Comparative evaluation of clinical effects after operative extraction of impacted mandibular third molars using piezosurgery and rotary instruments

Gigovska Arsova, Ana and Nikolovski, Bruno and Evrosimovska, Biljana and Gigovski, Nikola and Velickovski, Boris (2023) Comparative evaluation of clinical effects after operative extraction of impacted mandibular third molars using piezosurgery and rotary instruments. Acta Scientific Dental Sciences, 7 (9). pp. 14-22. ISSN 2581-4893

Text Comparative Evaluation of Clinical Effects After Operative Extraction of Impacted Mandibular Third Molars Using Piezosurgery and Rotary Instruments1.pdf - Published Version Download (1MB)

Abstract

Background: Impacted mandibular third molars are frequently encountered in daily oral surgery practice. Surgical extraction of these teeth is indicated when they cause multiple problems that interfere with the normal functioning of the masticatory system, or as a prophylactic measure to prevent clinical symptoms. Due to the shortcomings of traditional rotary instruments, piezosurgery appears as an alternative technique to osteotomy whose main benefits are that it is inert to soft anatomical structures and it reduces the risk of damage or thermal necrosis of osteocytes.
Aim: The aim of this study is to compare piezosurgical and conventional osteotomy with hand piece and burs evaluating the time needed for the osteotomy and the intensity of postoperative complications, including pain and trismus.
Materials and Methods: Intraoperative and postoperative aspects were evaluated for the comparison between piezosurgical osteotomy and osteotomy with rotary instruments in the surgical removal of mandibular impacted wisdom teeth in total of 15 young patients through a split-mouth study.
Results: It takes more time to perform an osteotomy using piezosurgery compared to the conventional technique with rotatory instruments, but statistically non-significant. Postoperative pain and trismus were lower in the test group where the osteotomy was performed piezosurgically, also without statistical significance.
Conclusion: Due to the lower intensity of postoperative symptoms, piezosurgery is a good therapeutic option for osteotomy, especially in cases where there is a high risk of injury to adjacent soft tissues.

Keywords: Impacted mandibular third molars; rotary instruments; piezosurgery; osteotomy

Item Type:	Article
Impact Factor Value:	1.278
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Bruno Nikolovski
Date Deposited:	17 Nov 2023 12:44
Last Modified:	17 Nov 2023 12:44
URI:	https://eprints.ugd.edu.mk/id/eprint/32563

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