What is a coronectomy and when is it needed?

### What is a Coronectomy? A coronectomy is a dental procedure used as an alternative to complete wisdom tooth removal. This procedure is relatively new and is performed in specific situations. ### Why Might You Need a Coronectomy? Wisdom teeth, also known as third molars, usually emerge between the ages of 17 and 21. They often need to be removed because there isn't enough room for them to grow properly, leading to pain or dental issues. This condition is known as an impacted wisdom tooth. ### How is a Coronectomy Different? Unlike traditional wisdom tooth removal, a coronectomy only removes the crown (the visible part) of the tooth, leaving the roots intact. This procedure is recommended when the roots are too close to the inferior alveolar nerve, which connects to your tongue, lips, and lower jaw. Removing the roots could risk damaging this nerve, leading to permanent numbness or tingling. ### When Should You Avoid a Coronectomy? A coronectomy is not advisable if the tooth or its roots are decayed or infected, as this could lead to further complications. ### The Procedure A coronectomy is usually performed before the wisdom tooth has fully emerged. The dentist will make a small cut in your gum and remove some bone around the tooth to extract only the crown. The gum is then sewn back together. The procedure typically takes about 40 minutes. ### Recovery You may experience side effects like pain or sensitivity for up to 14 days. It's advisable to switch to a soft or liquid diet during the healing process. Be gentle with your dental hygiene and keep your mouth clean. If you smoke, it's best to quit to prevent infection. ### Complications The most common complication after a coronectomy is infection of the remaining roots, which may require another procedure. However, this occurs in only about 15% of cases.