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I just did a case similiar to this today morning. I finished in one hour and 30 minutes. I chose not to leave the roots behind . I took crown out first and roots were do-able so i removed it. Will check patient post op in 4 to 5 days. Personally i do not believe in leaving the roots behind. Unless it is a root tip and will resorb. Leaving both the roots behind seem unreasonable to me. However i respect the fact that unless we are the operator handling the case we cannot comment. Very good job dr. I loved the video and hope you can upload more cases. It will be a great platform to exchange views on minor oral surgery. * i packed the socket with coltene's roeke gelatamp prior suturing.
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I agree with you. On the CBCT, it actually looks quite far from the nerve-----well "far" as in not SUPER clsoe/wrapped around the nerve. I would have taken out the roots as well. But once again, who are we to judge when we were not there.
I would really like to know ,what are the chances of infection post such intervention...honestly with just a lil distal bone removal the roots could have been removed quite easily.
Coronectomy is a much safer route. Paresthesia is such a headache. Also no need to make the surgery more traumatic than it needs to be for the patient. He finished in 4 min lol
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Doctor is too humble with his skills. I had a similar impacted tooth and i showed 2 surgeons. 1st one decided to extract the tooth without sectioning and only used the elevator for an hour and failed. 2nd surgeon took 20 mins to extract.
If it was a similar case you absolutely can't remove it with just elevator and above all mind the age of the patient. Got a position C case for 38 in 61 year old with the similar condition of 37. IT WAS A DIFFICULT CASE. Thank you for sharing your experience Doctor! Helped me in many ways!
Would like to know the 6 months post-op to see if the coronectomy procedure left the roots intact without further infection. Also a little hard to tell, but looks like there is a PAP on #13 and recurrent decay underneath the crown on #14 with open margin on distal
my third molar was horizontally impacted at 90 degrees as well. was a little sad because my dentist had to sacrifice my healthy 2nd molar adjacent to it today in order to extract it successfully as the dentist was having difficulty getting visibility.
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i did this case last month in one hour, i never mind to leave rooth in ramus, its become a nerve damage or mandibular abcess or..... but i love your videos presentation, the patient must observe
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Wouldn't it be better to remove the tooth with visible root canal treatment and wait for the wisdom tooth to move into its place, then remove it in a more convenient position? I am asking as a person who is not a dentist.
I have horizontal wisdom tooth half teeth is erupted sideways and broken my 2nd molar from side which resulted in tooth decay so i decided to remove the 2nd molar the only thing im curious is if i remove 2nd molar will wisdom tooth fill that space
First of all you cannot lie to a dentist, a wisdom tooth can never broke a second molar, what happened there is that you did not care about the impactation of the wisdom tooth , accumulates food between both teeth and decay the second molar, this usually takes several months to happen which means that it was neglect on your part. To your second question, of course the wisdom teeth will not fill that space, please visit a dentist instead of doing consultation on youtube do not be cheap that already cost you a second molar.
I had a similar case with horizontal impaction. Only half of the distal portion was erupted and remaining half was under bone. it was too hard. It took 3 hours to complete
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You can compress the IA if u try too much force to remove roots. In this video he decided to only do a coronectomy to avoid any IA damage. He left the roots in.
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Yeah right, then they walk up and it was all a dream. Please dont be silly, all surgeons know this is not an easy task, try to be a little more humble or upload your own video and demonstrate your skills, I will be waiting for it.
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I get this done too and I already know they’ll leave the roots behind. They are too entangled in the nerves and I might risk losing function in my face or tongue if they would take it out, so I’d rather have them leave the roots honestly 😅
@@piasadora I get it! I was so nervous too! All four of mine were horizontal and I underwent surgery to get all four of them out. I didn’t realize how much pressure those wisdom teeth put on my other teeth until they got out! I feel so much better! The numbness lasted for a few hours, but make sure you start on painkillers early, then the pain is definitely manageable. After a week, it’s mostly back to normal. Good luck!
