Piezosurgery in Third Molar Extractions: A Systematic Review
Author Information
Author(s): Mancini Antonio, Inchingolo Angelo Michele, Chirico Fabrizio, Colella Giuseppe, Piras Fabio, Colonna Valeria, Marotti Pierluigi, Carone Claudio, Inchingolo Alessio Danilo, Inchingolo Francesco, Dipalma Gianna
Primary Institution: Department of Interdisciplinary Medicine, University of Bari “Aldo Moro”, Bari, Italy
Hypothesis
The study aims to evaluate the clinical efficacy, benefits, and limitations of piezosurgery in tooth extractions compared to conventional methods.
Conclusion
Piezosurgery offers advantages such as reduced postoperative pain, swelling, and trismus, despite longer surgical times compared to conventional methods.
Supporting Evidence
- Piezosurgery reduces postoperative pain and swelling compared to conventional methods.
- Patients treated with piezosurgery reported less discomfort and required fewer analgesics.
- Piezosurgery takes longer to perform than traditional rotary techniques.
- Combining piezosurgery with dexamethasone improves postoperative outcomes.
- Bone healing outcomes with piezosurgery show promise but require further validation.
Takeaway
Piezosurgery is a special way to remove teeth that can hurt less and help heal better, but it takes longer than regular methods.
Methodology
The review included English-language articles published from 2004 to 2024, focusing on randomized clinical trials comparing piezosurgery and conventional methods.
Potential Biases
Most studies have a high risk of bias due to confounding and selection of reported results.
Limitations
The study has a small sample size and lacks long-term follow-up, which may limit the generalizability of the findings.
Participant Demographics
Participants included both male and female patients requiring surgical treatment for impacted third molars.
Statistical Information
P-Value
p ≤ 0.0001
Statistical Significance
p ≤ 0.0001
Digital Object Identifier (DOI)
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