Evaluation of Different Surgical Removal Techniques for Impacted Mandibular Third Molar Impactions: A Comparative...

Area of Science:

• Oral and Maxillofacial Surgery
• Surgical Techniques
• Dental Procedures

Background:

• Impacted mandibular third molar (wisdom teeth) extraction is a frequent surgical intervention.
• Various techniques exist, including conventional drilling and piezosurgery, influencing patient outcomes.
• Understanding technique-specific results is crucial for clinical decision-making.

Purpose of the Study:

• To compare the postoperative outcomes of different surgical techniques for impacted mandibular third molar extraction.
• To evaluate pain, swelling, and healing associated with conventional drilling, piezosurgery, and minimally invasive approaches.
• To provide evidence-based guidance for selecting optimal surgical methods.

Main Methods:

• A comparative clinical study involving patients undergoing mandibular third molar extraction.
• Three techniques were assessed: traditional rotary drilling, piezosurgery, and a minimally invasive approach.
• Outcomes measured included visual analog scale for pain, facial measurements for swelling, and healing index for recovery. Statistical analysis used ANOVA and post hoc tests (P < 0.05).

Main Results:

• Piezosurgery showed significantly lower postoperative pain and swelling compared to conventional rotary techniques (P < 0.05).
• Healing outcomes were comparable across all surgical methods evaluated.
• Detailed results are presented in Tables 1 and 2.

Conclusions:

• Piezosurgery offers superior postoperative comfort by reducing pain and swelling following impacted mandibular third molar extraction.
• This technique is a preferable option for enhancing patient recovery.
• Further research into long-term outcomes is recommended to validate these findings.