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정말.. 카르스마 있고.. 전문적이며, 명쾌한 진행이십니다
I just did a case similiar to this today morning. I finished in one hour and 30 minutes. I chose not to leave the roots behind . I took crown out first and roots were do-able so i removed it. Will check patient post op in 4 to 5 days. Personally i do not believe in leaving the roots behind. Unless it is a root tip and will resorb. Leaving both the roots behind seem unreasonable to me. However i respect the fact that unless we are the operator handling the case we cannot comment. Very good job dr. I loved the video and hope you can upload more cases. It will be a great platform to exchange views on minor oral surgery.
* i packed the socket with coltene's roeke gelatamp prior suturing.
Thanks for watching! if you want to see more lectures, please visit our new global web site and join us! we're giving 30,000 points as a promotion to all new members :)
I agree with you. On the CBCT, it actually looks quite far from the nerve-----well "far" as in not SUPER clsoe/wrapped around the nerve. I would have taken out the roots as well. But once again, who are we to judge when we were not there.
I've never had any issues when I opted to leave roots like this rather than continue in difficult cases like this
I would really like to know ,what are the chances of infection post such intervention...honestly with just a lil distal bone removal the roots could have been removed quite easily.
Coronectomy is a much safer route. Paresthesia is such a headache. Also no need to make the surgery more traumatic than it needs to be for the patient. He finished in 4 min lol
I respect his decision to leave the roots in there. He knows his decisions well enough.
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How do we know if leaving the roots will cause pain after that will not subside unless the roots are removed ?
Complications after coronectomy is very race. I never experienced. I usually take F/U Panorama 1 year later.
Doctor is too humble with his skills. I had a similar impacted tooth and i showed 2 surgeons. 1st one decided to extract the tooth without sectioning and only used the elevator for an hour and failed. 2nd surgeon took 20 mins to extract.
Actual clinical situation is highly variable.
@@choyongseok5631very true Doc
If it was a similar case you absolutely can't remove it with just elevator and above all mind the age of the patient.
Got a position C case for 38 in 61 year old with the similar condition of 37. IT WAS A DIFFICULT CASE.
Thank you for sharing your experience Doctor! Helped me in many ways!
Does coronectomy cause infection of roots later?
yes
for sure
Infection after coronectomy is very race. I never experienced.
@@choyongseok5631 but the pulp chamber is kept open after coronectomy??
@@shahida1520 no problem
Would like to know the 6 months post-op to see if the coronectomy procedure left the roots intact without further infection. Also a little hard to tell, but looks like there is a PAP on #13 and recurrent decay underneath the crown on #14 with open margin on distal
Infection after coronectomy is very race. I never experienced. I usually take F/U Panorama 1 year later.
my third molar was horizontally impacted at 90 degrees as well. was a little sad because my dentist had to sacrifice my healthy 2nd molar adjacent to it today in order to extract it successfully as the dentist was having difficulty getting visibility.
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You should have considered other dental surgeon. Why sacrifice serving molar!
If you want to leave the root is it better if you not hecting so tight ? Just keep a small hole so the root can move to coronal
Is coronectomy safe for horizontal wisdom tooth on the nerve?
what would be your concerns? The roots are close but not siiting on the nerve
i did this case last month in one hour, i never mind to leave rooth in ramus, its become a nerve damage or mandibular abcess or.....
but i love your videos presentation, the patient must observe
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Thank you very much for the great work
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It this patient sedated or just given local anesthesia?
4 minutes?! Epic
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Why use airotor !?
mientras mas edad tiene el/la paciente aumenta la dificultad de extracción, pero algunos/as son conscientes y desde los 18 años de edad.
Gracias por el buen comentario.
Wouldn't it be better to remove the tooth with visible root canal treatment and wait for the wisdom tooth to move into its place, then remove it in a more convenient position? I am asking as a person who is not a dentist.
Coronectomy is safe and easy procedure.
Why sacrifice second molar?. The procedure was performed to do capping of root canal treated tooth
I am a patient with same condition horizontal. Lower wisdom .4mins impressive , I have booked an appointment the doc said will take 1hour
Did you have it removed already?
@@AmeliaTjekka posisinya horizontal jg ka? Udh di op?
