When is a coronectomy preferred over a full extraction for wisdom teeth, especially concerning the lingual and inferior alveolar nerves?

### Coronectomy: A Safer Option for Wisdom Teeth Removal? A coronectomy is a dental procedure where only the crown of a wisdom tooth is removed, leaving the roots intact in the jaw. This procedure is often recommended when the roots of the wisdom tooth are very close to important nerves like the lingual nerve (LN) and inferior alveolar nerve (IAN). These nerves are responsible for sensation in your tongue, lips, and chin. **Why Choose a Coronectomy?** 1. **Nerve Protection:** If the roots of the wisdom tooth are near the LN or IAN, removing the entire tooth can risk damaging these nerves. Damage to these nerves can lead to numbness or loss of sensation in the tongue, lips, or chin. A coronectomy reduces this risk. 2. **Age Factor:** People over 40 are at a higher risk of nerve damage during a full extraction. Studies suggest that a coronectomy is safer for older individuals. 3. **Healing:** Younger people tend to heal faster and better, so a full extraction might be more suitable for them. However, for older adults, a coronectomy can be a safer option. **When Not to Choose a Coronectomy?** A coronectomy is not recommended if the wisdom tooth or its roots are infected. In such cases, a full extraction is necessary to remove the infection completely. **Post-Procedure Care:** After a coronectomy, you might experience some swelling and discomfort, but usually less than after a full extraction. Your dentist will provide aftercare instructions and may prescribe antibiotics to prevent infection. If you notice any signs of infection, excessive bleeding, or other unusual symptoms, contact your dentist immediately. **Conclusion:** A coronectomy is often recommended when the roots of a wisdom tooth are close to important nerves to avoid nerve damage. Always consult with your dentist or oral surgeon to determine the best procedure for your specific situation.