Coronectomy can reduce nerve risk in selected high-risk teeth, but follow-up still matters.

• Confirm why the tooth needs treatment and whether roots are suitable to retain.
• Discuss possible conversion, retained-root problems and future surgery.
• Plan follow-up and refer when the case is beyond your training or resources.

A randomized trial, comparative review and ten-year follow-up show both the potential benefit and the trade-offs of leaving roots behind.

Lower risk does not mean zero risk or suitability for every patient.

More imaging detail does not automatically mean fewer nerve injuries.

• Write down the clinical question before ordering CBCT.
• Decide how the answer would change your plan or referral.
• Explain that nerve injury remains possible, even after imaging.

Randomized trials and imaging guidance support selective CBCT. Explore when a scan can help answer a question that conventional images cannot.

Changing the treatment plan does not, by itself, prove a safer outcome.