Percorrer por autor "Sadozein, Adjmal"
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- Retrospective study of mandibular third molar coronectomy outcomes in young adults and older patientsPublication . Sadozein, Adjmal; Cruz, NunoRemoval of erupted, partially impacted, or fully impacted third molars remains one of the most common oral surgery operations. Although the procedure is widely practiced, it can result in a number of complications, including damage to the inferior alveolar and lingual nerves. These accidents are often caused by the close relationship between the nerve and the roots of the teeth. The coronectomy technique has been proposed as a way to remove the crown from a tooth while preserving the roots, thereby reducing the possibility of nerve damage. This work investigated coronectomy outcomes in younger versus elderly patients. A total of 49 younger patients (mean age 25.3±4.8) and 30 elderly patients (mean age 71.2±5.9) were analyzed. Results indicated that young patients experienced almost no postoperative complications, with no cases of alveolitis and minimal impact on oral health related quality of life. In contrast, elderly patients reported universal postoperative pain (100%), nearly universal swelling (96.7%), and a mean OHIP 14 score of 20.2 (±9.4), indicating significant quality of life impairment. Regression analysis revealed no strong predictors for swelling or pain, though a trend was observed for higher OHIP scores in males (p=0.056). These findings suggest that coronectomy is a safe and effective nerve sparing procedure in young adults, whereas in elderly patients it is associated with higher morbidity and slower recovery. Clinicians should exercise caution when performing coronectomy in older individuals, ensuring careful case selection, thorough patient counseling, and adequate postoperative follow up.