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Related Experiment Video

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Minimally traumatic extraction techniques in nonrestorable endodontically treated teeth: A comparative study.

Sneha D Sharma1, Ashish Gupta1, Pankaj Bansal1

  • 1Department of Oral and Maxillofacial Surgery, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

National Journal of Maxillofacial Surgery
|November 17, 2022
PubMed
Summary

Periotome extraction offers better pain control and less bone loss than piezotome for nonrestorable endodontic teeth. While piezosurgery may advance maxillofacial surgery, periotome is currently safer and more cost-effective for atraumatic extractions.

Keywords:
Atraumatic extraction techniqueperiotomepiezotome

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Periodontology

Background:

  • Nonrestorable endodontically treated teeth often require extraction.
  • Atraumatic extraction techniques aim to minimize surgical trauma and preserve bone.
  • Piezotome and periotome are distinct tools used in dental extractions.

Purpose of the Study:

  • To compare the effectiveness of piezotome versus periotome for extracting nonrestorable endodontic teeth.
  • To evaluate operational time, pain control, and postoperative bone loss.
  • To consider future prosthetic rehabilitation implications.

Main Methods:

  • A double-blind, randomized controlled trial involving 100 patients with single-rooted endodontically failed teeth.
  • Patients were randomized into periotome or piezotome groups.
  • Clinical assessments included surgery duration and pain (7 days); radiographic analysis assessed bone loss at 6 months.

Main Results:

  • Periotome extraction showed statistically significant advantages (P < 0.05) over piezotome, except for bone loss and gingival laceration.
  • Piezotome group experienced longer surgery times and delayed pain control.
  • Statistically significant marginal bone loss was observed in the piezotome group compared to the periotome group.

Conclusions:

  • Periotome is a safer and more cost-effective option for atraumatic extractions, providing better intraoperative and postoperative comfort.
  • Piezosurgery may become a superior choice for maxillofacial surgeries, particularly for maintaining soft-tissue integrity.