Root removal after a coronectomy

Dr. Kirk answers a dental colleague's question surrounding his coronectomy technique video.

[@X1KCommercials]

Thank you for sharing this gem. I'm a little spooked by this procedure but now that I know more about it I feel a bit better.

[@daled4549]

So i had mines done a few weeks ago, ended up getting dry socket and then, exposed nerve from the crown being cut. Dentist told me he can do root canal to remove nerve or i can wait till the gums heal and cover it. I decided to let gum cover it since it wasnt hurting that much. Was that the right decision? And im also getting sour taste there. He said its food getting stuck in there cresting a fermenting taste. I still got some upper cheek pain for some reason and eye pain since surgery. Hope fully this goes away. Sorry for all the writing . Just concerned since there is not alot on internet about coronectomys...

[@kdearsan]

I had a coronectomy in 2020, and now my roots are starting to erupt on one side and it’s causing alot of pain! Hopefully I can get them removed asap!!

[@divinewhitelotus4504]

What happend to you . I have same situatuon alot of pain

[@kdearsan]

@@divinewhitelotus4504 I ended up having them removed

[@pinkowl26]

I had a coronectomy on #32 on May 3. I then began having throbbing on tooth 30 and 29. I then got referred to an endodontist and my tooth #30 then needed a retreatment of root canal. So I went ahead and had it done. I am still having throbbing pain and having to go back and forth from surgeon to endodontist and they are at a loss of what may be causing me this throbbing pain that feels like a bad toothache. ;( it will not go away and my xrays look good . Have. you ever had a patient experience something similar? (as in throbbing pain on teeth) I dont know who or where to go to for a 2nd opinion.

[@nicksmith6830]

I've been dealing with something similar 5 months out. Had 32/17/1/16 pragmatically extracted in Jan due to a cavity on 32 and with the oral surgeon recommending I just get all 4 taken out. They found infection and performed a root canal 3 months after the surgery on 30. No issues on the left side, but persistant tooth ache pain on the right, certain before and a weeks after the root canal. It's gotten a little better over time, but if I put pressure on those right hand molars I feel non-achy pressure (hard to explain, like the sensation of something stuff inside the inside) and if I mess with it too much and or eat rougher food it will start aching, but the pain goes away if I'm careful for a few hours or after a night's sleep. The weird thing is if I eat sweet food, I taste the sweetness for a few hours (same with salty/vinegary food) but it is too strong/persistent to be food stuck in my teeth in my opinion. Of course the dentist, endo and oral surgeon look at me like I am crazy because it all appears clinically healed and looks great on the xray. Just hoping it continues to get a little better over time. No signs of infection at all.

[@thatssjess9533]

I had 3 coronectomies on 3 wisdom teeth in May 2024 as well. I started having pain on #17 a few months out. We decided it must be #19, because a 3d scan showed the root canal had a small infection. I pulled it just to have the pain gone. A month later and the pain is still feeling like it's coming from #17. In a few weeks I'll go in for another scan. If the scans look good, then I guess it's nerve damage. Which was a risk. If my roots ever migrate away from the nerve, I'm definitely having it pulled.

[@DaDudeMan]

Hey doc, can you elaborate on the difficulty on removing the roots? What's the significance of using a "handpiece" and what did you mean by "remove bone"?

[@TM-jw1hd]

I had a coronectomy of my #16 maxillary wisdom tooth. Online, I can only find examples for mandibular coronectomies. I want to read about the purpose of and pros and cons of maxillary coronectomies.

[@anashropshire971]

I just got my bottom wisdom teeth out Wednesday this way due to my nerves. he told me due to my age (28) I have 50/50 change of having to come back for a second procedure🙃

[@גניבתזרעשוקהחייםפרוץ]

thanks great video im 45 yeras old i have an impacted wisdom tooth ( ididnt know it was there until i took a CT and radiogram images) one time i brushed there hard on the gums and pericoronitis i had do i need to extract this tooth? its 25+- years there no issue just that inflame

[@stucomer5398]

Great video ! I have an abscess diagnosis on my correnectomy roots in the lower left wisdom tooth area. They are saying they need to take the roots. They are close to the nerve. Previous attempts to take the whole tooth 24 months ago failed ( 2 x 3 hours in the dentist chair). Could they be easier to take because of the infection?

[@thatssjess9533]

Only go to an oral surgeon who specializes in wisdom teeth

[@An_Enraged_Pig]

Should I get another doctors opinion on my wisdom teeth before moving forward with the 1st doctor that recommended this surgery?

[@KatherineMyjak]

how long is the usual correnectomy recovery time? I have to get my roots out and was wondering if the recovery time is the same as the normal wisdom teeth surgery or less?

[@tswizzle4eva578]

What about the risk of numbing when removing roots? Would there ever be an alternative or do you have to remove the infected roots, even if there is risk of numbing

[@divinewhitelotus4504]

Dr I have so much pain now where can I send you my xray to advise me please ❤

[@huynhbaoy9476]

Hi Dentist, is that ok if I want to remove all the roots after I have done a coronectomy (hopefully the roots will move upwards and stay away from the nerve)?

[@surgicalconfidence]

I think it fine to remove the roots in a secondary procedure as long as they migrate away from the nerve.

[@huynhbaoy9476]

@@surgicalconfidence thank you for your answer, do you have any cases like that in your experience? And is it easy to remove the roots in the second procedure?

[@surgicalconfidence]

@@huynhbaoy9476 I don’t remove the residual roots unless they become symptomatic or show pathology on X-ray. In my experience the roots are not easy to remove. I usually need to use a handpiece.

[@huynhbaoy9476]

@@surgicalconfidence so is that ok if I dont remove the roots for the rest of my life (if it dont have any symptomatic or pathology on X-ray)?

[@surgicalconfidence]

@@huynhbaoy9476 yes.