Post-Surgical Morbidity and Bone Healing of Impacted Lower Third Molars: Piezosurgery vs. Conventional Instruments

Ankara University21 enrolled

Overview

The aim of this study is to compare piezosurgery and conventional surgery in impacted third molar surgery and to determine its effect on postoperative outcomes and quality of life.

The aim of our study is to comparatively evaluate the duration of the operation and the pain, trismus, edema and healing of the alveolar bone that occur after tooth extraction in surgical extractions of impacted lower third molar teeth using piezosurgery and traditional rotary instruments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Impacted Third Molar Tooth

Interventions

PiezosurgeryDEVICE

Piezosurgery used as an osteotomy device

Conventional bursDEVICE

Conventional burs used as an osteotomy device

Eligibility

Sex: ALLMin age: 18 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * ASA I-II * Aged 18-35 * Symmetrical Class 2 Position B according to Winter and Pell-gregory classification * Asymptomatic lower third molar tooth with the same difficulty according to the Yuasa difficulty index Exclusion Criteria: * Individuals who had systemic disease affecting bone or soft tissue metabolism * Smokers (more than 10 cigarettes a day) * Alcohol dependent * Systemic disease affecting bone or soft tissue metabolism * Acute pericoronitis or acute periodontal disease at the time of operation, and used antibiotics due to acute infection

Locations (1)

Ankara University Faculty of Dentistry

Ankara, Çankaya, Turkey (Türkiye)

Outcomes

Primary Outcomes

Change in Oral Health-related Quality of Life

Evaluated by Oral Health Impact Profile-14 questionnaire (OHIP-14). The OHIP-14 scores can range from 0 to 56 and are calculated by summing the ordinal values for the 14 items. The domain scores can range from 0 to 8. Higher OHIP-14 scores indicate worse and lower scores indicate better Oral Health Related Quality of Life.

Time frame: Time Frame: 14 days

Secondary Outcomes

Change in pain

Postoperative pain was assessed using a Visual Analogue Scale (VAS) ranging from the absence of pain (score 0) to the most severe pain imaginable

Time frame: 7 days

Change in Mouth opening

The distance between the mesio-incisal corners of the upper and lower central incisors was measured with the help of a ruler when the mouth opening was at its maximum.

Time frame: 7 days

Operation time

The total time from the first incision of the operation site to the last suture was measured with the help of a digital stopwatch as the operation time.

Time frame: Intraoperative

Change in facial swelling

With the technique described by Neupert ; Angle of mandible-tragus Angle of mandible-lateral canthus of eye Mandible corner-nose wing Angle of mandible oral-commissures Measurements were made with a tape measure from 5 points, with the mandible corner-pogonion.

Time frame: 7 days

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.