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Periotome as an Aid to Atraumatic Extraction: A Comparative Double Blind Randomized Controlled Trial
Sneha D Sharma1, B Vidya2, Mohan Alexander3
1Department of Oral and Maxillofacial Surgery, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana 121003 India.
Journal of Maxillofacial and Oral Surgery
|July 31, 2015
Summary
Periotomes significantly reduce post-extraction discomfort in single-rooted tooth extractions. This study found that using a periotome alongside forceps decreased pain and improved outcomes compared to conventional methods.
Area of Science:
- Dentistry
- Oral Surgery
Background:
- Nonsurgical extraction of single-rooted teeth often involves post-operative discomfort.
- Conventional extraction methods may lead to complications like gingival laceration.
Purpose of the Study:
- To evaluate the efficacy of periotomes in nonsurgical single-rooted tooth extractions.
- To compare pain reduction and other parameters between periotome-assisted and conventional extraction techniques.
Main Methods:
- A double-blind, randomized controlled trial involving 100 patients undergoing nonsurgical single-rooted tooth extractions.
- Patients were randomized into two groups: periotome-assisted extraction or conventional extraction using a periosteal elevator.
- Pain was assessed using a visual analog scale for 7 days post-operation, along with monitoring gingival laceration, surgery duration, analgesic consumption, and complications.
Main Results:
- The periotome group showed a statistically significant reduction in post-operative pain (52.8%) compared to the control group, where pain increased (65%).
- All assessed parameters were statistically significant between the groups (p < 0.05), favoring the periotome group.
- The experimental group experienced less pain and discomfort post-extraction.
Conclusions:
- The use of periotomes in nonsurgical single-rooted tooth extractions may effectively reduce post-extraction discomfort.
- Periotome-assisted extraction offers a potentially beneficial alternative for improving patient outcomes and comfort.
