Evaluation of role of piezo-surgical in mandibular impacted third molar removal
An original research
Keywords:
postoperative complications, piezosurgery, wisdom teeth extractionAbstract
Aim: The purpose of the present research was to assess the role of piezo-surgical and its effectiveness against conventional techniques for removal of impacted mandibular third molar. Methodology: Study included 16 patients (8 male and 8 female) age 17 to 32 years treated in the period from 2019 to 2021. All patients had both mandibular molars impacted. One third molar was extracted using classical technique while the other one using a piezo device. Preoperative preparation was the same for all patients and included radiological analysis and verification of teeth by ortopan tomography (OPG) and CT. Patients were assessed one, seven and 14 days after the procedure. Results: After the extraction, all patients were followed for postoperative symptoms: pain, swelling and paraesthesia of the inferior alveolar nerve. The results confirmed advantages of piezosurgery in the removal of impacted mandibular third molars. Average duration of the intervention was 18 minutes with standard technique while the duration with piezo technique was 23 minutes. According to the visual-analogue scale (VAS) the average pain in the standard group was 9 whereas in the piezo group it was 6.
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Alessandri Bonetti G, Bendandi M, Laino L, Checchi V, Checchi L. Orthodontic extraction: riskless extraction of impacted lower third molars close to the mandibular canal. J Oral Maxillofac Surg. 2007; 65:2580-6.
Barone A, Marconcini S, Giacomelli L, Rispoli L, Calvo JL, Covani U. A randomized clinical evaluation of ultrasound bone surgery versus traditional rotary instruments in lower third molar extraction. J Oral Maxillofac Surg. 2010; 68:330-6.
Benediktsdóttir IS, Wenzel A, Petersen JK, Hintze H. Mandibular third molar removal: risk indicators for extended operation time, postoperative pain and complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 97:438-46.
Campbell JH, Murra RA. Handpiece speed and postoperative outcomes in third molar surgery. J Indiana Dent Assoc. 2004; 83:4-6.
Checchi L, Bonetti GA, Pelliccioni GA. Removing of high-risk impacted mandibular third molar. A surgical orthodontic approach. J Am Dent Assoc. 1996; 127:1214-7.
Chu FC, Li TK, Lui VK, Newsome PR, Chow RL, Cheung LK. Prevalence of impacted teeth and associated pathologies – a radiographic study of the Hong Kong Chinese population. Hong Kong Med J. 2003; 9:158-63.
Degerliyurt K, Akar V, Denizci S, Yucel E. Bone lid technique with piezosurgery to preserve inferior alveolar nerve. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108:e1-5.
Djuraev, A. M., Alpisbaev, K. S., & Tapilov, E. A. (2021). The choice of surgical tactics for the treatment of children with destructive pathological dislocation of the hip after hematogenous osteomyelitis. International Journal of Health & Medical Sciences, 5(1), 15-20. https://doi.org/10.21744/ijhms.v5n1.1813
Eggers G, Klein J, Blank J, Hassfeld S. Piezosurgery: an ultrasound device for cutting bone and its use and limitations in maxillofacial surgery. Br J Oral Maxillofac Surg. 2004; 42:451-3.
Gargallo-Albiol J, Buenechea-Imaz R, Gay-Escoda C. Lingual nerve protection during surgieal removal of lower third molars. A prospective randomized study. Int J Oral Maxillofac. Surg. 2000; 9:268-71.
Ghali GE, Epker BN. Clinical neurosensory testing: practical applications. J Oral Maxillofac Surg. 1989; 47:1074-8.
Lago-Méndez L, Diniz-Freitas M, Senra-Rivera C, Gude-Sampedro F, Gándara Rey JM, García-García A. Relationships between surgical difficulty and postoperative pain in lower third molar extractions. J Oral Maxillofac Surg. 2007; 65:979-83.
Pasqualini D, Cocero N, Castella A, Mela L, Bracco P. Primary and secondary closure of the surgical wound after removal of impacted mandibular third molars: a comparative study. Int J Oral Maxillofac Surg. 2005; 34:52-7.
Pell GJ, Gregory BT. Impacted mandibular third molars: classification and modified techniques for removal. Dent Dig. 1993; 39:330-8.
Peñarrocha M, Sanchis JM, Sáez U, Gay C, Bagán JV. Oral hygiene and postoperative pain after mandibular third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 92:260-4.
Poeschi PW, Eckel D, Poeschi E. Postoperative prophylactic antibiotic treatment in third molar surgery – a necessity? J Oral Maxillofac Surg. 2004; 62:3-8.
Preti G, Martinasso G, Peirone B, Navone R, Manzella C, Muzio G, et al. Cytokines and growth factors involved in the osseointegration of oral titanium implants positionedusing piezoelectric bone surgery versus a drill technique: a pilot study in minipigs. J Periodontol. 2007; 78:716-22
Ra’ed Mohammed Ayoub Al-Delayme. Randomized clinical study comparing Piezoelectric Surgery with conventional rotatory osteotomy in mandibular third molars surgeries. Saudi dental journal (2021)33,11-21.
Renton T, Hankins M, Sproate C, McGurk M. A randomized controlled clinical trial to compare the incidence of injury to the inferior alveolar nerve as a result of coronectomy and removal of mandibular third molar. Br J Oral Maxillofac Surg. 2005; 43:7-12.
Sisk AL, Hammer WB, Shelton DW, Joy ED Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986; 44:855-9.
Sortino F, Pedulla E, Masoli V. The piezoelectric and rotator osteotomy technique in impacted third molar surgery: comparison of postoperative recovery. J Oral Maxillofac Surg. 2008; 66:2444-8.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
van der Westhuijzen AJ, Becker PJ, Morkel J, Roelse JA. A randomized observer blind comparison of bilateral facial ice pack therapy with ice therapy following third molar surgery. Int J Oral Maxillofac Surg. 2005; 34:281-6.
Vercellotti T, Podesta A. Orthodontic microsurgery: a new surgically guided technique for dental movement. Int J Periodontics Restorative Dent. 2007; 27:325-31.
Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatol. 2004; 53:207-14.
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