Abstract
Objectives: To analyze the clinical and radiographic features of impacted M3M and compare the treatment outcomes of two groups which underwent tooth extraction surgery using and without Piezotome
Methods: Subject and Method: Prospective study, clinical intervention with splitmouth design on 32 patients with bilaterally M3Ms having the same level of difficulty in extraction according to Pederson’s difficulty classification modified by Mai Dinh Hung. Results were assessed 1 day, 3 days, and 7 days following surgery.
Results: The mean surgical time was longer in the group that used Piezotome than in the group that did not use it. The degree of swelling and pain in the group of surgical patients who were treated using Piezotome on the 1st and 3rd day after surgery was lower. The degree of trismus was less in the group of surgical patients who were undergone Piezotome on the 1st, 3rd and 7th day after surgery. Complications are rare, which mostly occured in the group of surgical patients who were not used Piezotome. The group of patients who underwent surgery using Piezotome had better postoperative results than the group being used conventional methods of drilling.
Conclusion: Besides the ability to reduce swelling, pain, improve mouth opening after surgery, Piezotome also reduces the rate of sequelae and complications after surgery despite the longer surgery time.
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| Published | 20-01-2023 | |
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| Issue | No. 84 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.84.18 | |
| Keywords | Phẫu thuật siêu âm, răng khôn hàm dưới, răng mọc lệch ngầm Piezotome, mandibular third molar, impacted teeth |

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