Ana Gigovska Arsova¹, Bruno Nikolovski^1,2*, Biljana Evrosimovska¹, Nikola Gigovski³ and Boris Velickovski⁴

¹University Dental Clinical Center “St. Pantelejmon”, Clinic for Oral Surgery and Implantology, Skopje, North Macedonia
²Faculty of Medical Sciences, Goce Delcev University, Stip, North Macedonia
³Faculty of Dentistry, Department for Prosthodontics, Ss. Cyril and Methodius University, Skopje, North Macedonia
⁴Faculty of Dentistry, Department for Oral Surgery, Ss. Cyril and Methodius University, Skopje, North Macedonia

*Corresponding Author: Bruno Nikolovski, University Dental Clinical Center “St. Pantelejmon”, Clinic for Oral Surgery and Implantology, Skopje, North Macedonia.

Received: July 17, 2023; Published: August 04, 2023

Abstract

Background: Impacted mandibular third molars are frequently encountered in daily oral surgery practice. Surgical extraction of these teeth is indicated when they cause multiple problems that interfere with the normal functioning of the masticatory system, or as a prophylactic measure to prevent clinical symptoms. Due to the shortcomings of traditional rotary instruments, piezosurgery appears as an alternative technique to osteotomy whose main benefits are that it is inert to soft anatomical structures and it reduces the risk of damage or thermal necrosis of osteocytes.

Aim: The aim of this study is to compare piezosurgical and conventional osteotomy with hand piece and burs evaluating the time needed for the osteotomy and the intensity of postoperative complications, including pain and trismus.

Materials and Methods: Intraoperative and postoperative aspects were evaluated for the comparison between piezosurgical osteotomy and osteotomy with rotary instruments in the surgical removal of mandibular impacted wisdom teeth in total of 15 young patients through a split-mouth study.

Results: It takes more time to perform an osteotomy using piezosurgery compared to the conventional technique with rotatory instruments, but statistically non-significant. Postoperative pain and trismus were lower in the test group where the osteotomy was performed piezosurgically, also without statistical significance.

Conclusion: Due to the lower intensity of postoperative symptoms, piezosurgery is a good therapeutic option for osteotomy, especially in cases where there is a high risk of injury to adjacent soft tissues.

Keywords:Impacted Mandibular Third Molars; Rotary Instruments; Piezosurgery; Osteotomy

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Citation

Citation: Bruno Nikolovski.,et al. “Comparative Evaluation of Clinical Effects After Operative Extraction of Impacted Mandibular Third Molars Using Piezosurgery and Rotary Instruments".Acta Scientific Dental Sciences 7.9 (2023): 14-22.

Copyright

Copyright: © 2023 Bruno Nikolovski.,et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.