Journals / Current Research in Dental Sciences / 2013 / Cilt: 23 Sayı: 1

Comparison of piezoelectric bone surgery and traditional rotary instruments in impacted third molar surgery

Gömülü üçüncü molar diş operasyonunda piezoelektrik kemik cerrahisi ve geleneksel döner enstrümanların karşılaştırılması

Pages
50–56
Publication Date
2013-01-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: According to the findings of the present study, piezoelectric bone surgery is an alternative method to reduce morbidity and to improve recovery after impacted third molar surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of this study was to evaluate and compare the effects of piezoelectric surgery and rotary instruments on the inflammatory response in the impacted lower third molar surgery.
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Key Findings & Data:Results: The mean duration of surgery was significantly longer in the piezo group (p=0.003).
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Conclusion & Impact:Conclusion: According to the findings of the present study, piezoelectric bone surgery is an alternative method to reduce morbidity and to improve recovery after impacted third molar surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:piezoelektrik cerrahi · gömülü üçüncü molar · morbidite

Abstract

Purpose: The aim of this study was to evaluate and compare the effects of piezoelectric surgery and rotary instruments on the inflammatory response in the impacted lower third molar surgery. Patients and Methods: Twenty-six healthy patients with symmetrically impacted mandibular third molars were included. In the first operation, buccal osteotomy was performed with a round burr (Rotary group). In the second operation, piezoelectric surgery was used for bone removal (Piezo group). Duration of surgery, pain, trismus and cheek swelling were evaluated. Results: The mean duration of surgery was significantly longer in the piezo group (p=0.003). On the second postoperative day, the mean VAS pain scores during rest (p=0.005) and chewing (p<0.001) and on the seventh postoperative day during chewing (p<0.001) were significantly higher in the rotary group. On the seventh postoperative day, the number of analgesic tablets taken in the piezo group was significantly lower than the rotary group (p=0.013). The mean facial swelling in the rotary group was significantly higher than the piezo group on the second postoperative day (p<0.001) and on the seventh postoperative day (p=0.003). On the second (p<0.001) and seventh postoperative days (p<0.001) trismus was significantly higher in the rotary group. Conclusion: According to the findings of the present study, piezoelectric bone surgery is an alternative method to reduce morbidity and to improve recovery after impacted third molar surgery.

Özet

Amaç: Bu çalışmanın amacı, gömülü alt üçüncü molar operasyonunda kullanılan piezoelektrik cerrahisinin ve döner enstrümanların operasyon sonrası enflamatuar yanıt üzerindeki etkilerini değerlendirmek ve karşılaştırmaktır. Bireyler ve Yöntem: Çalışmaya, simetrik olarak gömülü mandibular üçüncü molar dişlere sahip 26 sağlıklı hasta dahil edildi. Birinci operasyonda, bukkal ostetomi rond frez ile gerçekleştirildi (Frez grubu). İkinci operasyonda, kemik kaldırmak için piezoelektrik cerrahi tekniği kullanıldı (Piezo grubu). Cerrahi işlem süresi, ağrı, trismus ve yüzdeki şişlik değerlendirildi. Bulgular: Ortalama cerrahi işlem süresi piezo grubunda anlamlı olarak daha uzun bulundu (p=0,003). Operasyon sonrası ikinci günde, dinlenme (p=0,005) ve çiğneme (p<0,001) anındaki ortalama VAS ağrı skorları ve operasyon sonrası yedinci günde çiğneme anındaki (p<0,001) ortalama VAS ağrı skoru frez grubunda anlamlı olarak daha yüksek tespit edildi. Operasyon sonrası yedinci günde, piezo grubunda alınan analjezik tabletlerin sayısı frez grubundan anlamlı olarak daha az sayıdaydı (p=0,013). Frez grubunda, ortalama yüz şişliği operasyon sonrası ikinci (p<0,001) ve yedinci (p=0,003) günlerde piezo grubundan anlamlı olarak daha fazla tespit edildi. Operasyon sonrası ikinci (p<0,001) ve yedinci (p<0,001) günlerde frez grubunda trismus anlamlı olarak daha yüksek bulundu. Sonuç: Bu çalışmada elde edilen bulgulara göre, piezoelektrik kemik cerrahisi gömülü üçüncü molar diş operasyonu sonrası morbiditeyi azaltmak ve iyileşmeyi hızlandırmak için kullanılabilecek alternatif bir yöntemdir.

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Cite This Article

BENLİDAYI, Y. D. D. M. E., TATLI, Ö. G. D. U., SALİMOV, D. F. (2013). Comparison of piezoelectric bone surgery and traditional rotary instruments in impacted third molar surgery. Current Research in Dental Sciences, Cilt: 23 Sayı: 1, 50–56. https://ajindex.com/articles/901270

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References (13)

  1. Etöz M, Şekerci AE, Şişman Y. Türk toplumunda üçüncü molar dişlerin retrospektif radyografik analizi. Atatürk Üniv Diş Hek Fak Derg 2011;21:170-4.
  2. Sisk AL, Hammer WB, Shelton DW, Joy ED. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg 1986;44:855-9.
  3. Üstün Y, Erdogan O, Esen E, Karsli ED. Comparison of the effects of 2 doses of methylprednisolone on pain, swelling, and trismus after third molar surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:535-9.
  4. Holte K, Kehlet H. Perioperative single-dose glucocorticoid administration: pathophysiologic effects and clinical implications. J Am Coll Surg 2002;195:694-711.
  5. Barone A, Marconcini S, Giacomelli L, Rispoli L, Calvo JL, Covani U. A randomized clinical evaluation of ultrasound bone surgery versus traditional rotary instruments in lower third molar extraction. J Oral Maxillofac Surg 2010;68:330-6.
  6. Montgomery MT, Hoggs JP, Robers DL, Redding SW. The use of glucocorticosteroids to lessen the inflammatory sequelae following third molar surgery. J Oral Maxillofac Surg 1990;48:179-87.
  7. Yapıcı ET, Keskin M, Yılmaz NT, Öğütcen Toller M. Diflunizal ve tiaprofenik asitin alt gömülü 3. molar dişlerin postoperatif ağrı ve trismus üzerine etkilerinin değerlendirilmesi. Cumhuriyet Üniv Diş Hek Fak Derg 1999;2:33-6.
  8. Satılmış T, Gönül O, Garip H, Altun A, Göker K. Gömülü üçüncü molar diş cerrahisinde submukozal tramadol uygulamasının postoperatif ağrı üzerine etkinliği. Marmara Üniv Sağlık Bil Enst Derg 2012;2:26-30.
  9. Roynesdal AK, Bjornland T, Barkvoll P, Haanaes HR. The effect of soft-laser application on postoperative pain and swelling. A double-blind crossover study. Int J Oral Maxillofac Surg 1993;22:242-5.
  10. Forouzanfar T, Sabelis A, Ausems S, Baart JA, van der Waal I. Effect of ice compression on pain after mandibular third molar surgery: A single- blind, randomized controlled trial. Int J Oral Maxillofac Surg 2008;37:824-30.
  11. Sortino F, Pedullà E, Masoli V. The piezoelectric and rotatory osteotomy technique in impacted third molar surgery: comparison of postoperative recovery. J Oral Maxillofac Surg 2008;66:2444-8.
  12. Labanca M, Azzola F, Vinci R, Rodella LF. Piezoelectric surgery: twenty years of use. Br J Oral Maxillofac Surg 2008;46:265-9.
  13. Vercellotti T, De Paoli S, Nevins M. The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int