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Third-molar extraction with ultrasound bone surgery: a case-control study.

Marco Mozzati1, Giorgia Gallesio, Andrea Russo

  • 1From the *SIOM Oral Surgery and Implantology Center, Turin, Italy; †Trainer Oral Surgery Unit, Dentistry Section, Department of Clinical Physiopathology, University of Turin, Turin, Italy; ‡Assistant Oral Surgery Unit, University of Eastern Piedmont, Novara, Italy; and §Professor of Stomatology and Oral Surgery, Department of Health Sciences "A. Avogadro," University of Eastern Piedmont, Novara, Italy.

The Journal of Craniofacial Surgery
|May 7, 2014
PubMed
Summary

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Ultrasound bone surgery (Piezosurgery) significantly improved healing and reduced complications after mandibular third-molar extraction compared to traditional methods. This technique offers a safer postoperative experience for patients undergoing wisdom tooth removal.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Research
  • Surgical Innovation

Background:

  • Mandibular third-molar extraction is a common dental procedure.
  • Traditional surgical methods can lead to significant postoperative complications.
  • Evaluating alternative techniques for improved patient outcomes is crucial.

Purpose of the Study:

  • To compare the postoperative period and tissue healing between traditional bone surgery and ultrasound bone surgery (Piezosurgery) for mandibular third-molar extraction.
  • To assess the efficacy of Piezosurgery in reducing postoperative morbidity.

Main Methods:

  • A case-control study involving 15 patients undergoing bilateral mandibular third-molar extractions.
  • One side used traditional burr surgery (control), the other used Piezosurgery (test site).

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  • Postoperative assessment at 7, 14 days, and 1, 3 months included pain, trismus, swelling, and alveolar bone level.

    • Main Results:

    • Only one postoperative complication (alveolitis) occurred in the control site.
    • All patients at the Piezosurgery (test) sites experienced complete recovery without complications.
    • The Piezosurgery procedure was approximately 8 minutes longer but reduced overall morbidity.

    Conclusions:

    • Piezosurgery is highly effective in reducing complications associated with mandibular third-molar extraction.
    • The technique enhances the postoperative recovery period, leading to better patient outcomes.
    • Piezosurgery represents a valuable advancement for improving safety and healing in oral surgery.