Abstract
IntroductionThe aim of this study was the comparision of postoperative outcomes in impacted mandibular third molars that were treated using either platelet-rich fibrin (PRF), a combination of PRF and piezosurgery, or conventional rotatory osteotomy.Patient and methodsThe study included 20 patients; 40 extractions of impacted mandibular third molars were performed. Patients were divided into two main groups. In group A (n = 20), traditional surgery was performed on one side (Group 1, n = 10); traditional surgery was performed, and PRF was administered to the extracted socket on the other side of same patient (Group 2, n = 10). In group B (n = 20), on one side, piezosurgery was used for osteotomy, and PRF was administered (Group 3, n = 10); on the other side of same patient, traditional surgery was performed (Group 4, n = 10). Parameters assessed at baseline for each patient included pain, the number of analgesics taken, trismus, and cheek swelling. These variables were also assessed on postoperative days 1, 2, 3, and 7.ResultsStatistical analysis revealed a significant reduction in postoperative pain (sum of 1st, 2nd, 3rd and 7th days) and trismus (on postoperative day 1) in group 2 (traditional surgery + PRF group), and in postoperative pain, the number of analgesics taken (sum of 1st, 2nd,3rd and 7th days) and trismus (on postoperative day 1) in group 3 (piezosurgery + PRF group) compared to groups 1 and 4 (traditional surgery groups), (p ≤ 0.05). However, swelling on postoperative days 1, 3, and 7 did not differ among the groups (p > 0.05). Only difference was on second day between groups 1–4 and 2–4 (p ≤ 0.05).ConclusionsThe results of our study have shown that the use of PRF with traditional surgery and PRF combined with piezosurgery significantly reduced pain during the postoperative period. In addition, PRF in combination with piezosurgery significantly decreased the number of analgesics taken. Both operations also significantly decreased trismus 24 h after the surgery. As a result of this study, PRF and combination use of PRF and piezosurgery have positive effects in reducing postoperative outcomes after impacted third molar surgery.
Highlights
The aim of this study was the comparision of postoperative outcomes in impacted mandibular third molars that were treated using either platelet-rich fibrin (PRF), a combination of PRF and piezosurgery, or conventional rotatory osteotomy.Patient and methodsThe study included 20 patients; 40 extractions of impacted mandibular third molars were performed
The results of our study have shown that the use of PRF with traditional surgery and PRF combined with piezosurgery significantly reduced pain during the postoperative period
PRF in combination with piezosurgery significantly decreased the number of analgesics taken
Summary
The aim of this study was the comparision of postoperative outcomes in impacted mandibular third molars that were treated using either platelet-rich fibrin (PRF), a combination of PRF and piezosurgery, or conventional rotatory osteotomy.Patient and methodsThe study included 20 patients; 40 extractions of impacted mandibular third molars were performed. Parameters assessed at baseline for each patient included pain, the number of analgesics taken, trismus, and cheek swelling These variables were assessed on postoperative days 1, 2, 3, and 7. After the removal of impacted third molars, at the early postoperative periods, patients generally complain of pain, trismus and swelling which are the complications of this procedure [2, 3]. These inflammatory complications still remain an important factor for patients and surgeons are responsible for developing a strategy to reduce the risk of complications and improve postoperative healing [4]. As noted by Sivolella, such instruments have been employed in a wide range of procedures and surgical interventions, including maxillary sinus elevation, bone harvesting, alveolar crest enlargement, implantology, periodontal and orthognathic maxillofacial surgery, dental exposure and extractions, as well as ear, nose and throat surgery for the removal of cysts and tumours [18]
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