Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars
Impacted third molars can be extracted by regular surgery or piezosurgery. The aim of this study was to compare clinical parameters and device-produced noise levels between regular surgery and piezosurgery for the extraction of impacted third molars. Methods: Twenty patients (18 women and 2 men, 17–...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-10-01
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| Series: | Journal of the Formosan Medical Association |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664614000485 |
| _version_ | 1818020973783285760 |
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| author | Hao-Hueng Chang Ming-Shu Lee You-Chyun Hsu Shang-Jye Tsai Chun-Pin Lin |
| author_facet | Hao-Hueng Chang Ming-Shu Lee You-Chyun Hsu Shang-Jye Tsai Chun-Pin Lin |
| author_sort | Hao-Hueng Chang |
| collection | DOAJ |
| description | Impacted third molars can be extracted by regular surgery or piezosurgery. The aim of this study was to compare clinical parameters and device-produced noise levels between regular surgery and piezosurgery for the extraction of impacted third molars.
Methods: Twenty patients (18 women and 2 men, 17–29 years of age) with bilateral symmetrical impacted mandibular or maxillary third molars of the same level were included in this randomized crossover clinical trial. The 40 impacted third molars were divided into a control group (n = 20), in which the third molar was extracted by regular surgery using a high-speed handpiece and an elevator, and an experimental group (n = 20), in which the third molar was extracted by piezosurgery using a high-speed handpiece and a piezotome. The clinical parameters were evaluated by a self-reported questionnaire. The noise levels produced by the high-speed handpiece and piezotome were measured and compared between the experimental and control groups.
Results: Patients in the experimental group had a better feeling about tooth extraction and force delivery during extraction and less facial swelling than patients in the control group. However, there were no significant differences in noise-related disturbance, extraction period, degree of facial swelling, pain score, pain duration, any noise levels produced by the devices under different circumstances during tooth extraction between the control and experimental groups.
Conclusion: The piezosurgery device produced noise levels similar to or lower than those of the high-speed drilling device. However, piezosurgery provides advantages of increased patient comfort during extraction of impacted third molars. |
| first_indexed | 2024-04-14T08:12:46Z |
| format | Article |
| id | doaj.art-5f0833e9456c4ca9877f61f9d76e7628 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-14T08:12:46Z |
| publishDate | 2015-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-5f0833e9456c4ca9877f61f9d76e76282022-12-22T02:04:30ZengElsevierJournal of the Formosan Medical Association0929-66462015-10-011141092993510.1016/j.jfma.2014.02.003Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molarsHao-Hueng Chang0Ming-Shu Lee1You-Chyun Hsu2Shang-Jye Tsai3Chun-Pin Lin4Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, TaiwanCardinal Tien Hospital Yung Ho Branch, New Taipei City, TaiwanCardinal Tien Hospital Yung Ho Branch, New Taipei City, TaiwanSchool of Dentistry, National Taiwan University, Taipei, TaiwanSchool of Dentistry, National Taiwan University, Taipei, TaiwanImpacted third molars can be extracted by regular surgery or piezosurgery. The aim of this study was to compare clinical parameters and device-produced noise levels between regular surgery and piezosurgery for the extraction of impacted third molars. Methods: Twenty patients (18 women and 2 men, 17–29 years of age) with bilateral symmetrical impacted mandibular or maxillary third molars of the same level were included in this randomized crossover clinical trial. The 40 impacted third molars were divided into a control group (n = 20), in which the third molar was extracted by regular surgery using a high-speed handpiece and an elevator, and an experimental group (n = 20), in which the third molar was extracted by piezosurgery using a high-speed handpiece and a piezotome. The clinical parameters were evaluated by a self-reported questionnaire. The noise levels produced by the high-speed handpiece and piezotome were measured and compared between the experimental and control groups. Results: Patients in the experimental group had a better feeling about tooth extraction and force delivery during extraction and less facial swelling than patients in the control group. However, there were no significant differences in noise-related disturbance, extraction period, degree of facial swelling, pain score, pain duration, any noise levels produced by the devices under different circumstances during tooth extraction between the control and experimental groups. Conclusion: The piezosurgery device produced noise levels similar to or lower than those of the high-speed drilling device. However, piezosurgery provides advantages of increased patient comfort during extraction of impacted third molars.http://www.sciencedirect.com/science/article/pii/S0929664614000485high-speed drilling deviceimpacted third molarnoisepatient comfortpiezosurgery device |
| spellingShingle | Hao-Hueng Chang Ming-Shu Lee You-Chyun Hsu Shang-Jye Tsai Chun-Pin Lin Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars Journal of the Formosan Medical Association high-speed drilling device impacted third molar noise patient comfort piezosurgery device |
| title | Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| title_full | Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| title_fullStr | Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| title_full_unstemmed | Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| title_short | Comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| title_sort | comparison of clinical parameters and environmental noise levels between regular surgery and piezosurgery for extraction of impacted third molars |
| topic | high-speed drilling device impacted third molar noise patient comfort piezosurgery device |
| url | http://www.sciencedirect.com/science/article/pii/S0929664614000485 |
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