Alveolar repair after the use of piezosurgery in the removal of lower third molars: a prospective clinical, randomised, double-blind, split-mouth study

Silva, L. de Freitas; Reis, Erik Neiva Ribeiro de Carvalho; Souza, Bruna Cristofolini; Egas, Laís Sara; Aranega, Alessandra Marcondes; Ponzoni, Daniela

doi:10.1016/j.bjoms.2019.09.017

Cited by 9 publications

(9 citation statements)

References 21 publications

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“…There is a window around the crown of the impacted teeth or even around the neck of the teeth. Through this window, with the proper selection of the instruments, the alveolar bone will be retained to the greatest extent and the bone damage will be reduced 15,16 …”

Section: Discussionmentioning

confidence: 99%

“…Through this window, with the proper selection of the instruments, the alveolar bone will be retained to the greatest extent and the bone damage will be reduced. 15,16 Extraction of impacted teeth based on the concept of bone preservation can effectively reduce bone damage. In order to protect the alveolar bone as much as possible, we can increase the gap inside the tooth, to transfer the space needed for extraction of impacted teeth to the inside of the tooth, which would provide enough space by removing/ grinding the unnecessary tooth tissue.…”

Section: Discussionmentioning

confidence: 99%

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New bone conservation technology of impacted teeth extraction

2021

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Object: To introduce an impacted wisdom tooth extraction method based on the new concept of bone preservation.Methods: About 60 cases with impacted mandibular third molars in our clinic were reviewed from January to March 2021. Two senior attending doctors were selected to perform the extraction operations. Two different techniques were used to extract the impacted third molar. The duration of the operation time, the postoperative swelling scaling and the pain scaling were reviewed. Research results:There was no significant difference between the two groups in operation time, the postoperative swelling scaling and the pain scaling. Both methods can remove wisdom teeth, and clinicians should choose less invasive methods. Conclusion:The extraction of impacted teeth should be improved with more precision and less trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

New bone conservation technology of impacted teeth extraction

2021

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“…The bone density of the alveoli after extraction of the lower third molars with rotary instruments and surgical ultrasound was similar in both groups in the study of de Freitas Silva et al . ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Influence of surgical ultrasound used in the detachment of flaps, osteotomy and odontosection in lower third molar surgeries. A prospective, randomized, and “split-mouth” clinical study

Silva¹,

Reis²,

Bonardi³

et al. 2020

Med Oral

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Background As third molar surgery is the most commonly procedure performed in Dentistry and has been accompanied by serious postoperative disorders such as pain, edema and trismus, the study aimed to evaluate if ultrasound device would be able to reduce such postoperative features. The aim of this study was to assess the effects of soft tissue flap elevation, osteotomy and odontosection using piezosurgery versus conventional technique in mandibular third molar extractions. Material and Methods Twenty patients with impacted mandibular third molars underwent tooth extractions using two different methods. Ten patients were included in the Piezo Flap Group (PFG - the flap was elevated using piezosurgery) and ten patients were part of the Piezo Ostectomy Group (POG - osteotomy and odontosection were carried out with ultrasound tips). The contralateral tooth was included in the Control Group (CG - conventional technique). The patients were evaluated at postoperative periods of 1, 3, 7 and 14-days. The measured parameters were duration of surgery, pain, trismus and swelling. Results The mean duration of surgery for the PFG was 17.21 minutes (CG 10.07 minutes) and POG was 40.09 minutes (CG 15.97 minutes). There was no statistically significant difference in pain and trismus for any of the postoperative periods evaluated in PFG and POG ( p >0.05). There was a statistically significant difference in swelling between the PFG and POG, presenting less swelling at the 3-day postoperative period ( p =0.038; p <0,05). However, for the remaining analyzed periods there was no difference ( p >0.05). Conclusions Piezosurgery for tissue elevation of the surgical flap, osteotomy and dental sectioning in mandibular third molar extraction surgery promoted less edema in the early postoperative stages in mandibular third molar extractions despite the longer surgical duration. Key words: Third molar, piezosurgery, flap, exodontia, ostectomy.

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“…O piezo é um ultrassom criado pelo cirurgião oral Tomaso Vercellotti em 1988, este dispositivo foi desenvolvido a fim de sobrepujar as restrições às limitações da instrumentação tradicional na cirurgia óssea oral pela modificação e melhoria da tecnologia ultrassônica convencional 1,2 . Este motor ultrassônico funciona através da piezoeletricidade, este fenômeno foi descrito pela primeira vez em 1880 pelos físicos Jacques e Pierre Curie 3,4 .…”

Section: Introductionunclassified

“…Sendo assim ao utilizarmos o piezo ultrassônico verificamos que uma engenharia específica sendo baseado na modulação das pontas ativas através de uma vibração ultrassônica com frequência média de 29 quilohertz (kHz), permitindo um corte mais seletivo e preciso apenas em estruturas ósseas mineralizadas, preservando tecidos moles, além de propiciar maior segurança no trabalho e menor dano ao tecido [3][4][5][6][7] .…”

Section: Introductionunclassified

utilização do Piezoeletricidade na odontologia: Revisão de literatura

Fonseca

Horta²,

Gomes

et al. 2020

Braz. J. Implantol. Health Sci.

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Introdução: A piezoeletricidade surgiu em meados do século XIX, o piezo ultrassônico consiste na utilização de um aparelho ultrassônico, capaz de cortar tecido ósseo mineralizado, sem lesionar o tecido mole sendo essa uma de suas principais vantagens quando comparado às técnicas convencionais com brocas, serras e instrumentais. Objetivo: Este estudo tem como objetivo, realizar uma revisão de literatura acerca das diversas utilizações do piezoeletricidade na odontologia. Materiais e Metódos: Para a elaboração desse artigo foi realizada uma revisão narrativa da literatura, utilizando as bases de dados: PUBMED/ MEDLINE, Google acadêmico, Scielo, Revodonto, LILACS, BBO e Portal CAPES. Foram selecionados artigos que abordassem os assuntos cirurgia com ultrassom, piezocirúrgico, técnicas cirúrgicas alternativas e aparelhos cirúrgicos de vibração. Discussão: De acordo com a teoria dos irmãos Curie o efeito piezoelétrico acontece através do uso de tipos específicos de cerâmicas e cristais como o quartzo, os quais sofrem deformações quando uma corrente elétrica passa através deles, resultando em oscilações de frequência ultrassônica e quando aplica-se sobre uma superfície estas vibrações mecânicas geram uma ruptura na coesão molecular provocam cavitações nesta superfície. Conclusão: O piezocirúrgico ultrassônico demonstra ser um dispositivo seguro e eficaz para a realização de procedimentos cirúrgicos na odontologia, devido a proteção aos tecidos moles, melhor hemostasia, diminuição do ruído e vibração, diminuição do estresse e medo do paciente, minimização de dano a estruturas nobres como feixes vásculo nervoso.

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Alveolar repair after the use of piezosurgery in the removal of lower third molars: a prospective clinical, randomised, double-blind, split-mouth study

Cited by 9 publications

References 21 publications

New bone conservation technology of impacted teeth extraction

New bone conservation technology of impacted teeth extraction

Influence of surgical ultrasound used in the detachment of flaps, osteotomy and odontosection in lower third molar surgeries. A prospective, randomized, and “split-mouth” clinical study

utilização do Piezoeletricidade na odontologia: Revisão de literatura

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