Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction
International Journal of Clinical Oral and Maxillofacial Surgery
Volume 1, Issue 2, August 2015, Pages: 11-16
Received: Jul. 7, 2015; Accepted: Jul. 17, 2015; Published: Jul. 18, 2015
Views 3775      Downloads 98
Authors
Shadia Abdel-Hameed Elsayed, Oral & Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, Al Azhar University, Egypt
Eman Seada, Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
Nahed Adly, Oral & Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, Al Azhar University, Egypt
Fatma Ahmed Khalifa, Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt
Article Tools
Follow on us
Abstract
Objectives: This study was conducted to evaluate the effect of piezosurgery device as a recent modality for bone removal of impacted lower eight in comparison to high speed hand piece regarding its effect on postoperative pain, trismus and oedema. Materials and methods: Fifty patients presenting with impacted mandibular third molars were selected from the out-patient clinic of the Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al Azhar University girls’ branch. All patients were followed up clinically at 1, 3, 5, 7, 15 days postoperatively. Histological examination of bone after ostectomy was performed. Results: The caliper measurements of oedema of group I (high speed) at day 1, 3 showed statistically significant higher mean measurements than group II (piezosurgery group). piezosurgery group showed statistically significant higher mean IID compared to high speed group at days 1, 3, 5. High speed group showed statistically significant higher mean VAS score than piezosurgery group at days 1, 3, 5, 7. High speed group showed statistically significant higher mean number of consumed analgesic tablets than piezosurgery group at days 1, 3, 5. Regarding histopathological examination, bone samples of piezosurgery were made up of well organized and well vascularized bone with lamellar architecture surrounding the haversian channels and with a linear and well formed osteotomy lines, while the bone samples from high speed group were badly cut with irregular osteotomy lines and with evidence of bone heat osteonecrosis. Conclusions: The results of this study suggest that piezosurgery should be a suitable modality of osteotomy during surgical removal of impacted lower third molar with less postoperative complications than the conventional method.
Keywords
Impacted Wisdom, Clinical Study, Piezosurgery, Histopathological Study
To cite this article
Shadia Abdel-Hameed Elsayed, Eman Seada, Nahed Adly, Fatma Ahmed Khalifa, Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction, International Journal of Clinical Oral and Maxillofacial Surgery. Vol. 1, No. 2, 2015, pp. 11-16. doi: 10.11648/j.ijcoms.20150102.11
References
[1]
Renton T, Smeeton N, Mc Gurk M: Factors predictive of difficulty of mandibular third molar surgery. Br Dent J. 2001; 190: 607.
[2]
Pavlikova G, Folta'n R, Horka M, Hanzelka T, Brunska H, S'edy J: Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg. 2011; 40: 451.
[3]
Stubinger S, Kuttenberger J, Filippi, Sader R, Zeihofer HF: Intraoral piezosurgery: Preliminary results of a new technique. J oral Maxillofac Surg. 2005;63 (9): 1283.
[4]
Vercellotti T, De paoli S, Nevins M : The piezoelectric bony window osteotomy and sinus membrane elevation: introduction of a new technique for simplification of the sinus augmentation procedure. Int J Periodontics Restorative Dent. 2001; 21:561.
[5]
Cristalli PM, Monaca LG, Sgaramella N, Vozza J: Ultrasonic bone surgery in the treatment of impacted lower third molar associated to complex exodontoma: A case report. Ann Stomatol (Roma). 2012; 3:64.
[6]
Robiony M, Polini F, Costa F, Vercellotti T, Politi N: Piezoelectric bone cutting in multipiece maxillary osteotomies. J Oral Maxillofac Surg. 2004; 62:759.
[7]
Sivolella S, Berengo M, Scarin M, Mella F, Martinelli F: Autogenous particulate bone collected with a piezo-electric surgical device and bone trap: a microbiological and histomorphometric study. Achieves of oral Biology. 2006; 51: 883.
