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Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction

Received: 7 July 2015     Accepted: 17 July 2015     Published: 18 July 2015
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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.

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 1, Issue 2)
DOI 10.11648/j.ijcoms.20150102.11
Page(s) 11-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Impacted Wisdom, Clinical Study, Piezosurgery, Histopathological Study

References
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Cite This Article
  • APA Style

    Shadia Abdel-Hameed Elsayed, Eman Seada, Nahed Adly, Fatma Ahmed Khalifa. (2015). Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction. International Journal of Clinical Oral and Maxillofacial Surgery, 1(2), 11-16. https://doi.org/10.11648/j.ijcoms.20150102.11

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    ACS Style

    Shadia Abdel-Hameed Elsayed; Eman Seada; Nahed Adly; Fatma Ahmed Khalifa. Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction. Int. J. Clin. Oral Maxillofac. Surg. 2015, 1(2), 11-16. doi: 10.11648/j.ijcoms.20150102.11

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    AMA Style

    Shadia Abdel-Hameed Elsayed, Eman Seada, Nahed Adly, Fatma Ahmed Khalifa. Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction. Int J Clin Oral Maxillofac Surg. 2015;1(2):11-16. doi: 10.11648/j.ijcoms.20150102.11

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  • @article{10.11648/j.ijcoms.20150102.11,
      author = {Shadia Abdel-Hameed Elsayed and Eman Seada and Nahed Adly and Fatma Ahmed Khalifa},
      title = {Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {1},
      number = {2},
      pages = {11-16},
      doi = {10.11648/j.ijcoms.20150102.11},
      url = {https://doi.org/10.11648/j.ijcoms.20150102.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20150102.11},
      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.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Effect of Piezosurgical Bone Removal on Postoperative Sequelae of Impacted Mandibular Wisdom Extraction
    AU  - Shadia Abdel-Hameed Elsayed
    AU  - Eman Seada
    AU  - Nahed Adly
    AU  - Fatma Ahmed Khalifa
    Y1  - 2015/07/18
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ijcoms.20150102.11
    DO  - 10.11648/j.ijcoms.20150102.11
    T2  - International Journal of Clinical Oral and Maxillofacial Surgery
    JF  - International Journal of Clinical Oral and Maxillofacial Surgery
    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
    SP  - 11
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2472-1344
    UR  - https://doi.org/10.11648/j.ijcoms.20150102.11
    AB  - 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.
    VL  - 1
    IS  - 2
    ER  - 

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Author Information
  • Oral & Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, Al Azhar University, Egypt

  • Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt

  • Oral & Maxillofacial Surgery Department, Faculty of Dental Medicine for Girls, Al Azhar University, Egypt

  • Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt

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