Revolution or Routine? Assessing the Postoperative Impact of Piezoelectric Surgery on Edema, Trismus, and Other Complications in Third Molar Extractions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ege University
- Enrollment
- 60
- Primary Endpoint
- Edema amounts with Routine and Piezoelectric Surgery
Study Overview
Brief Summary
The purpose of this study is to compare the effects of piezoelectric surgery on postoperative edema, trismus and other postoperative complications (Wound Healing, Bleeding, Infection, Alveolitis, Paresthesia) with conventional bur method applied in surgical extraction of impacted mandibular third molars.
The main question it aims to answer is:
Is piezoelectric surgery effective on reducing the edema, trismus and other postoperative complications (Wound Healing, Bleeding, Infection, Alveolitis, Paresthesia) in impacted third molar surgery? Postoperative edema measurements are determined at 24 hours, 48 hours, and 7 days using the flexible ruler method. Trismus is determined by measuring the interincisal distance. Statistical analyses are performed to compare the two surgical methods.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 20 Years to 40 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patients with mesioangular, distoangular, vertical or horizontal, fully impacted and fully bone retained impacted lower wisdom teeth
- •Patients without any systemic disease
- •Patients who have been informed about the duration, purpose and requirements of the study and who have signed the informed consent form voluntarily.
Exclusion Criteria
- •Patients with any systemic contraindication, infection in the area of the tooth to be extracted, anamnesis of sensitivity to paracetamol derivatives or aspirin, pregnant or breastfeeding patients, and patients using antibiotics or anti-inflammatory drugs in the last 3 weeks
- •In addition, smokers or alcohol addicts were not included in the study.
Arms & Interventions
30 patients in the conventional surgery group
Intervention: conventional surgery (Procedure)
30 patients in the piezoelectric surgery group
Intervention: piezoelectric surgery (Procedure)
Outcomes
Primary Outcomes
Edema amounts with Routine and Piezoelectric Surgery
Time Frame: The edema measurements are made on the patient preoperatively and on the 2nd and 7th postoperative days.
Edema measurements are made on the distances between the corner of the eye and the angulus mandible, between the tragus and the corner of the mouth, and between the tragus and the soft tissue pogonium. These points were marked with a dermatological pen and measured with the flexible ruler method.
Trismus amounts with Routine and Piezoelectric Surgery
Time Frame: The trismus measurements are made on the patient preoperatively and on the 2nd and 7th postoperative days.
In order to determine the trismus, the values of the mouth openings of the patients are obtained by measuring the distance between the mesial corners of the first permanent incisors in the upper and lower jaws with the help of a caliper (Mitutoyo Company, Japan) with a sensitivity of 0.05.
Secondary Outcomes
- Wound healing, bleeding, infection, alveolitis, paresthesia, and temporomandibular joint pain with Routine and Piezoelectric Surgery(within 7 days after surgery)
Investigators
Mert Zeytinoğlu
Assoc. Prof. Dr.
Ege University