Minimally traumatic extraction techniques in nonrestorable endodontically treated teeth

Abstract

Aim: The goal of this study was to assess the effectiveness of piezotome as compared to periotome extractions of nonrestorable endodontic treatment of teeth in terms of operational time, pain control, and postoperative bone loss considering the prosthetic rehabilitation in future. Materials and Methods: A double-blind, randomized controlled trial was conducted with 100 patients who wanted single-rooted teeth to be extracted (which failed endodontically). The participants have been randomized into two equal groups named as - (i) a periotome group (ii) and a piezotome group. Duration of the surgery, postoperative pain within 7 days, complications (if any) associated with the extraction process were performed as a part of clinical assessment. Bone loss has been analyzed 6 months after the surgery radiographically. The data have been recorded and analyzed using the version 22.0 of the SPSS software package. Results: All parameters in the periotome category (P < 0.05) were statistically significant except for bone loss and gingival laceration in comparison to piezotome group. In the piezotome group, a longer time was observed for surgery and delayed pain control was achieved. In our study, we found statistically significant more marginal bone loss in piezotome group in comparison with periotome group. Conclusion: The findings of this study indicate that for intraoperative and postoperative comfort periotome could be used as a safer and cheaper option for atraumatic extractions but piezosurgery may prove as a better choice soon for surgeries in the maxillofacial region to maintain soft-tissue integrity.

Immediate Implants in Posterior Extraction Sites: A Case Series Applying the Dual-Zone Therapeutic Concept With a Three-Year Follow-Up

“…The piezotome-based atraumatic extraction technique is preferred for immediate implant placement, ensuring minimal damage to the surrounding soft and hard tissues. Research reveals that this technique takes longer than conventional methods, resulting in better tissue preservation and lesser marginal bone loss after implant placement [13][14][15][16]. Using a flapless technique in tooth extraction and implant placement can reduce postoperative tissue loss, shorten operative time, speed up healing, lower the risk of complications, and improve patient comfort [1].…”

Minimally traumatic extraction of fractured bilateral maxillary canine teeth using a piezoelectric surgical unit in an African lion (Panthera leo)

“…This blade is typically used for sharp and precise bone cutting and can be used similarly to the periotome for tooth extraction [ 5 ]. A recent study reported significantly less marginal alveolar bone loss with PSU than with periotome [ 7 ]. In this case, the periodontal ligament was separated to a depth approximately equal to the length of the tip of the flat blade without additional alveolar bone damage using PSU.…”