From someone who has worked in a periodontist office and in general dentistry for over 18 years I knew before the Dr even mentioned that the previous Dr probably did not have a CBCT. Run don't walk if your periodontist or oral surgeon does not have access to this. This Dr and video is sound and excellent advice. My advice for patients just pay for the CBCT. I know a lot of patients see the $300 plus price tag and think it is not worth it especially if the insurance doesn't cover it. Trust me it IS worth every single penny and it provides your Dr a wealth of information.

I was just recommended a coronectomy and found your video. I think my situation is a little different I have a small mouth, with long roots, super close to the nerve, and my number 32 wisdom tooth roots are crossing with my number 31 molar. I asked a lot of questions and he seemed to really know what he was talking about, he said if he was me he would absolutely do the coronectomy. Hopefully the bone will grow over it or worst case the leftover roots will migrate back to the top away from the nerve and be extracted later.

I got a coronectomy a little less than a week ago (30/F.) Had regular X-rays and a CBCT scan that confirmed my oral surgeons suspicions that my lower wisdom teeth were interacting with (resting/pushing down on) the nerves and dangerously close to the jaw bone. Some deep boi’s! He was worried about nerve damage and jaw fracture if we pulled them. I think we made the best choice for me right now and hoping for a speedy, uneventful recovery! So far no pain, only mild discomfort a couple days.

I had a coronectomy 2 days ago, and I've had no pain, and was super easy with iv sedation. I'm hoping healing will continue to continue well. Back to do my other side in a few weeks.

I have to get all four of my wisdom teeth extracted and 5 other teeth. Your videos are so helpful. I want come to you.

Perfect video 👍 Many thanks

Had a consultation with an oral surgeon this morning and was told I would need to have a coronectomy, and or if I did a full tooth/ root extraction I could have numbness for 4/6 even 9 mths... He didn't do any kind of 3d scan or any scans at all... Not sure what I'm going to do, but I thank you for this great information😊 11:50am

I just had my top 2 removed today and was told that my roots were too close to my nerves on the left side (i didn’t bother to ask about the right side because it wasn’t recommended for removal but I should have and will when I go back for my follow up in a week). My dentist did mention Coronectomy being a possible option but couldn’t say what procedure would be best until I get a CT scan. She then referred me to a specialist to get it all figured out. In hindsight I remember when I had my left Molar extracted a few years ago the left side of my chin was numb for a few hours…I thought it was the anesthetics but I do remember kind of feeling uneasy about it since I hadn’t experienced that with other extractions on the lower right side but since I never heard of nerve damage risk until now I had no reason to freak out. So from what I gather my then Dentist failed to inform me of how close the tooth was to the nerve and just stormed the hell in there lol. I can find humor in it today but the reality is his disregard could’ve been costly for me, thank God it wasn’t. Also all the times I’ve been to the dentist (since 17 until now) never was I ever told that removing my wisdom teeth early could minimize risk in the future. They all said “do they bother you? If not leave em alone”. They said that about all 4 even though the tops were nowhere near any nerves. Well years later and 2 successfully removed here I am with all of you scared and learning from all those who came before us and those currently in the same place as us as well as all the Dr./Dentist that took the time to give us the info we may not get from an overworked surgeon during office hours. As I lay here with my head uncomfortably elevated with sutures in my mouth craving food I can’t eat with a slight headache, I’m thankful that we are all here getting the valuable information we need to make informed decisions moving forward. I’m praying that we all are blessed with caring surgeons with anointed hands. Lastly if you’ve recovered or not please share your experiences as well as updates negative or positive. We would love to know if you are still in recovery or has recovered. When we post we become apart of a community so please stay the corse because you’re story is extremely valuable to us and those that will join this community days to years later. God bless you all and I will update you guys so check back periodically. For now I have to wait until I get CT scans done. ❤️

Hi Dr. I got three of mine removed, my two bottom ones are impacted. Doctor removed the right one, was 30-40 minute surgery, hurt like hell. He says the left one is laying right on the nerve but isn’t affecting any other tooth near it and I can leave it. I want it out idk he says to have second opinion because he says the process can really damage the nerve. I don’t want to lose sensation on that side but also don’t want it to keep growing. Idk what to do, I’m conflicted, can you help?

