Comparison of piezoelectric surgery versus conventional methods for benign odontogenic jaw cysts tumours

Surgery for benign odontogenic jaw cysts and tumors demands precise bones cutting with vital structure preservation, yet piezoelectric versus rotary instrument comparisons are scarce. This prospective RCT evaluated outcomes, intraoperative factors, and recovery in 94 patients with odontogenic lesions randomized to piezoelectric (n=47) or rotary (n=47) surgery. Piezoelectric surgery cut intraoperative bleeding (98.4±32.6 mL versus 186.2±48.4 mL, p<0.001), boosted neurosensory preservation (95.7% versus 78.7%, p=0.018), and improved pain and bone healing despite longer times. Postoperative swelling dropped significantly with piezoelectric use, while recurrence rates matched between groups. Piezoelectric surgery excels in soft tissue protection, bleeding control, and healing, positioning it as the superior choice over rotary methods for odontogenic lesions.