Comparing Burs and Piezoelectric Techniques for Wisdom Tooth Surgery
Author Information
Author(s): Franco Rocco, Di Girolamo Mattia, Franceschini Carlo, Rastelli Sofia, Capogreco Mario, D’Amario Maurizio
Primary Institution: Department of Life, Health and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
Hypothesis
Does piezoelectric surgery provide better outcomes than traditional bur techniques in third molar surgery?
Conclusion
Piezoelectric surgery results in less postoperative pain and swelling compared to traditional bur techniques, despite longer surgical times.
Supporting Evidence
- Piezoelectric surgery resulted in significantly lower postoperative pain and swelling compared to traditional bur techniques.
- The incidence of nerve injury was lower in the piezoelectric group, though not statistically significant.
- Surgical time was longer with piezoelectric devices, but this was offset by improved healing outcomes.
- Patients reported higher comfort levels during piezoelectric surgery compared to traditional methods.
- Meta-analysis showed that piezoelectric surgery had a significant association with lower pain scores.
Takeaway
When dentists take out wisdom teeth, using a special tool called piezoelectric surgery can hurt less and cause less swelling than the old way with drills, even though it takes a bit longer.
Methodology
This systematic review followed PRISMA guidelines and included randomized controlled trials, clinical trials, and comparative studies assessing third molar surgery using either burs or piezoelectric instruments.
Potential Biases
Low risk of bias was reported in the studies included.
Limitations
The studies included had mixed results, and the longer surgical duration of piezoelectric surgery may limit its use in routine cases.
Participant Demographics
The studies included a total of 208 subjects, with varying demographics across different studies.
Statistical Information
P-Value
p<0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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