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Oral and Maxillofacial Surgery
Published in: Oral and Maxillofacial Surgery 1/2020

01-03-2020 | Original Article

A prospective split-mouth clinical study: comparison of piezosurgery and conventional rotary instruments in impacted third molar surgery

Authors: Dilek Menziletoglu, Funda Basturk, Bozkurt Kubilay Isik, Alparslan Esen

Published in: Oral and Maxillofacial Surgery | Issue 1/2020

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Abstract

Purpose

Our purpose was to compare the effects of piezosurgery and conventional rotary instruments on postoperative pain, swelling, trismus, and patients’ comfort after mandibular third molar surgery.

Methods

Thirty patients (27 women and 3 men) with bilateral impacted mandibular third molars were included in this split-mouth clinical study. Sixty impacted third molars were divided into a control group (n = 30), in which the osteotomies were performed using a conventional rotary handpiece technique and an experimental group (n = 30), in which the osteotomies were done by piezosurgery technique. Duration of the procedure was recorded. Postoperative pain was assessed using a visual analogue scale (VAS). All the patients were given a form containing verbal rating scale for evaluating the swelling. Trismus was evaluated using a caliper at maximum mouth opening (cm). In postoperative seventh day, patients were asked to fill a global quality of life (QoL) scale as well.

Results

There was no significant difference in postoperative pain, trismus, and swelling between control and experimental groups (p > 0.05). However, time of the procedure increased in control group (p < 0.05).

Conclusion

Piezosurgery is a safe way for performing the osteotomies during third molar surgery. However, regarding the postoperative morbidity, it does not have an advantage over conventional rotary instruments. Piezosurgery took longer to complete the osteotomy than the rotary handpiece technique.
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Metadata
Title
A prospective split-mouth clinical study: comparison of piezosurgery and conventional rotary instruments in impacted third molar surgery
Authors
Dilek Menziletoglu
Funda Basturk
Bozkurt Kubilay Isik
Alparslan Esen
Publication date
01-03-2020
Publisher
Springer Berlin Heidelberg
Published in
Oral and Maxillofacial Surgery / Issue 1/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-019-00817-7

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