So I’m 23 and hadn’t been to the dentist in a while and asked about my wisdom teeth. They weren’t causing any pain but the dentist I met did an X-ray and recommended I get them removed. I was told this was a potential risk of happening from the first oral surgeon I talked to in KS. He showed me a 3D X-ray of my root grown out around my nerve and how that can risk nerve damage happening. I was moving to TX so I had to wait to get my surgery done. Well I finally found an oral surgeon and he showed me the base X-ray and mentioned that my root was pretty close to nerve if not literally touching it. He said he wouldn’t really know what his decision was with it until he got in there and started removing it, saying if it was too close to the nerve, he was going to leave part of my root in. I’m 3 days post op and I have no clue what he decided to do. I just have major facial and neck swelling and the pain is radiating down to my chest. Like my collarbones are very tender and hot and I’m having some chest pain and pressure. Not even sure what’s normal and what’s not. Just needed to share this because I am miserable. The pain killers I have aren’t great and I still can’t sleep for more than 2 hours straight.

The case in this video and my unremoved-yet teeth are really similar in nerve-tooth positions. The 3d scan relation/distance seems similar. But extra: I have a narrow/small jaw that even my own teeth can’t fit well... Even though the first doctor/surgeon I saw scared me with ‘close tooth-nerve position, risk of permanent numbness’; other couple of doctors said like ‘despite the fact that they are close and the risk exists for every operation, it can be removed rather than leaving there for worse future scenarios’ So I decided to get them removed in the place/doctor that I got the best/advanced vibe. They said the left bottom is more risky/harder than the right bottom. Operation is in 1 month. To be honest, I’m scared a lot of having permanent nerve damage... Wish me luck! Edit: I updated my process in the reply part below.

I recommend people also do their own research regarding coronectomy vs full removal. There isn’t literature that proves coronectomies are harmful or have worse outcomes as full removals. It’s is a legitimate treatment option. Particularly when done by a trained hands that leaves immobile roots behind. Looking at the cbct scan I agree the tooth should have been removed fully and the risk of parasethesia was not high. and it is odd the other surgeon never took a scan. But don’t freak out if you’ve had a coronectomy before. Even in this case more than likely her surgery will heal just fine and be uneventful.

Had a coronectomy 3 days ago in Mexico, it still hurts, But its getting better... The CBCT scan was 75.00 and the extraction was 200.00. So at least the pain is contained only in my mouth.. Its getting better tho.

Hi Dr Choi, I've seen three surgeons for consults and although my bottom two teeth are horizontally impacted, all three said a CBCT scan is optional/not needed. I am 25F. I have the option to get a CBCT but do you think I should get one, given the radiation risks and the fact that all three surgeons said that it is not needed? Thanks!

My ortho had a 3D scan and my root tip are in because they are too deep inside the bone and it would of been more jaw damage trying to get it out. I had to get a bone graft on one side because they broke piece of my jaw bone trying to get it out

Hello doctor thank you so much for this video. My question is what do I do to spitting out blood immediately I wake up in the morning and during brushing every day.

I’m a little confused. Was there something wrong with the corenectomy she received or is it bc the tooth wasn’t close to the nerve?

I have ear pain on my left side, my dentist said I need to remove my wisdom teeth. I’m scared

Hi Dentist, is that ok if I want to remove all the roots after I have done a coronetomy (hopefully the roots will migrate away from the nerd)?

Hi Doc, Should the wisdom tooth area be closed back after surgery. Looks like I can see the hole at the back on my mouth..and I have nerve bruising. Part of my lip still Numb after a week

hi doctor is a coronectomy an option if I don't want the full tooth extracted.. it's not impacted and fully erupted but I've been getting cavities and was advised to just pull. which I don't want.

Awesome case and nice review. I had a case today that I referred to OS. Did a CBCT- needs a coronectomy. Thanks for presenting this case. Did the pain resolve with narcotics/ time or did you have to go back to extract 2nds with the root remnants?? Would love to know what happened to the pt.

what happens if the tooth connects and is wrapped around the nerve? please help

I just had a coronectomy done on Thursday and now am dealing with excruciating pain from an infection in my lower jaw. I wish I would have done more research before I had this treatment done but it's too late for that. I never received a 3D X-Ray and now just have to wait in hopes the antibiotics I am taking/drainage of the infection I had done this morning are enough to treat this infection without having to have surgery again. Any advice???

