Coronectomy

When Wisdom Tooth Removal Calls for a More Conservative Approach

In certain cases, fully removing a lower wisdom tooth may carry a risk of damaging the inferior alveolar nerve—a nerve that runs close to the roots of lower molars and controls sensation in the jaw, lower lip, and chin. When this risk is present, a coronectomy may be the best solution.

At Smile, Co., we offer coronectomy procedures as a safer, nerve-sparing alternative to full tooth extraction, especially for deeply impacted or high-risk wisdom teeth. It’s a precise, proven method that protects your long-term comfort and health.

What Is a Coronectomy?

A coronectomy is a specialized oral surgery procedure that removes only the crown (top portion) of a wisdom tooth—leaving the roots in place when they are close to critical nerves or anatomical structures.

This technique is most often recommended when:

• A lower wisdom tooth is impacted and in contact with the nerve
  
• Full extraction carries a high risk of nerve injury
  
• The crown is causing infection, cysts, or pain
  
• The patient has high surgical risk factors
  

By leaving the roots undisturbed, we minimize the chance of temporary or permanent numbness in the lower face.

When Is a Coronectomy Recommended?

You may be a candidate for a coronectomy if:

• A digital scan shows wisdom tooth roots in close proximity to the mandibular nerve
  
• You’ve experienced nerve-related complications after previous extractions
  
• You’re experiencing pain or infection from an impacted wisdom tooth
  
• Your wisdom tooth is partially erupted or has abnormal root formation
  

At Smile, Co., we use 3D CBCT scans and advanced diagnostics to precisely evaluate the position of your tooth and surrounding structures. If a coronectomy is the safer option, we’ll explain the procedure in full and answer all your questions before moving forward.

Coronectomy vs. Full Extraction

• Coronectomy: Crown of the tooth is removed; roots are left in place to protect the nerve
  
• Full Extraction: Entire tooth, including roots, is removed—used when no nerve risk is present
  

The goal of a coronectomy is to treat the symptoms caused by the tooth while preserving nerve function and reducing surgical risk.

What to Expect from the Procedure

1. Consultation & Digital Imaging
   We assess the tooth and surrounding nerves using detailed scans and plan the safest approach.
   
2. Comfort-First Surgery
   We numb the area and offer sedation options for anxiety-free care.
   
3. Crown Removal
   The crown of the tooth is carefully sectioned and removed, while the roots remain undisturbed.
   
4. Healing & Monitoring
   The area is sutured, and we monitor healing to ensure no complications occur. The retained roots typically remain inert and harmless.
   

Healing from a coronectomy is similar to healing after a wisdom tooth removal, with most patients recovering fully within 1–2 weeks.

Risks Are Low—But We're Always Prepared

Coronectomy is considered a safe and effective alternative when performed by experienced providers. In rare cases, the remaining roots may migrate and require future monitoring or removal—but this is uncommon.

At Smile, Co., we provide close post-op follow-up and long-term tracking as needed to ensure your comfort and peace of mind.

Local Oral Surgery With Elevated Care

Smile, Co. offers advanced oral surgery in a boutique setting—so even complex procedures like coronectomy feel relaxed, clear, and patient-centered. We proudly serve patients across Tampa, Tampa Palms, Hunters Green, and Pebble Creek, with same-day access for evaluations and emergencies.

If you’ve been told your wisdom tooth is “too close to the nerve,” or if you’re seeking a second opinion, we’re here to help you move forward confidently.

Insurance & Flexible Options

Coronectomy is typically covered by dental insurance when medically necessary. We’ll help verify your benefits and provide transparent pricing for those without coverage. Financing is also available. Our membership plan will include discounts on surgical services for ongoing care and maintenance.

A Smarter, Safer Solution for Wisdom Teeth

When full extraction carries extra risk, coronectomy offers a modern, conservative alternative. Let us help you protect your health and nerves with precision surgery you can trust.