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Piezosurgery for the lingual split technique in mandibular third molar removal: a suggestion
Roberto Pippi1, Roberto Alvaro
1Department of Oral and Maxillo-Facial Sciences, Faculty of Medicine and Dentistry, "Sapienza" University of Rome, Rome, Italy. roberto.pippi@uniroma1.it
The Journal of Craniofacial Surgery
|March 26, 2013
Summary
Piezosurgery offers a safer alternative for impacted mandibular third molar extraction using the lingual split technique, reducing lingual nerve injury risks. This method enhances patient safety during complex dental procedures.
Area of Science:
- Oral and Maxillofacial Surgery
- Minimally Invasive Surgical Techniques
- Biomedical Engineering
Background:
- The lingual split technique for mandibular third molar extraction carries a risk of temporary lingual nerve injury due to flap retraction.
- This study investigates piezosurgery as an alternative for lingual cortical plate osteotomy in this procedure.
Observation:
- Piezosurgery was employed for osteotomy after raising buccal and lingual flaps under general anesthesia.
- A bony window was created, facilitating lingual extraction of the impacted third molar.
- The patient experienced no postoperative neurological complications, with normal nerve function.
Findings:
- Piezoelectric surgery appears suitable for lingual access third molar removal when indicated.
- Potential drawbacks include extended operating time due to piezoelectric device power and bone mineralization.
Implications:
- Piezosurgery may minimize lingual nerve damage during lingual split technique for mandibular third molar extraction.
- Further research may optimize piezoelectric parameters for efficiency in dense bone.
