Piezosurgery and classical surgical techniques in surgical extraction of third molar teeth

Abstract

Background:Producing a safer and less aggressive osteotomy technique, to decrease the complications in oral and maxillofacial surgery, was the main goal for the clinicians for many years. As a result of these researches piezoelectric surgery is introduced a new osteotomy technique that can support conventional osteotomy techniques in oral and maxillofacial surgery.

Objective:In this study we compared piezosurgery and classical surgery techniques for mandibular third molar surgery in terms of preoperative, intraoperative and postoperative (anxiety, pain, and nerve damage and also gender and position of tooth) parameters.

Methods:21 patients (14 female, 7 male) with bilateral same positioned mandibular third molars which were concluded to extract with the indications of prosthetic, orthodontic reasons and pressure pain were included in our study. All the procedures are done by same surgeon. The data were processed statistically using the SPSS (Statistical Package for Social Sciences) for Windows 15.0.

Findings and conclusionNerve and vessel protection, selective, precise, less aggressive osteotomy are some advantages of piezosurgery; but it is not seemed to be significantly more beneficial than classical osteotomy method in terms of reducing perioperative anxiety and pain.

No significant difference was seen between piezoelectric and classical osteotomy techniques in terms of pain, anxiety and nerve damage.