I have a wisdom tooth with curved root. It doesn't hurt but my dentist wants to extract it cuz of possible future complications. Can't I just keep it like that ?

Hi Dr. Choi, I was just told yesterday by my general dentist that I need to extract all 4 wisdom teeth due to minor infection, I have a consultation on the 22nd with the surgeon. The receptionist told me I should get bone graft on all 4, since I currently have braces and will eventually get veneers and crowns on the 4 front teeth. Each bone graft is 550, I have spent so much money on my teeth it’s ridiculous. My question is, do I really need all 4 bone graft?

Can the root end up decaying like what happens when a wisdom tooth is trapped into the bone?

Well this makes me nervous. Mine just told me that he might have to do a coronectomy but that is more of a game time decision (meaning he won't know until he's there removing the tooth already) he said to forget about the 3d scan (even though I had gone to another surgeon 3 yrs prior to remove a different tooth and they recommended that) and that it wasn't necessary. Now i am out of my allowed scans for the next 3 yrs according to my insurance ( they only allow either one x-ray or 3d scan every 3 yrs) and i don't know what to so

Hi doctor how long the symptoms of a Coronectomy last

what if you have weak wisdom teeth roots?

I got a 3d scan and the nerve runs high up between the two roots they never even offered a coronectomy and I don’t know what the risk is I’m 35 and wish I knew what to do about it

Hi Dr,very informative video. I don’t know much on dental surgery, I have been trying to read up on on it since I was recommended to have a coronectomy for a horizontally impacted wisdom tooth that is too close to the nerve. One thing that I am unable to lookup and I was hoping you can help me is that the surgeon wants to “pack” the roots with a medication (I don’t recall the name) and then have me return to the office to “repack” in 3 days then 3 days for a packing removal. Have you heard of this? I tried to research on my own but have not been able to find anything. Thanks in advance

Dr. Choi, I am a 62 yr old woman. I have all my teeth so far, I have a slab fractured lower left wisdom tooth, I want my dentist to put a crown on it but she said that 90% of crowned wisdom teeth end up in a few years getting infected and a root canal will need to be done and the tooth will need to be pulled anyways, so I might as well just pull the tooth and save myself some money. I would like to know what your thoughts are on this subject? Crown or no crown?

Hello, thank you for the content on here, quick question, had my coronectomy done about 10 days now, everything is fine but I notice on my back tooth, I have a gum that has grew almost over my back tooth. any suggestions? thanks in advance

My wisdom tooth is supposedly right on top of my nerve. My Dentist suggested cutting the tooth and leaving the roots in. Is that normal?

My wisdom teeth are impacted horizontally and my surgeon is recommending a coronectomy . After reading something online, it said that it’s not recommended for teeth positioned horizontally. Do you agree? Should I get another opinion? Also, they are bothering me. I’m 33 and he says that it’s best to do it now but I’m apprehensive.

I had a consultation today with my oral surgeon who advised me I was one of those rare cases where my root or my wisdom tooth is under my nerve and the way my tooth grew it grew around the nerve, so automatically my best option for this impacted lower right wisdom tooth is the coronectomy or do a regular extraction and endure paresthesia. I cried my eyes out and asked if there’s a chance I could endure the root wanting to grow under the nerve then it has toe be extracted. I’m worried because he said there’s a small cavity on the crown of the tooth but doesn’t believe it has connected past the nerve line. This is the tooth that is bothering me the post and I’m just unsure if the cornectomy will go wrong and I have to possibly get nerve repair surgery to get sensation back in my mouth. Any tips help or advice?

I had my coronectomy 2 months ago, its still uncomfortable and a bit painful to chew 😢

Is it safe to get a coronectomy on both wisdom teeth the same day? Oral surgeon wanted me to remove all 4 but honestly its out of my budget and top ones dont really bother me. Any recommendations?

I had a coronectomy 11 days ago. My head has been aching everyday. Will this go away eventually?

I had sound in the ears and after removing my wisdom tooth , the sound still did not stop

Coronected my right side wisdom tooth yesterday and left side a month earlier. My left side is closing the gap and my GP told me it’s doing well. After watching this video, I’m worried about the years to come if the remaining would erupt 😂😂😂

Toridol. Tisk tisk. The worse pain medicine. Tore my stomach into a million pieces and d did nothing for me.