Piezosurgery versus conventional method alveoloplasty

Abstract

Purpose:Conventional alveoloplasty procedure using manual instruments results in higher resorption of the residual alveolar ridge, which is unsuitable for denture construction. The purpose of this study was to evaluate the effect of piezosurgery-assisted alveoloplasty using minimally invasive technique compared to that of the conventional technique.Materials and Methods:This was a comparative in vivo study. The study sample consisted of 35 edentulous patients with bilateral bony spicules requiring alveoloplasty. The primary outcome variables assessed were time required for alveoloplasty, postoperative pain using visual analogue scale (VAS), and postoperative healing using Landry, Turnbull, and Howley healing index. The differences between the outcome variables were statistically analyzed using paired t-test.Results:The participants consisted of 35 patients (25 men and 10 women; age range: 38–83 years) diagnosed with bilateral bony spicules on the edentulous alveolar ridge. There was a statistically highly significant difference between both groups with respect to the outcome variables such as time required, VAS at 2nd day, and healing index at 7th day with higher mean of time required (in sec), higher mean of VAS, and lower healing index for conventional group as compared to piezo group (P < 0.05).Conclusion:Alveoloplasty done using piezosurgery not only reduces patient's postoperative discomfort but also maintains the alveolar bone integrity by not disturbing the soft-tissue and hard-tissue architecture, allowing faster healing of tissues, which makes the future prosthesis replacement easier

Analysis of pre-prosthetic surgeries performed in a private dental institution

“…The most commonly performed surgery for both genders was valvuloplasty. A previous study was similar to our study inding and found that alveoplasty was common in males (Gangwani et al, 2018).…”

“…In our study, the most common age group to undergo pre-prosthetic surgery are patients of 51-60 years. Results of study by Gangmani et al were similar to our study as they also reported patients of 60 years of age are common age groups who undergo pre-prosthetic surgery (Gangwani et al, 2018). It is observed in our study that alveoplasty is more common in patients above 40 years and frenectomy is highly prevalent in patients below 40 years.…”

Alveoloplasty: A Case Report of Recontouring The Alveolar Process

“…It has been found that there is requirement of alveoloplasty in almost every patient who has undergone multiple extractions and may also be needed in those with single extraction. (Gangwani et al, 2018) The goal for contouring the alveolar ridge is to gain favorable tissue support for the designed prosthesis while conserving as much soft tissue and hard tissue as possible. (Fonseca and Davis, 1986) Dental practitioner or clinicians should be able to evaluate and recognize the requirement of any changes of the denture loading areas.…”

“…According to (Gangwani et al, 2018) alveoloplasty using piezosurgery results in lesser discomfort and maintains the proper alveolar ridge integrity without disturbing the soft tissue and hard tissue structure. It allows faster healing as compared to conventional technique.…”

Osteorradionecrose em mandíbula tratada com fibrina rica em plaquetas e bola de Bichat: relato de caso clínico

“…15 Seu uso resulta num pós -operatório mais confortável ao paciente, com menos dor e edema, quando comparada às técnicas cirúrgicas convencionais. 16 Não existe um protocolo de tratamento para a ORN, devendo cada caso ser avaliado individualmente, de acordo com a extensão da doença. No presente caso, o uso da pentoxifilina associada ao tocoferol, juntamente com a remoção ultrassónica do sequestro ósseo, associada ao enxerto da fibrina rica em plaqueta e Bola de Bichat mostrou -se eficiente, com completa cicatrização local.…”