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Piezosurgery Versus Rotary Instruments for Mandibular Impacted Third Molars Extractions. A Prospective, Randomized

Matteo Gualtieri1, Giulia Scivoletto2, Francesca Pitino2

  • 1Maxillofacial Surgery Unit, Floraspe Renzetti Hospital, Lanciano.

The Journal of Craniofacial Surgery
|July 21, 2025
PubMed
Summary
This summary is machine-generated.

Piezosurgery significantly reduces pain, swelling, and improves mouth opening after lower third molar extraction compared to traditional rotary instruments. This advanced technique enhances patient recovery, despite longer surgical times.

Keywords:
Mandibular wisdom theethThird Molarspiezosurgeryrotary instrumentssurgical extractions

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Area of Science:

  • Oral Surgery
  • Dental Implantology
  • Maxillofacial Surgery

Background:

  • Impacted lower third molar extraction is a common surgical procedure.
  • Complications such as pain, swelling, and trismus can occur post-operatively.
  • Comparing surgical techniques is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To compare the efficacy of piezosurgery versus traditional rotary instruments for impacted lower third molar extraction.
  • To evaluate postoperative outcomes including pain, edema, and trismus.

Main Methods:

  • A prospective, randomized, non-blinded clinical study.
  • 18 patients aged 18-40 years underwent bilateral lower third molar extractions.
  • One side was treated with rotary instruments, the other with piezosurgery.

Main Results:

  • Piezosurgery group showed significantly less pain and edema.
  • Improved trismus recovery was observed in the piezosurgery group.
  • Surgical time was longer with piezosurgery, but postoperative outcomes were more favorable.

Conclusions:

  • Piezosurgery offers superior postoperative results for impacted lower third molar extraction.
  • Reduced pain, swelling, and better mouth opening indicate enhanced patient recovery.
  • Piezosurgery is a beneficial alternative to rotary instruments for this procedure.