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Date Published: 25/08/2024
Online Published: 25/08/2024
Abstract Views: 97
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DOI: https://doi.org/10.58490/ctump.2024i79.2863
Issue
No. 79 (2024)
Section
Article
How to Cite
Le, M. P., Nguyen, H. N., & Nguyen, Q. T. (2024). CLINICAL CHARACTERISTICS, X-RAY FEATURES, AND EVALUATION OF SURGICAL OUTCOMES OF MANDIBULAR THIRD MOLAR EXTRACTION OF CLASS II ACCORDING TO PARANT USING PIEZOTOME AND SLOW-SPEED HANDPIECE. Cantho Journal of Medicine and Pharmacy, 79, 1-7. https://doi.org/10.58490/ctump.2024i79.2863

CLINICAL CHARACTERISTICS, X-RAY FEATURES, AND EVALUATION OF SURGICAL OUTCOMES OF MANDIBULAR THIRD MOLAR EXTRACTION OF CLASS II ACCORDING TO PARANT USING PIEZOTOME AND SLOW-SPEED HANDPIECE

Minh Phuc Le1,2,, Hoang Nam Nguyen2, Quang Tam Nguyen2
1 Vung Tau Hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Impacted wisdom teeth often present with numerous complex symptoms and complications. Currently, in Vietnam, there has been no research comparing the outcomes of surgical removal of impacted lower wisdom teeth classified as Parant II using either a slow-speed handpiece or the Piezotome ultrasonic device. Objective: To describe the clinical and radiographic characteristics and to evaluate the surgical outcomes of impacted lower wisdom teeth classified as Parant II using the Piezotome device and the slow-speed handpiece in patients at Vung Tau Hospital during 2023-2024. Materials and methods: A controlled clinical intervention study was conducted on 102 patients who underwent mandibular third molar extractions classified as Class II according to Parant at Vung Tau Hospital, evenly divided into two groups. Results: According to the Parant II classification, type A accounted for 44.1%, type B for 34.3%, type D for 18.6%, and only 2.9% were type C. For the Pell-Gregory classification regarding depth, type A was predominant (75.5%), with type I (28.4%), type II (47.1%), and type III (24.5%) for width. Postoperative outcomes indicated that the levels of pain, swelling, and bleeding on the 1st and 3rd days were significantly improved in the Piezotome group, and by the 7th day, most patients in both groups experienced no pain, swelling, or bleeding. Furthermore, the incidence of complications and soft tissue injury during surgery was lower in patients treated with the Piezotome device. Conclusion: Most patients with impacted lower wisdom teeth had favorable positions for surgery. The use of the Piezotome device demonstrated several advantages over the slow-speed handpiece in reducing surgical complications and improving symptoms of swelling, pain, and bleeding in the initial postoperative days. 

Article Details

Keywords

tooth extraction, impacted lower wisdom teeth, mandible, Piezotome, slowspeed handpiece

References

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