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Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A
Swati Sahu1, Ankita Barodiya2, Animesh Barodiya3
1Department of Oral and Maxillofacial Surgery, New Horizon Dental College and Research Institute, Bilaspur, Chhattisgarh, India.
Journal of Pharmacy & Bioallied Sciences
|July 14, 2025
Summary
The universal periotome significantly reduces pain, surgical time, and gingival damage during tooth extractions compared to traditional methods. This minimally invasive approach offers better patient outcomes and preserves oral structures.
Area of Science:
- Dentistry
- Oral Surgery
- Minimally Invasive Procedures
Background:
- Tooth extraction is a common dental procedure.
- It often causes trauma, pain, gingival laceration, and bone loss.
Purpose of the Study:
- To compare the efficacy of a universal periotome versus a periosteal elevator for non-surgical tooth extraction.
- To evaluate the impact on pain, surgical duration, gingival trauma, and analgesic use.
Main Methods:
- A randomized controlled study involving 100 patients undergoing single-rooted tooth extraction.
- Patients were divided into two groups: universal periotome (test) and periosteal elevator (control).
- Outcomes measured included pain (Visual Analog Scale), surgery duration, gingival laceration, and analgesic consumption.
Main Results:
- The universal periotome group showed significantly shorter surgery times (4.97 vs 11.47 minutes) and reduced gingival laceration scores (1.26 vs 1.72).
- Postoperative pain and analgesic consumption were consistently lower in the periotome group, with near-absent pain by Day 7.
- Minimal complications were noted, with only one dry socket in the control group.
Conclusions:
- The universal periotome is a superior alternative to conventional methods for single-rooted tooth extraction.
- It significantly minimizes operative time, postoperative pain, gingival lacerations, and analgesic needs.
- This technique effectively preserves alveolar and gingival architecture, enhancing patient outcomes.

