Comparative evaluation of surgical outcome after removal of impacted mandibular third molars using a Piezotome or a conventional handpiece: a prospective study

Goyal, Manoj; Marya, Karan; Jhamb, Aakarsh; Chawla, Sonia; Sonoo, Priyanshu Ranjan; Singh, Veenita; Aggarwal, Anuj

doi:10.1016/j.bjoms.2011.10.010

Cited by 100 publications

(106 citation statements)

References 22 publications

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“…The metaanalysis showed a high heterogeneity among the studies, even after the completion of sensitivity tests, showing no consistency among the results. Among the studies that evaluated postoperative pain compared to the use of piezoelectric motor and the use of osteotomy with rotary instruments, four (4) had results favoring the use of piezoelectric motor [14,15,23,24]. The other four (4) studies showed no statistically significant differences between the methods evaluated [25,28].…”

Section: Painmentioning

confidence: 99%

“…Of the seven (7) studies that evaluated the edema, six (6) showed favorable results for the use of the piezoelectric motor for the removal of third molars, because they have less swelling after surgery at different measurement times of 1, 2, 3, 5 and 7 days postoperative [14,15,23,[28][29][30]. In one study, there was no statistical difference between the piezoelectric motor and the rotary instruments [27].…”

Section: Edemamentioning

confidence: 99%

“…Through the meta-analysis, it was only possible to compare trismus variables [15,23,25] and surgical time [14, 15, 23-25, 28, 29]. A total of three hundred and sixtyfour (364) subjects were enrolled in the meta-analysis for surgical time.…”

Section: Trismus and Surgical Timementioning

confidence: 99%

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Rotary Instrument or Piezoelectric for the Removal of Third Molars: a Meta-Analysis

Magesty

Galvão

Martins

et al. 2016

J. Maxillofac. Oral Surg.

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Aim The aim of this systematic review and meta-analysis was to compare, in the lower third molar surgery, the osteotomy techniques with rotary instruments and piezoelectric motors. Methods An electronic search was conducted using the following databases: Pubmed, Web of Science, and the Cochrane Oral Health Group Trials Register. Inclusion criteria were: studies in humans, randomized or nonrandomized, comparing the extraction of third molars that required osteotomy and/or odontosection with rotary instrument and osteotomy and/or odontosection with piezoelectric motor assistance. The analysis and inclusion of articles was performed by two reviewers independently. An evaluation of the quality of articles and data extraction was carried out. Results From a total of nine hundred seventy four (974) trials, eleven articles were included in the qualitative analysis, and seven were included in the quantitative analysis. Rotary instruments were faster than the piezoelectric surgery (95 % CI 0.34 to 1.16). The piezoelectric surgery showed better results when compared with roatry instruments when trismus was assessed in 2 (95 % CI 0.65 to 1.69), 3 (95 % CI 0.63 to 1.67) and 5 (95 % CI 0.03 to 2.26) days after surgery. Seven days after surgery, there were no differences between the techniques (95 % CI (-0.022) to (-1.49)). Conclusion The piezoelectric surgery was effective in reducing pain, swelling and trismus in third molar surgery, but the same requires greater surgical time than the rotary instruments.

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Section: Painmentioning

confidence: 99%

Section: Edemamentioning

confidence: 99%

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Rotary Instrument or Piezoelectric for the Removal of Third Molars: a Meta-Analysis

Magesty

Galvão

Martins

et al. 2016

J. Maxillofac. Oral Surg.

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“…Measurement tools mentioned in the literature have included visual analog scales, trismus recordings, standardized stereo-radiographic or photographic measurements, computerized tomography, modified face bow devices, ultrasonography, facial plethysmographs, or various other means of taking direct facial measurements. In the present study, a modification of the tape-measure method as described by Schultze-Mosgau et al [6][7][8], two measurements were made between three reference points: the tragus, pogonion and corner of the mouth. The preoperative sum of the two measurements was considered as the baseline for that side.…”

Section: Discussionmentioning

confidence: 99%

“…Facial swelling was measured using a measuring tape on the 1st, 3rd and 7th postoperative days by a modification of the tape-measure method as described by Schultze-Mosgau et al [6][7][8]. Two measurements were made between three reference points: the tragus, pogonion and corner of the mouth.…”

Section: Methodsmentioning

confidence: 99%

Pre-Emptive Analgesia with Ketamine for Relief of Postoperative Pain After Surgical Removal of Impacted Mandibular Third Molars

Hadhimane

Shankariah

Neswi

2015

J. Maxillofac. Oral Surg.

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Purpose In this study we assessed the clinical efficacy of sub-mucosal injection of ketamine at sub-anesthetic dose of 0.5 mg/kg on post-operative pain, swelling and trismus following surgical extraction of impacted mandibular third molars. Methods Forty bilaterally symmetrical impacted mandibular third molars in 20 patients who required surgical removal were included in the study. Within the same individual, one of the sites received a test medication whereas the other site was used as control. All patients received nerve blocks with local anesthetic (2 % lignocaine hydrochloride with 1:80,000 adrenaline); the Test group received sub-mucosal infiltration of 0.5 mg/kg of ketamine hydrochloride (without preservative) around the impacted mandibular third molar and along the incision line, while the Placebo group received normal saline infiltration, 10 min before placement of the incision. Results The pain scores on VAS at 30 min, 1, 4, 12 h and 1 day post-operatively was significantly lower in the Test group than in the Placebo group (p \ .05). With respect to facial swelling and mouth opening the Test group and Placebo group showed overall no statistically significant difference (p [ .05) on the 1st, 3rd and 7th post-operative days. Conclusion The sub-mucosal injection of 0.5 mg/kg ketamine administered before surgical removal of impacted mandibular third molars was found to be effective in significantly reducing post-operative pain for the first 24 h.

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Surgical techniques for the removal of mandibular wisdom teeth

Coulthard

Bailey

Esposito

et al. 2014

Cochrane Database of Systematic Reviews

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The thirty-five included trials looked at a range of different surgical techniques. The comparisons related to seven broad aspects of the surgical procedures for impacted mandibular third molars: type of surgical flap raised, use of retractors, techniques for bone removal, wound irrigation, wound closure, wound drainage, and complete/incomplete tooth removal. The quality of the body of evidence for each of these comparisons was very low to moderate due to the small number of trials and patients, and the majority of the trials being at high risk of bias (65%) with the remainder at unclear risk of bias.The evidence for making changes to surgical practice is therefore limited. However, it is useful to describe the state of the research evidence supporting practice so that surgeons can make an informed choice in adopting new techniques, or continuing with established techniques.

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Comparative evaluation of surgical outcome after removal of impacted mandibular third molars using a Piezotome or a conventional handpiece: a prospective study

Cited by 100 publications

References 22 publications

Rotary Instrument or Piezoelectric for the Removal of Third Molars: a Meta-Analysis

Rotary Instrument or Piezoelectric for the Removal of Third Molars: a Meta-Analysis

Pre-Emptive Analgesia with Ketamine for Relief of Postoperative Pain After Surgical Removal of Impacted Mandibular Third Molars

Surgical techniques for the removal of mandibular wisdom teeth

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