Coronectomy in Caldwell and Florham Park, NJ

When do you need a Coronectomy?

Unfortunately, some people do not have their wisdom teeth removed early enough before the roots grow around the nerve in the lower jaw. Damage to the inferior alveolar nerve (this nerve provides sensation to the lower lip, chin, gums and teeth) when extracting lower wisdom teeth, is often caused by the close relationship between the nerve and the roots of the teeth. Dr. Kirsch, Dr. Jacobs and Dr. Zambetti offer the alternative technique of Coronectomy to reduce the risks.

What is a Coronectomy?

Coronectomy is the deliberate removal of the crown of a vital tooth. Late eruption of the roots left in the bone may occur, but it is unpredictable. However, in all cases reported the root fragments move into a safer position away from the nerve. Therefore, if future removal does ever become necessary the nerve would not then be at high risk.

Do you need a Coronectomy? Contact us to make an appointment today!

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About the Procedure

The Coronectomy procedure is rapidly becoming the preferred option for the treatment of impacted wisdom teeth that pose a high risk to the sensory nerve. Our surgeons will place a small bone graft on top of the remaining roots to aid in bone coverage.

There are currently no standards regarding the timing and frequency of follow-up of patients who had Coronectomy procedures. The surgeons at the NJ Center for Oral Surgery recommed a follow-up Panorex radiograph at one year following the initial procedure.

Before Coronectomy
Immediately After Coronectomy
1 Year After Coronectomy – notice the roots are now off the nerve
Before coronectomy
Dental x-ray
One year after Coronectomy