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"Piezosurgery vs bur in impacted mandibular third molar surgery: Evaluation of postoperative sequelae"
Chirag Patil1, Anendd Jadhav1, Rajanikanth K1
1Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, 442004, India.
Journal of Oral Biology and Craniofacial Research
|June 29, 2019
Summary
Piezosurgery significantly reduces postoperative pain, swelling, and soft tissue injury compared to conventional burs for impacted mandibular third molar surgery. This innovative technique offers improved patient outcomes in oral surgery.
Area of Science:
- Oral and Maxillofacial Surgery
- Surgical Innovation
- Minimally Invasive Techniques
Background:
- Piezosurgery represents a novel, precise, and safe ostectomy method.
- Its application in oral and maxillofacial surgery is expanding.
- Conventional burs are widely used but can cause significant inflammatory responses.
Purpose of the Study:
- To compare the inflammatory outcomes of piezosurgery versus conventional bur osteotomy.
- To evaluate the efficacy of piezosurgery in impacted mandibular third molar (IM3M) surgery.
- To assess pain, swelling, trismus, and soft tissue injury post-IM3M extraction.
Main Methods:
- Randomized, double-blind, crossover study design.
- 60 patients (120 sides) underwent IM3M surgery using either conventional bur or piezosurgery.
- Primary outcomes: facial swelling, trismus, pain, paresthesia; Secondary outcomes: surgery duration, soft tissue injury.
Main Results:
- Significantly lower pain, swelling, trismus, and soft tissue injuries observed with piezosurgery.
- Surgery duration was longer with the piezosurgery technique.
- No significant difference in paresthesia occurrence between the two methods.
Conclusions:
- Piezosurgical osteotomy is superior to conventional bur for reducing postoperative inflammatory sequelae in IM3M surgery.
- Piezosurgery offers enhanced patient comfort and safety.
- Further research may explore optimizing piezosurgery duration for IM3M procedures.