Tatalaksana impaksi gigi molar ketiga mandibula dengan prosedur coronectomy: rapid review

Tiara Ika Septiani; Abel Tasman Yuza; Indra Hadikrishna

doi:10.24198/pjdrs.v8i3.56773

Tatalaksana impaksi gigi molar ketiga mandibula dengan prosedur coronectomy: rapid review

Tiara Ika Septiani, Abel Tasman Yuza, Indra Hadikrishna

Abstract

ABSTRAK

Pendahuluan: Pencabutan impaksi gigi molar ketiga sering kali mengalami komplikasi. Komplikasi pasca pencabutan gigi molar ketiga diantaranya rasa nyeri, dry socket, dan cedera saraf alveolaris inferior. Cedera saraf alveolaris inferior adalah komplikasi khas dari pencabutan gigi molar ketiga rahang bawah. Coronectomy merupakan salah satu tindakan yang digunakan untuk perawatan impaksi gigi molar ketiga. Coronectomy dianggap sebagai prosedur yang baik dalam mengurangi terjadi cedera pada inferior alveolar nerve (IAN). Tujuan penelitian ini untuk mengetahui keuntungan dan kerugian dari perawatan impaksi gigi molar tiga rahang bawah dengan prosedur coronectomy. Metode: Dalam penelitian ini peneliti menggunakan metode rapid review yang mengacu pada panduan Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA). Pencarian artikel secara elektronik dilakukan pada tiga basis data elektronik yaitu National Library of Medicine (Medline/Pubmed), Cochrane Library, dan Sciencedirect. Hasil: Dari enam artikel yang ditinjau, dua artikel menilai perbandingan antara odontectomy dan coronectomy menunjukan bahwa coronectomy lebih baik dalam mengurangi terjadinya komplikasi pasca operasi. Empat artikel lainnya menunjukan tidak ada atau sedikit laporan kasus terjadinya cedera saraf. Hasil lain dari coronectomy seperti nyeri, infeksi, osteitis alveolar sama atau lebih rendah dibandingkan dengan odontectomy. Hasil terjadinya migrasi akar setelah tindakan coronectomy cukup tinggi dan hasil dari gigi yang memerlukan operasi ulang lebih rendah, untuk jangka waktu follow-up bervariasi setiap artikelnya. Simpulan: Coronectomy diindikasikan jika gigi molar ketiga mandibula dekat dengan saraf alveolaris inferior dan coronectomy terbukti mengurangi cedera IAN dan dry socket.

KATA KUNCI: coronectomy, impaksi gigi molar ketiga, cedera saraf alveolar inferior, rapid review.

The management of impacted mandibular third molars with coronectomy procedure: rapid review

ABSTRACT

Introduction: The extraction of impacted third molar teeth often experiences complications. Post-extraction complications of third molar teeth include pain, dry socket, and inferior alveolar nerve injury. Inferior alveolar nerve injury is a typical complication of extraction of mandibular third molars. Coronectomy is an alternative procedure used to treat impacted third molars. Coronectomy is considered a good procedure in reducing the injury to the inferior alveolar nerve (IAN). The purpose of this study was to determine the advantages and disadvantages of treating impacted mandibular third molars with coronectomy procedures. Methods: In this study, the researchers used a rapid review method that refers to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Electronic search of articles was carried out on three electronic databases, namely the National Library of Medicine (Medline / PubMed), Cochrane Library, and Sciencedirect. Results: Of the 6 articles reviewed, 2 articles assessing the comparison between extraction and coronectomy showed that coronectomy was better in reducing the occurrence of complications. The other 4 articles have no or few case reports of neurological disorders. Other outcomes of coronectomy such as pain, infection, alveolar osteitis was equal or lower than those of complete extraction. The results of root migration after coronectomy were quite high and the results of teeth requiring reoperation were lower, with follow-up periods varying between articles. Conclusion: Coronectomy is indicated if the mandibular third molars are close to the inferior alveolar nerve and coronectomy has been shown to reduce the incidence of IAN and dry socket injuries.

KEY WORDS: Coronectomy, impacted third molars, injury inferior alveolar nerve, rapid review.