[8]
Vercellotti T: Technological characteristic and clinical indication of piezoelectric bone surgery. Minerava Stonatol. 2004; 53(5): 207.
[9]
Heinemann F, Hasan I, Keil C K, Gotz W, Gedrange T, Spassov A, Schweppe J and Gredes T: Experimental and histological investigations of the bone using two different oscillating osteotomy techniques compared with conventional rotary osteotomy. Annals of Anatomy. 2012;194: 165.
[10]
Maurer P, Kriwalsky MS, Block versa R, Brandt J, Heissc: Light micrscopic examination of rabbit skulls following conventional and piezsurgery osteotomy. Bio Med Tech. 2007;52: 351.
[11]
See CV, Gellrich NC, Rucker M, Kokemuller H, Kober H and Stover E: Investigation of perfusion in osseous vessels in close vicinity to piezoelectric bone cutting. Brit J Maxillofac Sur. 2012; 50: 251.
[12]
Vercellotti T: Essentials in Piezosurgery clinical advantages in dentistry. London, Paris and Warsaw by Quintessenza Edizioni; 2009.
[13]
Wallace SS, Froum SJ: Effect of maxillary sinus augmentation on the survival of endosseous dental implants, a systemic review. Ann periodontal. 2003; 8: 328.
[14]
AlKhateeb TH, Nusair Y: Effect of the proteolitic enzyme serrapeptase on swelling, pain and trismus after surgical extraction of mandibular third molars. Int J Oral Maxillofac Surg. 2008; 37: 264.
[15]
Gedrange T, Mai R, Mack F, Zietek M, Borsos G, Spassov A, Gredes T: Evaluation of sharp and size changes of bone and remodeled bone substitute after different fixation methods. J Physiol Pharmacol 2008;59:87.
[16]
Frentzen M, Gotz W, Lvanenko M, Atilar S, Werner M, Fiering P: Osteotomy with 80 microns Co2 laser pulses - histological results. Lasers Med Sci. 2003; 18: 119.
[17]
Sivolella S, Berengo M, Bessan E, Di Fiore A, Stellini E. Osteotomy of lower third molar germectomy: randomized prospective crossover clinical study comparing piezosurgery and conventional rotary osteotomy. J Oral Maxillofac Surg. 2011; 69 (6):e15.
[18]
Rullo R, Addabbo F, Papaccio G, DAquino R, Festa MV: Piezoelectric device vs. conventional rotative instruments in impacted third molar surgery: Relationships between surgical difficulty and post operative pain with histological evaluations. J Craino Maxillofac Surg. 2013; 41: 33e.
[19]
Goyal M, Marya K, Jhamb A, Chawala S, Sonoo RP, Singh V, Aggarwal A: Comparative evaluation of surgical outcome after removal of impacted mandibular third molars using a piezotome or a conventional hand piece: a prospective study. Br J Oral Maxillofac Surg. 2011;10: 1016.
[20]
Walsh LJ: Piezosurgery: an increasing role in dental hard tissue surgery. Austral Dent Pract. 2007; 9: 52.
[21]
Maurer P, Kriwalsky MS, Block versa R, Brandt J, Heissc: Light micrscopic examination of rabbit skulls following conventional and piezsurgery osteotomy. Bio Med Tech. 2007;52: 351.
[22]
Berengo M, Bacci C, Sartori M, Perini A, Della Barbera M, Valente M: Histomorphometric evaluation of bone grafts harvested by different methods. Minerva Stomatol. 2006;55: 189.
[23]
Vercelloti T, Kim DM, Wada K, Fiorellini JP: Osseous response following respective therapy with piezosurgery. Int J Periodontics Restorative Dent. 2005;25(6): 543.
[24]
Blus C, Moncler SS: Split crest and immediate implant placement with ultrasonic bone surgery: A 3 years life table analysis with 230 treated sites. Clin Oral Implants Res. 2006;17(6): 700.
ADDRESS
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
U.S.A.
Tel: (001)347-983-5186