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

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.

Keywords

• piezoelectric surgery; impacted third molar; morbidity; recovery

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

Abstract

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.

Keywords

• piezoelektrik cerrahi; gömülü üçüncü molar; morbidite; iyileşme

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