA | S: 102 (95,3%) | t-IANI: 1 (1%) | No | P: 19 (18.6%) | NA | 87 (85.3%) | 5 (4.9%) | 13.5 ± 14.8 months | Low risk of complications than extraction |
32.4 ± 10.4 yrs | F: 0 (0%)* | DSI: 2 (2%) | ||||||||||||
I: 1 (1%) | ||||||||||||||
Leung and Cheung [17] | RCT | 171 | M 70; F 101 | 171 | Paracetamol and codein for 3 days | S: 155 (90.6%) | t-IANI: 1 (0.6%) | No | P: 65 (41.9%) | No | 96 (62.2%) 1.9 mm in 3 months | 1 (0.6%) | 10.6 ± 7.7 months | Low risk of complications than extraction |
I: 9 (5.8%) | 36 (23.6%) 3Â mm in 6Â months | |||||||||||||
3 (2%) 3.1Â mm in 24Â months* | ||||||||||||||
27.2 ± 7.3 yrs | F: 16 (9.4%) | t-IANI: 1 (6.2%) | No | NA | / | / | / | 11.4 ± 7.9 months | ||||||
Cilasun et al. [24] | CCT | 88 | 27.2Â yrs | 88 | Antibiotics Benzydamine HCL plus Chlorhexidine gluconate for 5Â days | S: 86 (97.7%) | No | NA | P: 1 (1.1%) | No | NA | 1 (1.2%) | 17Â months | Effective alternative to extraction |
I: 1 (1.1%) | ||||||||||||||
F: 2 (2.3%) | No | NA | No | / | / | / | ||||||||
Goto et al. [61] | PCS | 101 | M 79; F 37 | 116 | NA | S: 116 (100%) | No | No | DSI: 7 (6%) | 1 (0.9%) | 3Â mm in 12Â months | 8 (6.9%) | 12Â months | Safety technique in 12Â months |
33Â yrs* | F: 0 (0%) | |||||||||||||
Monaco et al. [59] | PCS | 37 | M 17; F 20 | 43 | Antibiotics for 4Â days Chlorhexidine for 10Â days Ibuprofen | S: 43 (100%) | No | No | P: 1 (2%) | NA | 1.6Â mm in 3Â months | 1 (2.3%) | 12Â months | Effective alternative to extraction |
31 ± 2 yrs | F: 0 (0%) | SW: 2 (4.6%) | 2 mm in 6 months | |||||||||||
DSI: 1 (2%) | 2Â mm in 12Â months | |||||||||||||
Patel et al. [60] | RS | 21 | M 10; F 11 | 21 | Antibiotics | S: 20 (95.2%) | t-IANI: 2 (9.5%) | NA | I: 2 (9.5%) | NA | 9 (43%) | 1 (5%) | 2-40 months | Effective alternative to extraction |
41.3Â yrs | F: 0 (0%) | p-IANI: 1 (4.8%) | DSI: 1 (4.8%) |