Use of piezoelectric surgery and Er:YAG laser:which one is more effective during impacted third molar surgery?

BACKGROUND: Reduction in postoperative complications is of vital considerations in impacted third molar teeth surgery. The aim of this study was to compare postoperative complications of impacted third molar surgeries for bone removal using laser, piezoelectric equipment, and conventional rotary instruments.

METHODS: To address the research purpose, the investigator designed the prospective double-blind clinical trial study. The sample size was determined 20 (40 teeth) by sampling formula in any kind of operation. The data of patients were obtained in the different periods in terms of pain, trismus, swelling, ecchymosis, and patient's satisfaction and then analyzed using SPSS 20 software via paired t test and Wilcoxon and McNemar's tests.

RESULTS: The pain immediately after surgery and 2 days and 7 days after surgery was higher in the laser group. The swelling immediately after surgery was more in the laser group but not significant. The amount of mouth opening immediately after surgery and 2 days and 7 days after surgery was significantly lower in the laser group than in the piezosurgery group. The total duration of surgery and duration of osteotomy were significantly longer in the laser group. The patient's satisfaction from surgery with piezosurgery was more than that with laser, but this difference was not significant.

CONCLUSION: Due to the rising demand for impacted wisdom tooth surgery, the present study suggests that hard tissue laser surgery and piezosurgery can clear the future of impacted molar surgery, and these approaches are more efficient in reducing postoperative complications compared to the conventional surgeries.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Maxillofacial plastic and reconstructive surgery - 41(2019), 1 vom: 18. Dez., Seite 29

Sprache:

Englisch

Beteiligte Personen:

Keyhan, Seied Omid [VerfasserIn]
Fallahi, Hamid Reza [VerfasserIn]
Cheshmi, Behzad [VerfasserIn]
Mokhtari, Sajad [VerfasserIn]
Zandian, Dana [VerfasserIn]
Yousefi, Parisa [VerfasserIn]

Links:

Volltext

Themen:

Er:YAG
Journal Article
Laser
Piezosurgery
Third molar
Wisdom tooth

Anmerkungen:

Date Revised 10.04.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1186/s40902-019-0212-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300579136