Evaluation of role of piezo-surgical in mandibular impacted third molar removal

Aim: The purpose of the present research was to assess the role of piezo-surgical and its effectiveness against conventional techniques for removal of impacted mandibular third molar. Methodology: Study included 16 patients (8 male and 8 female) age 17 to 32 years treated in the period from 2019 to 2021. All patients had both mandibular molars impacted. One third molar was extracted using classical technique while the other one using a piezo device. Preoperative preparation was the same for all patients and included radiological analysis and verification of teeth by ortopan tomography (OPG) and CT. Patients were assessed one, seven and 14 days after the procedure. Results: After the extraction, all patients were followed for postoperative symptoms: pain, swelling and paraesthesia of the inferior alveolar nerve. The results confirmed advantages of piezosurgery in the removal of impacted mandibular third molars. Average duration of the intervention was 18 minutes with standard technique while the duration with piezo technique was 23 minutes. According to the visual-analogue scale (VAS) the average pain in the standard group was 9 whereas in the piezo group it was 6.