Piezosurgery vs bur in impacted mandibular third molar surgery: Evaluation of postoperative sequelae

Abstract-PurposePiezosurgery is a relatively novel, precise and safe technique of ostectomy in the domain of oral and maxillofacial surgery. Our aim was to compare the inflammatory outcomes of osteotomy using piezosurgery and conventional bur in impacted mandibular third molar (IM3M) surgery.Subject...

Full description

Saved in:
Bibliographic Details
Published in:Journal of oral biology and craniofacial research (Amsterdam) 2019-07, Vol.9 (3), p.259-262
Main Authors: Patil, Chirag, Jadhav, Anendd, K, Rajanikanth, Bhola, Nitin, Borle, Rajiv M, Mishra, Apoorva
Format: Article
Language:English
Subjects:
Impacted tooth
Ostectomy
Otolaryngology
Pain
Piezosurgery
Third molar
Trismus
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract-PurposePiezosurgery is a relatively novel, precise and safe technique of ostectomy in the domain of oral and maxillofacial surgery. Our aim was to compare the inflammatory outcomes of osteotomy using piezosurgery and conventional bur in impacted mandibular third molar (IM3M) surgery.Subjects and methodThe study implemented a randomized, double-blind, crossover design. 120 sides in 60 patients were randomly allocated to the two interventions used, viz; conventional bur and piezosurgery. The primary outcome variables evaluated were facial swelling, trismus, pain, and paresthesia. Additionally, the duration of surgery and the frequency of soft tissue injuries with the use of two techniques were also evaluated.ResultsPain, swelling, trismus, and soft tissue injuries emerged to be significantly higher with the use of bur as compared to the piezo. The duration of surgery was significantly extended in the piezo group and no significant difference was observed in the occurrence of paresthesia between the two groups.ConclusionThe result suggests that piezosurgical osteotomy technique is superior to conventional bur in terms of the postoperative inflammatory outcomes in IM3M surgery.
ISSN:2212-4268
2212-4276
DOI:10.1016/j.jobcr.2019.06.007