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. 2013 Jul 15;6(1):5-10.
eCollection 2013.

Piezosurgery vs High Speed Rotary Handpiece: a comparison between the two techniques in the impacted third molar surgery

F N Bartuli  1 , F Luciani, F Caddeo, L DE Chiara, M DI Dio, P Piva, L Ottria, C Arcuri
Affiliations

Piezosurgery vs High Speed Rotary Handpiece: a comparison between the two techniques in the impacted third molar surgery

F N Bartuli et al. Oral Implantol (Rome). .

Abstract

Objective: The aim of the Study was to compare the impacted third molar surgical technique by means of the high speed rotary handpiece with the piezoelectric one.

Materials and methods: 192 patients have been selected among those who had to undergo a third molar surgical extraction. These patients' surgeries have been performed by means of one of the techniques, randomly chosen. Each patient has undergone the same analgesic therapy (paracetamol 1000 mg tablets). Each surgery has been performed by the same surgeon. The patients were asked to fill in a questionnaire concerning the postoperative pain ("happy face pain" rating scale).

Results: The average duration of the surgeries performed by means of the high speed rotary handpiece was 32 minutes, while the duration of the ones performed by means of the piezoelectric handpiece was much longer (54 minutes). The postoperative pain values were almost equal.

Conclusions: In conclusion, the osteotomy performed by means of the traditional technique still represents the gold standard in the impacted third molar surgery. The piezoelectric technique may be an effective choice, especially for the less skilled surgeons, in order to guarantee the protection of the delicate locoregional anatomical structures.

Keywords: high speed handpiece; piezosurgery; third molar.

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Figures

Figure 1
Figure 1
Kavo supertorque lux 660.
Figure 2
Figure 2
Mectron 3.
Figure 3
Figure 3
Happy face pain scale.
Figure 4
Figure 4
Employed burs.
Figure 5
Figure 5
Piezo Tips.
Figure 6
Figure 6
Percentage of male and female treated patients.
Figure 7
Figure 7
Surgery duration (minutes) by means of the two techniques.
Figure 8
Figure 8
Post-Operative Pain.
Figure 9
Figure 9
Surgical site recovery after the surgery performed by rotary and piezoelectric handpieces.
See this image and copyright information in PMC

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