I have horizontal wisdom tooth half teeth is erupted sideways and broken my 2nd molar from side which resulted in tooth decay so i decided to remove the 2nd molar the only thing im curious is if i remove 2nd molar will wisdom tooth fill that space
First of all you cannot lie to a dentist, a wisdom tooth can never broke a second molar, what happened there is that you did not care about the impactation of the wisdom tooth , accumulates food between both teeth and decay the second molar, this usually takes several months to happen which means that it was neglect on your part. To your second question, of course the wisdom teeth will not fill that space, please visit a dentist instead of doing consultation on youtube do not be cheap that already cost you a second molar.
@@antinwo3793 can u plzz tell where i said that lied to my dentist and blamed him?
I had a similar case with horizontal impaction. Only half of the distal portion was erupted and remaining half was under bone. it was too hard. It took 3 hours to complete
that's too long for the pt to undergo. Might as well have done what Dr. Cho did.
@@asitmc can we leave the roots if it is completely under bone in horizontal impacted tooth and there is no caries??
@@shahida1520 ive seen it done, and ive done it when it would cause more harm than good if you tried to retrieve it repeatedly
@@asitmc Its true it cause air embolism if bone guttering done too long
@@shahida1520 what kind of anesthesia was used?
Very well doctor...
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Thanks doc very helpful ❤️
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what about Nerve Damage ?
You can compress the IA if u try too much force to remove roots. In this video he decided to only do a coronectomy to avoid any IA damage. He left the roots in.
Brian Lee thank you for describe ,
Was conscious sedation used for this procedure?
Just under local anesthesia.
Thank you for this doctor !
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Thank you doctor!
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치관만 제거할 경우 환자분께 미리 설명드리나요? 환자분이 잘 수긍하실까요? 혹시 후에 문제가 생길경우 어떻게 해주시겠다고 하십니까?
예상이 될 때는 미리설명하고 잘 수긍합니다. 가끔은 수술 중에 설명하고 동의를 얻기도 합니다.
치근을 간혹 남기신분들이 세월이 지나 탈이생겨서 다시 도로절개해서 빼내는경우도잇던데.. 그건 복불복/인가여?
@@부울경에이스siiii pero las raíces afloran con el tiempo aprox 10 años pero debería estar en control cada cierto tiempo mi estimado saludos desde Perú!
@@rjmt2024i luv you
Good shit doc
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4 minutes??? And he said this is supposed to be VERY HARD.
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He left the roots behind
don't want to judge .... but in my medical school , 95% dentists will extract this kind of third molar clearly ..
Yeah right, then they walk up and it was all a dream. Please dont be silly, all surgeons know this is not an easy task, try to be a little more humble or upload your own video and demonstrate your skills, I will be waiting for it.
People with a little experience think they can do anything. However, very experienced people know what they can and cannot do.
Coronectomy is safe and predictable procedure.
ouch
❤
😭😭 무서워
👌👌👏👏👏
Why in Chinese ????
English subtitles included. By the way it's Korean.
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Jose, I really hope you are joking
I’m going to get this done. I don’t want them to leave the roots in like this guy dude. Do the complete job or don’t do it at all.
I get this done too and I already know they’ll leave the roots behind. They are too entangled in the nerves and I might risk losing function in my face or tongue if they would take it out, so I’d rather have them leave the roots honestly 😅
@@MariekeB95 is it safe? I must done coronectomy because my tooth in on nerve?
@@piasadora yeah, procedure went well and the piece of root they left is tucked securely away in my jaw bone and hasn’t moved.
@@MariekeB95 did you have horizontal wisdom tooth? How long you felt the numbness? I'm so nervous because of this.
@@piasadora I get it! I was so nervous too! All four of mine were horizontal and I underwent surgery to get all four of them out. I didn’t realize how much pressure those wisdom teeth put on my other teeth until they got out! I feel so much better! The numbness lasted for a few hours, but make sure you start on painkillers early, then the pain is definitely manageable. After a week, it’s mostly back to normal. Good luck!
👍👏👏👏👏