Keywords

Koronektomi, impaksi gigi molar ketiga, cedera saraf alveolar inferior

Full Text:

PDF

References

DAFTAR PUSTAKA

Tuk JG, Yohannes LE, Ho JT, Lindeboom JA. Oral Health-related quality of life after coronectomy for impacted mandibular third molar in the first postoperative week. Med Oral Patol Oral Cir Bucal. 2021; 26(5): e561-e567. DOI: 10.4317/medoral.24506.

Al-Dajani M, Abouonq AO, Almohammadi TA, Alruwaili MK, Alswilem RO, Alzoubi IA. A Cohort Study of the Patterns of Third Molar Impaction in Panoramic Radiographs in Saudi Population. Open Dent J. 2017;11(1):648–60. DOI: 10.2174/1874210601711010648.

Amaliyana E, Cholil, Sukmana BI. Deskripsi Gigi Impaksi Molar Ke Tiga Rahang Bawah. Dentino J Kedokt Gigi. 2014;2(2):134–7.

KalaiSelvan S, Ganesh SKN, Natesh P, Moorthy MS, Niazi TM, Babu SS. Prevalence and Pattern of Impacted Mandibular Third Molar: An Institution-based Retrospective Study. J Pharm Bioallied Sci. 2020 Aug;12(Suppl 1): S462–7. DOI: 10.4103/jpbs.JPBS_140_20

Munjit Singh SS, Sitam S, Sam B. Prevalence of impacted mandibular third molars among patients attending the dentomaxillofacial radiology clinic. Padjadjaran J Dent. 2013;25(1):67–73. DOI: 10.24198/pjd.vol25no1.26784

Sarikov R, Juodzbalys G. Inferior Alveolar Nerve Injury after Mandibular Third Molar Extraction: a Literature Review. J Oral Maxillofac Res. 2014;5(4):1–15. DOI: 10.5037/jomr.2014.5401.

Candotto V, Oberti L, Gabrione F, Scarano A, Rossi D, Romano M. Complication in third molar extractions. J Biol Regul Homeost Agents. Dent Suppl. 2019;33(3 Suppl. 1):169-172.

Bhola S, Pellatt A. Coronectomies: Assessment and treatment planning. Br Dent J [Internet]. 2018;225(2):125–8. DOI: 10.1038/sj.bdj.2018.535

Barraclough J, Power A, Pattni A. Treatment planning for mandibular third molars. Dent Update. 2017;44(3):221–8. DOI: 10.12968/denu.2017.44.3.221.

Blondeau F, Daniel NG. Extraction of impacted mandibular third molars: postoperative complications and their risk factors. J Can Dent Assoc. 2017;73(4):325.

Gady J, Fletcher MC. Coronectomy: indications, outcomes, and description of technique. Atlas Oral Maxillofac Surg Clin North Am. 2013;21(2):221-6. DOI: 10.1016/j.cxom.2013.05.008.

Leizerovitz M, Leizerovitz O. Modified and grafted coronectomy: a new technique and a case report with two-year followup. Case Rep Dent. 2013;2013:914173. DOI: 10.1155/2013/914173.

Dobbins M. Rapid Review Guidebook - Steps for conducting a rapid review. Rapid Rev Guideb. 2017;25.

Helen Aveyard. Doing a literature review in health and social care. 3rd Ed. McGraw-Hill Education. New York: McGraw- Hill Education; 2018. Available from: https://ebookcentral.proquest.com/lib/northampton/reader.action?docID=6212137

Cervera-Espert J, Pérez-Martínez S, Cervera-Ballester J, Peñarrocha-Oltra D, Peñarrocha-Diago M. Coronectomy of impacted mandibular third molars: A meta-analysis and systematic review of the literature. Med Oral Patol Oral Cir Bucal. 2016;21(4): e505–13. DOI: 10.4317/medoral.21074.

Pitros P, O’Connor N, Tryfonos A, Lopes V. A systematic review of the complications of high-risk third molar removal and coronectomy: development of a decision tree model and preliminary health economic analysis to assist in treatment planning. Br J Oral Maxillofac Surg. 2020;58(9): e16–24. DOI: 10.1016/j.bjoms.2020.07.015.

