Neurosensory Disturbances After Bilateral Sagittal Split Osteotomy Using Piezoelectric Surgery: A Systematic Review

Rude, Kristian; Svensson, Peter; Starch‐Jensen, Thomas

doi:10.1016/j.joms.2018.06.029

Cited by 19 publications

(10 citation statements)

References 67 publications

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“…In this study model, each patient received only two dental fixtures in order to decrease the number of experimental variables. Furthermore, in the posterior mandible region the risk of damaging the alveolar nerve is greater [26], in fact, implant bed preparation with a piezoelectric device reduces the possible damage to the inferior alveolar nerves [27,28].…”

Section: Discussionmentioning

confidence: 99%

Ultrasonic vs Drill Implant Site Preparation: Post-Operative Pain Measurement Through VAS, Swelling and Crestal Bone Remodeling: A Randomized Clinical Study

et al. 2018

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Background: Piezosurgery is a surgical procedure that is able to perform osteotomies by a micrometric and selective cut of the bone tissue. The objective of this investigation was to evaluate two different techniques; an ultrasonic device, and a drill approach for implant site preparation. Methods: A total of fifty patients were recruited for the randomized clinical trial to receive dental implants for fixed prosthetic restoration in the posterior mandible and were allotted to two groups. In Group A the implant site was prepared following a drilling technique, while in Group B the implant site was prepared using an ultrasonic device; moreover, the operative duration was recorded. Postoperative pain and swelling were evaluated at 1, 2, 4, and 6 days. The crestal bone resorption was measured at 3 months from implant placement by a three-dimensional tomography evaluation. Results: The findings suggest that osteotomies performed by an ultrasonic device cause less pain and swelling. On the other hand, the piezoelectric preparation was characterized by a significative increase in the operative time. No statistical differences in crestal bone resorption were evident in the two different approaches. Conclusions: According to the outcome of the study, ultrasonic implant bed preparation can be used with success in implantology and could be considered a suitable alternative to traditional drilling techniques for dental fixture placement.

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Section: Discussionmentioning

confidence: 99%

Ultrasonic vs Drill Implant Site Preparation: Post-Operative Pain Measurement Through VAS, Swelling and Crestal Bone Remodeling: A Randomized Clinical Study

et al. 2018

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“…Neurosensory recovery after SSO has been studied extensively, with a wide variety of neurosensory scales used. [23][24][25][26][27][28] One potential disadvantage of using any particular method of assessment is the possibility of a lack of comparability between studies. FSR has been used previously for the assessment of IAN function after nerve repair and after SSO.…”

Section: Discussionmentioning

confidence: 99%

“…Although a reasonable conjecture, most studies assessing neurosensory recovery after SSO have consistently evaluated pain and temperature, 2-point discrimination, and superficial touch, all of which are included in the MRC scale. [23][24][25][26][27][28] Using the MRC scale, complete neurosensory recovery is classified as a score of S4, which was present at 88% of the sites. Nearly all the subjects (90%) within the present cohort had perception of normal sensation, relative to a positive control, in the IAN distribution within the follow-up period.…”

Section: Discussionmentioning

confidence: 99%

The Low Medial Horizontal Osteotomy in Patients With Atypical Ramus Morphology Undergoing Sagittal Split Osteotomy

Susarla

Cho

Ettinger

et al. 2020

Journal of Oral and Maxillofacial Surgery

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“…Entre los pasos del procedimiento quirúrgico, se incluyen distintos tipos de osteotomías maxilares o mandibulares que tradicionalmente se han realizado por medio de instrumental rotatorio o sierras convencionales. Entre las desventajas de la utilización de este tipo de instrumental se ha descrito un daño accidental a tejidos blandos aumentando la incidencia de complicaciones intra o postoperatorias tales como daño a tejido nervioso o vasos sanguíneos (1) . Desde el año 2005 en adelante, el uso de instrumental piezoeléctrico en cirugía ortognática ha ido en aumento con el fin de minimizar el riesgo de daño a tejidos blandos y garantizar un campo quirúrgico menos contaminado (2,3) .…”

Section: Problemaunclassified

Instrumental piezoeléctrico comparado con sierra convencional en cirugía ortognática.

Vargas-Buratovic

López-Suárez

Rojas-Bascuñán

et al. 2021

Int. j interdiscip. dent.

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Introducción:La utilización de instrumental piezoeléctrico en cirugía ortognática ha ido en aumento con el fin de minimizar el riesgo de daño a tejidos blandos en comparación al uso de sierra convencional. Sin embargo, aún existe incertidumbre respecto a las complicaciones asociadas a cada instrumental. Métodos: Realizamos una búsqueda en Epistemonikos, la mayor base de datos de revisiones sistemáticas en salud, la cual es mantenida mediante el cribado de múltiples fuentes de información, incluyendo MEDLINE, EMBASE, Cochrane, entre otras. Extrajimos los datos desde las revisiones identificadas, analizamos los datos de los estudios primarios, realizamos un meta análisis y preparamos una tabla de resumen de los resultados utilizando el método GRADE. Resultados y conclusiones: Identificamos cuatro revisiones sistemáticas que en conjunto incluyeron 10 estudios primarios, de los cuales, cuatro corresponden a ensayos aleatorizados. Concluimos que el uso de instrumental piezoeléctrico en comparación con la sierra convencional podría disminuir el riesgo de daño nervioso grave y disminuir el sangrado grave (>500 mL), pero la certeza de la evidencia es baja. Por otra parte, el uso de instrumental piezoeléctrico podría presentar poca o nula diferencia en el dolor postoperatorio, pero la certeza de la evidencia es baja. Finalmente no es posible establecer con claridad si el uso de instrumental piezoeléctrico disminuye la pérdida de sangre intraoperatoria (variable continua), la inflamación postoperatoria o el tiempo operatorio, ya que la certeza de la evidencia existente ha sido evaluada como muy baja.

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Neurosensory Disturbances After Bilateral Sagittal Split Osteotomy Using Piezoelectric Surgery: A Systematic Review

Cited by 19 publications

References 67 publications

Ultrasonic vs Drill Implant Site Preparation: Post-Operative Pain Measurement Through VAS, Swelling and Crestal Bone Remodeling: A Randomized Clinical Study

Ultrasonic vs Drill Implant Site Preparation: Post-Operative Pain Measurement Through VAS, Swelling and Crestal Bone Remodeling: A Randomized Clinical Study

The Low Medial Horizontal Osteotomy in Patients With Atypical Ramus Morphology Undergoing Sagittal Split Osteotomy

Instrumental piezoeléctrico comparado con sierra convencional en cirugía ortognática.

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