Peizoelectric Ostectomy: A New Technique for Impacted Third Molar Surgery

Abstract

Introduction: Removal of impacted wisdom teeth is a commonly performed procedure in oral and maxillofacial surgery ,but there is a considerable debate among the surgeons, regarding the technique used for osteotomy Objective: To Study the efficacy of piezoelectric device in impacted mandibular third molar surgery. Material and methods: Special designed performa was used to collect the data, conducted in Department of Oral and Maxillofacial Surgery, Babu Banarsi Das College of Dental Sciences, Babu Banarasi Das University, Lucknow Results: The present study found that, the Age of patients ranged from 18-35 years. In both the groups, majority of patients were aged 21-30 years 66% in group A and 62% in group B. There were 15 (30%) females in Group A and 18 (36%) females in Group B. All the patients presented with pain. In Group B, 6% patients each also had carious teeth and complained of food lodgement. Food lodgement was also reported by 2% patient of Group A. Maximum number of cases in both the groups were categorized as moderately difficult. There were 32% cases in Group A and 34% in Group B who were categorized as very difficult. Maximum pain was reported on day 1 after procedure in both the groups which gradually diminished to reach the score 0 by day 30. None of the patients reported of pain at one month and three month. Tragus to corner of mouth (Mc) measurements in Group B were significantly higher as compared to that in Group A from postoperative day 1 till day 7. From day 1 till day 7 post-operative intervals, mouth opening in Group A was significantly higher as compared to that in Group B. Conclusion: Comparing the overall outcome in both our study groups, we observed significantly less pain, trismus and facial swelling with a better patient’s perception of quality of life after third molar extraction using the piezotome. Kew Words: Third Molar surgery, Piezotome, Distoangular, Horizontal, Post Operative