Surgical disimpaction of mandibular third molars: A comparative study on clinical effects of three different osteotomy techniques
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 11
Abstract
Aim The aim of this study is to find out the ideal osteotomy technique while removing impacted mandibular third molar with minimal post-operative discomfort to the patients using three different osteotomy techniques. Material and method Sample size of 15 patients 6 males, 9 females with a mean age of 27.43 ± 5.27. Unilateral extractions were required in all patients. All the patients were randomly allocated to three groups (n=5 in each) depending on the two different speed of the handpiece and piezoelectric device used for osteotomy (Group-A ; slow=20000rpm, Group-B fast=40000rpm and Group-C piezoelectric device=5). All the patients were clinically evaluated for pain using VAS score, swelling and mouth opening pre-operatively, post-operatively at day1 and 7. Results Parameters assessed in this study were –pain (visual analog scale VAS score), swelling and mouth opening (interincisal opening in all the three groups at baseline, 1st and 7th postoperative day. Comparing the three groups pain scores with (P < 0.05) a statistically significant difference was found for pain on 7th postoperative day between the three groups and a significant difference was noted on comparing the swelling at postoperative day 1 for Group-C. No significant difference was noted with regard to mouth opening amongst the three groups. Conclusion This study demonstrated us that there is no major difference in postoperative sequelae irrespective of the type of osteotomy techniques are used for removal of impacted mandibular third molar. However piezosurgery group showed significantly better reduction of swelling & control over pain and on 1st & 7th postoperative day respectively. Piezosurgery also does help in soft tissue protection, optimal visibility in the surgical field, decreased blood loss, less vibration and noise, increased comfort for the patient, and protection of tooth structures compared to coventional techniques.
Authors and Affiliations
Dr. Vidhi C. Rathi
Keywords
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