Vol. 5, Issue 7 (2019)
Evaluation of post-surgical outcome of impacted third molar removal using piezoelectric surgery in Comparison With Conventional Rotatory
Author(s): Dr. Shazia Khatoon, Dr. Samir Jain
Abstract: Removal of impacted wisdom teeth is a commonly performed procedure in oral and maxillofacial surgery, but there is a considerable debate among the surgeons, regarding the technique used for osteotomy. For this generally requires certain degree of bone removal to facilitate delivery of tooth from its position. Various bone cutting tools, both rotatory and hand cutting have been used extensively to accomplish the same. The surgical removal of third molar teeth may result in a number of complications including pain, trismus, swelling, bleeding, alveolar osteitis, nerve dysfunction or even infections. Piezosurgery is a new and revolutionary osteotomy technique utilizing the micro vibration of scalpels at ultrasonic frequency. Rotary speed ranging from 15,000 to 25,000 rpm used in oral surgery produces macro vibration and requires a supplemental force to oppose the rotating couple of the instrument. The present study was planned to to compare surgical and post-surgical outcome of impacted third molar removal using piezoelectric on one side and rotary bur on contralateral side. The present study was planned in the Department of Dentistry, Anugrah Narayan Magadh Medical College, Gaya, Bihar. Total 10 patients were selected for the present study to compare surgical and post-surgical outcome of impacted third molar emoval using piezoelectric on one side and rotary bur on contralateral side.. Preoperative orthopantomogram and intraoral periapical radio figures were taken. The patients were subjected to removal of impacted mandibular third molars using piezoelectric and rotary bur. The data generated from the present study concludes that piezoelectric instrument is better alternative for removal of impacted tooth than rotary instruments. Extensive studies are required to be conducted for its different uses in osseous surgeries, so that its range of applications can be widened with fewer limitations in the field of oral and maxillofacial surgery with improving patient’s compliance and satisfaction.