EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY)
Ali, Y., El-sabagh, A., Sweedan, A. (2021). EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY). EKB Journal Management System, 46(Issue 2), 20-25. doi: 10.21608/adjalexu.2020.88458
Yasmin A. Ali; Ahmed M. El-sabagh; Ahmed O. Sweedan. "EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY)". EKB Journal Management System, 46, Issue 2, 2021, 20-25. doi: 10.21608/adjalexu.2020.88458
Ali, Y., El-sabagh, A., Sweedan, A. (2021). 'EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY)', EKB Journal Management System, 46(Issue 2), pp. 20-25. doi: 10.21608/adjalexu.2020.88458
Ali, Y., El-sabagh, A., Sweedan, A. EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY). EKB Journal Management System, 2021; 46(Issue 2): 20-25. doi: 10.21608/adjalexu.2020.88458

EVALUATION OF BUCCAL BONE LID TECHNIQUE USING PIEZOELECTRIC SURGERY IN SURGICAL EXTRACTION OF DEEPLY IMPACTED LOWER THIRD MOLAR (A CLINICAL AND RADIOGRAPHIC STUDY)

Alexandria Dental Journal
Article 4, Volume 46, Issue 2, August 2021, Page 20-25  XML PDF (1.05 MB)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.88458
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Authors
Yasmin A. Ali email 1; Ahmed M. El-sabagh2; Ahmed O. Sweedan3
1Resident at the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria Egypt.
2Professor of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria Egypt
3Lecturer of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria Egypt
Abstract
Introduction: Surgical removal of deeply impacted third molar is complicated most times with inferior alveolar nerve injury and developing large bony defects because of the deep situation of impacted tooth and limited visibility. Buccal bone lid technique using the piezoelectric device is a recent technique for surgical removal of such an impacted tooth to avoid these complications. As it allows accessibility and the accuracy of piezoelectric tips to cut through bone only without damaging adjacent tissues.
Objectives:  The main aim of this study was to evaluate the efficiency of buccal lid technique using piezotome surgery in removal of deeply impacted third molar.
Materials and methods: Ten patients with deeply impacted lower third molar were subjected to surgical extraction using buccal lid technique. Clinical follow up was conducted after a 24-hours, 72-hours, one week, six months. Also, a radiographic investigation was performed immediately postoperative and after six months to estimate the mean bone density at the buccal bone.
Results: By the end of the follow- up period, all cases showed normal lower lip sensation, the decrease in level of pain intensity score based on the Visual Analogue Scale (VAS) and an uneventful wound healing with no records of developed infection. Mean bone density after six months showed a statistically significant change in buccal bone density (p < 0.005) and statically non-significant difference in crestal bone density (p>0.005).
Conclusion: This study deduced that the use of buccal lid technique in extraction of mandibular bony impacted wisdom results in a predictable and satisfactory outcome, to achieve inferior alveolar nerve preservation and reduce bone defect.
Keywords
Buccal lid; piezosurgery; impacted third molar; surgical extraction
References
1. Abu-El Naaj I, Braun R, Leiser Y, Peled M. Surgical approach to impacted mandibular third molars--operative classification. J Oral Maxillofac Surg. 2010;68:628-33. 
2. Kan KW, Liu JK, Lo EC, Corbet EF, Leung WK. Residual periodontal defects distal to the mandibular second molar 6-36 months after impacted third molar extraction. J Clin Periodontol. 2002;29:1004-11. 
3. Kontaxis KL, Steinbacher DM, Access to the mandibular angle using a sagittal split to address pathologic displacement of a mandibular third molar, J Oral Maxillofac Surg. 2015;73:2285.e1-5.
4. Khoury F. The bony lid approach in pre-implant and implant surgery: A prospective study. Eur J Oral Implantol. 2013;6:375. 
5. Degerliyurt K, Akar V, Denizci S, Yucel E. Bone lid technique with piezosurgery to preserve inferior alveolar nerve. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:e1. 
6. Sivolella S, Brunello G, Berengo M, De Biagi M, Bacci C. Rehabilitation with implants after bone lid surgery in the posterior mandible. J Oral Maxillofac Surg. 2015;73:1485-92. 
7. Esposito M, Grusovin MG, Felice P, Karatzopoulos G, Worthington HV, Coulthard P. Interventions for replacing missing teeth: Horizontal and vertical bone augmentation techniques for dental implant treatment. Cochrane Database Syst Rev. 2009;:CD003607. 
8. Pappalardo S, Guarnieri R. Randomized clinical study comparing piezosurgery and conventional rotatory surgery in mandibular cyst enucleation. J Craniomaxillofac Surg. 2014;42:e80-5. 
9. Younes R, Nasseh I, Lahoud P, Wassef E, Dagher M. Bone Lid Technique Using a Piezoelectric Device for the Treatment of a Mandibular Bony Lesion. Case Rep Dent. 2017;2017:9315070. 
10. ADA. Antibiotic prophylaxis prior to dental procedures. Oral Health Topics 2017 [cited 31st March 2017]; Available from: http://www.ada.org/en/member-center/ oralhealth-topics/antibiotic-prophylaxis 
11. Johnson C. Measuring Pain. Visual Analog Scale Versus Numeric Pain Scale: What is the Difference? J Chiropr Med 2005;4:43-4.
12. Bello, S. A., Adeyemo, W. L., Bamgbose, B. O., Obi, E. V., & Adeyinka, A. A. (2011). Effect of age, impaction types and operative time on inflammatory tissue reactions following lower third molar surgery. Head & Face Medicine, 7(1), 8. 
13. Kotrashetti, S. M., & Singh, A. G. (2017). Prospective study of treatment outcomes with lag screw versus Herbert screw fixation in mandibular fractures. International Journal of Oral and Maxillofacial Surgery, 46(1), 54-58. 
14. Cheung LK, Leung YY, Chow LK, Wong MC, Chan EK, Fok YH. Incidence of Neurosensory Deficits and Recovery after Lower Third Molar Surgery: A Prospective Clinical Study of 4338 Cases. Int J Oral Maxillofac Surg. 2010;39:320-6. 
15. Alling R, Alling CC. Removal of Impacted Teeth and Lesions from Unusual Locations. J Oral Maxillofac Surg. 1993; 5:111- 9. 
16. Wagner K, et al. "Pathological mandibular fractures following third molar removal. International journal of oral and maxillofacial surgery 34.7 (2005): 722- 726. 
17. Sencimen M, Varol A, Gülses A, Altug HA. Extraction of a deeply impacted lower third molar by sagittal split osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108: e36-8. 
18. Renton T, and M. McGurk. Evaluation of factors predictive of lingual nerve injury in third molar surgery. British Journal of Oral and Maxillofacial Surgery 39.6 (2001): 423-428. 
19. Ness GM. Impacted Teeth. In: Miloro M, Peterson LJ. Peterson’s Principles of oral and Maxillofacial Surgery. 3rd ed. Shelton, CT: People's Medical Pub. House-USA; 2011.
20. Ziccardi VB1, Zuniga JR. Nerve Injuries after Third Molar Removal. Oral Maxillofac Surg Clin North Am. 2007;19:105-15, vii.

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