Pedersen MH, Bak J, Matzen LH, Hartlev J, Bindslev J, Schou S, et al. Coronectomy of mandibular third molars: a clinical and radiological study of 231 cases with a mean follow-up period of 5.7 years. Int J Oral Maxillofac Surg [Internet]. 2018;47(12):1596–603. DOI: 10.1016/j.ijom.2018.06.006

Mukherjee S, Vikraman BS, Sankar D, Veerabahu MS. Evaluation of outcome following coronectomy for the management of mandibular third molars in close proximity to inferior alveolar nerve. J Clin Diagnostic Res. 2016;10(8): ZC57–62. DOI: 10.7860/JCDR/2016/20991.8273.

Kang F, Xue Z, Zhou X, Zhang X, Hou G, Feng Y. Coronectomy: A Useful Approach in Minimizing Nerve Injury Compared with Traditional Extraction of Deeply Impacted Mandibular Third Molars. J Oral Maxillofac Surg. 2019;77(11): 2221.e1-2221.e14. DOI: 10.1016/j.joms.2019.06.186

Agbaje JO, Heijsters G, Salem AS, Van Slycke S, Schepers S, Politis C, et al. Coronectomy of Deeply Impacted Lower Third Molar: Incidence of Outcomes and Complications after One Year Follow-Up. J Oral Maxillofac Res. 2015;6(2):1–7. DOI: 10.5037/jomr.2015.6201

Steed MB. The indications for third-molar extractions. J Am Dent Assoc. 2014;145(6):570–3. DOI: 10.14219/jada.2014.18.

Santosh P. Impacted mandibular third molars: Review of literature and a proposal of a combined clinical and radiological classification. Ann Med Health Sci Res. 2015;5(4):229. DOI: 10.4103/2141-9248.160177.

Pogrel MA. Coronectomy: Partial Odontectomy or Intentional Root Retention. Oral Maxillofac Surg Clin North Am. 2015;27(3):373–82. DOI: 10.1016/j.coms.2015.04.003.

Dolanmaz D, Yildirim G, Isik K, Kucuk K, Ozturk A. A Preferable Technique for Protecting the Inferior Alveolar Nerve: Coronectomy. J Oral Maxillofac Surg. 2019;67(6):1234–8. DOI: 10.1016/j.joms.2008.12.031

Puspitasari NVA, Sumaji B, Pranata N. Gambaran Komplikasi Post Odontektomi Gigi Impaksi Molar Ketiga Rahang Bawah Tahun 2018 di RSGM X Bandung. SONDE (Sound Dent. 2019;4(2):12–23. DOI: 10.28932/sod.v4i2.1913

Patel V, Gleeson CF, Kwok J, Sproat C. Coronectomy practice. Paper 2: Complications and long term management. Br J Oral Maxillofac Surg [Internet]. 2013;51(4):347–52. DOI: 10.1016/j.bjoms.2012.06.008

Leung YY, Cheung LK. Long-term morbidities of coronectomy on lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(1):5–11. DOI: 10.1016/j.oooo.2015.07.012

Ahmed C, Wafae el W, Bouchra T. Coronectomy of third molar: a reduced risk technique for inferior alveolar nerve damage. Dent Update. 2011;38(4):267-8, 271-2, 275-6. DOI: 10.12968/denu.2011.38.4.267.

Patel V, Sproat C, Kwok J, Beneng K, Thavaraj S, McGurk M. Histological evaluation of mandibular third molar roots retrieved after coronectomy. Br J Oral Maxillofac Surg. 2014;52(5):415–9. DOI: 10.1016/j.bjoms.2014.02.016

Long H, Zhou Y, Liao L, Pyakurel U, Wang Y, Lai W. Coronectomy vs. Total removal for third molar extraction: A systematic review. J Dent Res. 2012;91(7):659–65. DOI: 10.1177/0022034512449346.

Mann A, Scott JF. Coronectomy of mandibular third molars: a systematic literature review and case studies. Aust Dent J. 2021;66(2):136–49. DOI: 10.1111/adj.12825.

Joanna Briggs Institute. Checklist for Prevalence Studies. Checkl prevalance Stud [Internet]. 2016;7. Available from: http://joannabriggs.org/assets/docs/critical-appraisal-tools/JBI_Critical_Appraisal-Checklist_for_Prevalence_Studies.pdf

DOI: https://doi.org/10.24198/pjdrs.v8i3.56773