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Study aim
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Evaluation of post-operative pain, swelling, trismus and duration of impacted tooth extraction using piezoelectric device in comparison with routine rotary method to inform surgeons to select appropriate method for removal of impacted and partially impacted wisdom teeth.
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Design
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Clinical trial with control group, parallel groups, double blinded, Randomised.
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Settings and conduct
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This study performed at Shiraz Dental School, each patient selected to participate in the study, his/her right tooth is randomly removed by one of two piezosurgical or rotary method. Measurements, before the surgery and one, three, five and seven days after surgery are performed by a student colleague. The other tooth will be removed one week later. The patient and student colleague is unaware of the method of each side. In rotary method, for osteotomy, No.6 round bur, and for the odontomy, a fissure bur is used. In the piezoelectric method, tip No.SG7D for the osteotomy and tip No.SG6D for odontomy are used.
After each operation, the patient's pain score sheet is taken at the last session. Postoperatively, the patient will only be prescribed analgesics gelofen 400 mg every 6 hours for a week, as well as a chlorhexidine mouthwash of 0.2% twice daily for 7 days.
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Participants/Inclusion and exclusion criteria
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Patients between ages of 18 and 35 years old and healthy with bilateral mandibular impacted teeth are included in the study. Smoker, pregnant patients and who do not wish to cooperate are excluded.
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Intervention groups
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There is a piezosurgery group that one tooth of each patient that removed by the piezoelectric device will place in it. The other tooth of each patient is removed by the usual rotary procedure are placed in the rotary(control) group.
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Main outcome variables
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pain measurement by VAS; Face swelling measurement with flexible ruler; Trismus presence or absence; Duration of operation.