STUDY OF THE CLINICAL CHARACTERISTICS, X-RAY FEATURES AND COMPARISON OF SURGICAL OUTCOMES OF EXTRACTING DEVIATED MAXILLARY THIRD MOLAR USING PIEZOTOME AND STRAIGHT HANDPIECE
Main Article Content
Abstract
Background: There are very few studies evaluating the effectiveness of surgical devices based on piezoelectric and ultrasonic principles for the maxilla. Objectives: To describe the clinical and radiographic characteristics and compare the surgical outcomes of extracting deviated maxillary third molar using Piezotome versus a straight handpiece at Vung Tau Hospital in 20232024. Materials and methods: We conducted a clinical interventional study with a control group on 70 patients who underwent extraction of upper impacted wisdom teeth at Vung Tau Hospital, divided into two groups using the Piezotome and conventional straight handpiece. Results: The average age of the two groups was 43.97±15.42 and 43.89±14.75, with females accounting for 65.7%. The most common reasons for hospital admission were swelling and pain (100%) and food impaction (57.14%), with the majority of impacted wisdom teeth located on the left side (64.3%). Clinically, most patients experienced moderate to severe pain initially, had swelling in the tooth area but usually did not exhibit facial swelling and did not have deep pockets or bone resorption of the second molar. The majority of patients had the depth of the wisdom tooth classified as Archer type A (52.9%) and type B (44.3%), with the inclination according to Shiller classified as M type (50%) and V type (47.1%). The relationship with the maxillary sinus floor according to Jung & Cho was type I (33.3%) and type II (61.4%), with tooth extraction difficulty ranging from low (57.1%) to moderate (40%) according to Carvalho RW. In terms of treatment outcomes, most patients did not experience surgical complications. Patients using the Piezotome reported better pain reduction during and after extraction, although the surgical time was longer. Conclusion: Patients using the Piezotome experienced better pain reduction during and after extraction, but the surgical time was longer. The Piezotome is a good option for impacted wisdom tooth extraction for both the maxilla.
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Keywords
tooth extraction, maxillary third molar, maxilla, Piezotome, straight handpiece
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