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

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dc.contributor.authorSilva, Leonardo de Freitas [UNESP]
dc.contributor.authorRibeiro de Carvalho Reis, Erik Neiva [UNESP]
dc.contributor.authorBonardi, Joao Paulo [UNESP]
dc.contributor.authorLima, Valthierre Nunes de [UNESP]
dc.contributor.authorAranega, Alessandra Marcondes [UNESP]
dc.contributor.authorPonzoni, Daniela [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2020-12-10T20:04:59Z
dc.date.available2020-12-10T20:04:59Z
dc.date.issued2020-07-01
dc.description.abstractBackground: 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.en
dc.description.affiliationAracatuba Sch Dent UNESP, Dent Buccomaxillofacial Surg & Traumatol, Dept Surg & Integrated Clin, Sao Paulo, Brazil
dc.description.affiliationAracatuba Sch Dent UNESP, Dept Surg & Integrated Clin, Rua Jose Bonifacio 1193, BR-16015050 Sao Paulo, Brazil
dc.description.affiliationUnespAracatuba Sch Dent UNESP, Dent Buccomaxillofacial Surg & Traumatol, Dept Surg & Integrated Clin, Sao Paulo, Brazil
dc.description.affiliationUnespAracatuba Sch Dent UNESP, Dept Surg & Integrated Clin, Rua Jose Bonifacio 1193, BR-16015050 Sao Paulo, Brazil
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 2016/14834-9
dc.description.sponsorshipIdFAPESP: 2014/14878-0
dc.format.extentE461-E467
dc.identifierhttp://dx.doi.org/10.4317/medoral.23447
dc.identifier.citationMedicina Oral Patologia Oral Y Cirugia Bucal. Valencia: Medicina Oral S L, v. 25, n. 4, p. E461-E467, 2020.
dc.identifier.doi10.4317/medoral.23447
dc.identifier.issn1698-6946
dc.identifier.urihttp://hdl.handle.net/11449/197063
dc.identifier.wosWOS:000547377500004
dc.language.isoeng
dc.publisherMedicina Oral S L
dc.relation.ispartofMedicina Oral Patologia Oral Y Cirugia Bucal
dc.sourceWeb of Science
dc.subjectThird molar
dc.subjectpiezosurgery
dc.subjectflap
dc.subjectexodontia
dc.subjectostectomy
dc.titleInfluence of surgical ultrasound used in the detachment of flaps, osteotomy and odontosection in lower third molar surgeries. A prospective, randomized, and split-mouth clinical studyen
dc.typeArtigo
dcterms.rightsHolderMedicina Oral S L

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Artigos - Cirurgia e Clínica Integrada - FOA