Piezosurgery Versus Conventional Surgery in Radicular Cyst Enucleation

Abstract

Piezosurgery may be considered effective in procedures such as enucleation that require sensitive manipulation, despite the increase in the length of the overall surgical procedure. Given the results of the present study and the current lack of information in the literature regarding postoperative pain, infection, and long-term success rates associated with the use of piezosurgery in cyst enucleation, further study in this area is recommended.

Apicoectomy of maxillary anterior teeth through a piezoelectric bony-window osteotomy: two case reports introducing a new technique to preserve cortical bone

“…Due to the cessation of the surgical action of the piezoelectric scalpel when it comes in contact with non-mineralized tissue, there is a reduced risk of perforation of the Schneiderian membrane. Piezoelectric handpieces also reduce intraoperative bleeding due to the cavitation effect of the coolant being used, making the surgical site easier to operate in due to better visibility 1617…”

Treatment of a Large Radicular Cyst

“…1,3,4 According to Kontogiannis et al, 1 the RC represents 64.91% of periapical lesion. The differential diagnosis of RC may include dentigerous cyst, eruption cyst, residual cyst, paradental cyst, glandular odontogenic cyst, lateral periodontal cyst, gingival cyst, incisive canal cyst, traumatic bone cyst, and odontogenic tumors.…”

“…1 They are usually diagnosed by routine radiographic examination, which may be accompanied or not by acute pain in the tooth involved. [2][3][4] In this context, the RC may have its preliminary clinical diagnosis based on the following clinical and radiographic findings: involvement of lesion with 1 or more nonvital teeth; to be greater than 200 mm 2 in size; to present radiographically as a circumscribed, well-defined radiolucent area bound by a thin radiopaque line; and produces a straw-colored fluid upon aspiration. 2,3 However, the definitive diagnosis of an RC may be made only by a histological examination.…”

Rehabilitation With Implants After Bone Lid Surgery in the Posterior Mandible

“…They also reported longer operating times for cyst enucleation using piezosurgery. 13 A randomized clinical trial also was conducted to compare piezosurgery with conventional rotatory surgery for mandibular cyst enucleation in 80 patients (40 per group). 9 Subjective postoperative pain was recorded daily for 7 days using a visual analog scale and was lower in the piezosurgery group.…”