Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis

Abstract. A residual bone defect at the distal aspect of the adjacent second molar may occur after total removal of the lower third molar. Lower third molar coronectomy has been proved to be a safe alternative to total removal, but the extent of bone regeneration at the adjacent tooth after coronect...

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Main Authors: Leung, Yiu Yan, Yeung, Andy Wai Kan, Ismail, Izzati Nabilah Ismail, Wong, Natalie Sui Miu
Format: Article
Language:English
English
Published: Churchill Livingstone 2020
Subjects:
Online Access:http://irep.iium.edu.my/80629/
http://irep.iium.edu.my/80629/14/80629_Bone%20regeneration%20at%20the%20distal_ARTICLE.pdf
http://irep.iium.edu.my/80629/8/80629_Bone%20regeneration%20at%20the%20distal%20aspect%20of%20the%20adjacent_Scopus.pdf
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author Leung, Yiu Yan
Yeung, Andy Wai Kan
Ismail, Izzati Nabilah Ismail
Wong, Natalie Sui Miu
author_facet Leung, Yiu Yan
Yeung, Andy Wai Kan
Ismail, Izzati Nabilah Ismail
Wong, Natalie Sui Miu
author_sort Leung, Yiu Yan
building IIUM Repository
collection Online Access
description Abstract. A residual bone defect at the distal aspect of the adjacent second molar may occur after total removal of the lower third molar. Lower third molar coronectomy has been proved to be a safe alternative to total removal, but the extent of bone regeneration at the adjacent tooth after coronectomy is not well reported. The aim of this prospective study was to investigate the long-term bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy. Preoperative and postoperative cone beam computed tomography scans were measured to assess bone regeneration at the distobuccal (DB), mid-distal (MD), and distolingual (DL) aspects of the lower second molar. Forty-eight coronectomies in 37 patients (23 female) with a mean �(standard deviation) age of 29.1 (7.2) years were assessed. The mean follow-up was 93.2 (8.7) months. The mean bone level increase at DB, MD, and DL aspects was 3.2 (1.6) mm, 3.5 (1.5) mm, and 3.2 (1.6) mm, respectively; the bone levels were significantly higher than the preoperative measurements (P < 0.001). Age and impaction patterns were not factors affecting bone regeneration. Based on this study, it appears that coronectomy of the lower third molar brings favourable bone regeneration at the distal aspect of the adjacent second molar.
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spelling iium-806292021-05-06T04:16:20Z http://irep.iium.edu.my/80629/ Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis Leung, Yiu Yan Yeung, Andy Wai Kan Ismail, Izzati Nabilah Ismail Wong, Natalie Sui Miu RK Dentistry RK529 Oral Surgery-General Works Abstract. A residual bone defect at the distal aspect of the adjacent second molar may occur after total removal of the lower third molar. Lower third molar coronectomy has been proved to be a safe alternative to total removal, but the extent of bone regeneration at the adjacent tooth after coronectomy is not well reported. The aim of this prospective study was to investigate the long-term bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy. Preoperative and postoperative cone beam computed tomography scans were measured to assess bone regeneration at the distobuccal (DB), mid-distal (MD), and distolingual (DL) aspects of the lower second molar. Forty-eight coronectomies in 37 patients (23 female) with a mean �(standard deviation) age of 29.1 (7.2) years were assessed. The mean follow-up was 93.2 (8.7) months. The mean bone level increase at DB, MD, and DL aspects was 3.2 (1.6) mm, 3.5 (1.5) mm, and 3.2 (1.6) mm, respectively; the bone levels were significantly higher than the preoperative measurements (P < 0.001). Age and impaction patterns were not factors affecting bone regeneration. Based on this study, it appears that coronectomy of the lower third molar brings favourable bone regeneration at the distal aspect of the adjacent second molar. Churchill Livingstone 2020-10 Article PeerReviewed application/pdf en http://irep.iium.edu.my/80629/14/80629_Bone%20regeneration%20at%20the%20distal_ARTICLE.pdf application/pdf en http://irep.iium.edu.my/80629/8/80629_Bone%20regeneration%20at%20the%20distal%20aspect%20of%20the%20adjacent_Scopus.pdf Leung, Yiu Yan and Yeung, Andy Wai Kan and Ismail, Izzati Nabilah Ismail and Wong, Natalie Sui Miu (2020) Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis. International Journal of Oral and Maxillofacial Surgery, 49 (10). pp. 1360-1366. ISSN 0901-5027 https://www.ijoms.com/article/S0901-5027(20)30124-7/abstract 10.1016/j.ijom.2020.03.016
spellingShingle RK Dentistry
RK529 Oral Surgery-General Works
Leung, Yiu Yan
Yeung, Andy Wai Kan
Ismail, Izzati Nabilah Ismail
Wong, Natalie Sui Miu
Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title_full Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title_fullStr Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title_full_unstemmed Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title_short Bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
title_sort bone regeneration at the distal aspect of the adjacent second molar after lower third molar coronectomy: a long-term analysis
topic RK Dentistry
RK529 Oral Surgery-General Works
url http://irep.iium.edu.my/80629/
http://irep.iium.edu.my/80629/
http://irep.iium.edu.my/80629/
http://irep.iium.edu.my/80629/14/80629_Bone%20regeneration%20at%20the%20distal_ARTICLE.pdf
http://irep.iium.edu.my/80629/8/80629_Bone%20regeneration%20at%20the%20distal%20aspect%20of%20the%20adjacent_Scopus.pdf