Di Spirito Federica, Di Lorenzo Pierpaolo, Rizki Iman, Acerra Alfonso, Giordano Francesco, Amato Massimo, Santurro Alessandro
Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Salerno, Italy.
Department of Advanced Biomedical Sciences, University of Naples Federico II, 80138 Naples, Italy.
Medicina (Kaunas). 2025 Sep 17;61(9):1683. doi: 10.3390/medicina61091683.
Mandibular third molar surgery is a procedure that can be accompanied by several complications, one of the most important being neurological ones, resulting from transient or permanent injury to the lingual nerve (LNI) or inferior alveolar nerve (IANI). For this reason, a conservative technique, coronectomy, has been proposed. Despite the fact that this procedure seems to have important advantages, such as IANI reduction, it turns out that it is currently a non-standardized procedure, showing several limitations and requiring a precise and well-documented informed consent process because its use may potentially increase the practitioner's medico-legal vulnerability.
下颌第三磨牙手术是一种可能伴有多种并发症的手术,其中最重要的并发症之一是神经方面的,这是由舌神经(LNI)或下牙槽神经(IANI)的短暂或永久性损伤引起的。因此,有人提出了一种保守技术——牙冠切除术。尽管该手术似乎具有重要优势,如下牙槽神经损伤减少,但事实证明,它目前是一种未标准化的手术,存在一些局限性,并且需要精确且记录完善的知情同意程序,因为其使用可能会增加从业者的医疗法律风险。