Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial

Abstarct: Introduction: This is a double clinical trial conducted to study the patient satisfaction and comfort during and after surgical removal of impacted mandibular 3rd molar using Piezo electric tips. Material and methods: Two groups of 25 each [14 (56 %) males and 11 (44 %) females] and [18 (...

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Main Authors: Khalid Zabin Alotaibi, Waleed Mohammed Al Rasheed, Jiingade Krishnojirao Dayashankara Rao, Abdulrahman Altwaijri, Gharam Mefleh Alharbi, Shatha saleh Aljaber
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824001854
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author Khalid Zabin Alotaibi
Waleed Mohammed Al Rasheed
Jiingade Krishnojirao Dayashankara Rao
Abdulrahman Altwaijri
Gharam Mefleh Alharbi
Shatha saleh Aljaber
author_facet Khalid Zabin Alotaibi
Waleed Mohammed Al Rasheed
Jiingade Krishnojirao Dayashankara Rao
Abdulrahman Altwaijri
Gharam Mefleh Alharbi
Shatha saleh Aljaber
author_sort Khalid Zabin Alotaibi
collection DOAJ
description Abstarct: Introduction: This is a double clinical trial conducted to study the patient satisfaction and comfort during and after surgical removal of impacted mandibular 3rd molar using Piezo electric tips. Material and methods: Two groups of 25 each [14 (56 %) males and 11 (44 %) females] and [18 (72 % males and 07 (28 %) females] represented the Rotary and Piezo groups respectively with bilateral impactions. one side of the patient is operated by piezo and the other side by rotary instrument after a gap of 2–3 week between the procedures. The variables considered are pain, swelling, trismus, patient satisfaction and comfort. The readings were taken on base line,3rd day,7th and 14th day. Results: Descriptive statistical analysis was performed using means and standard deviations for continuous variables and percentages for categorical variables. The level of significance was set at p < 0.05. The surgery time taken was more in the Piezo group (26.96 ± 12.201) in comparison with the Rotary group (21.32 ± 12.786- (p = 0.011∗). Satisfaction was rated better in the Piezo group (3.18 ± 0.909 vs 2.88 ± 0.881) (p = 0.013∗). Tactile sensation was less in the Piezo group (1.24 ± 0.436) vs (2.28 ± 0.678) (p = 0.001). Less pain was reported in the piezo group patients and the difference between the two groups was statistically significant only during the third day follow up (p = 0.001). Conclusion: The overall patient satisfaction and comfort was better in piezo in spite of longer duration of surgery. It provides better quality of life as the patients experienced less pain and the total number of analgesics taken is significantly less compared to rotary group.
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issn 2212-4268
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publisher Elsevier
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series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-9422fb49cdb44cc99bfa18bea8326bab2025-02-09T05:00:12ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682025-01-01151108112Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trialKhalid Zabin Alotaibi0Waleed Mohammed Al Rasheed1Jiingade Krishnojirao Dayashankara Rao2Abdulrahman Altwaijri3Gharam Mefleh Alharbi4Shatha saleh Aljaber5Department of Oral &amp; Maxillofacial Surgery, College of Dentistry, Qassim University, Qassim, Saudi ArabiaDepartment of Oral &amp; Maxillofacial Surgery, College of Dentistry, Qassim University, Qassim, Saudi ArabiaDepartment of Oral &amp; Maxillofacial Surgery, College of Dentistry, Qassim University, Qassim, Saudi Arabia; Corresponding author.Department of Oral &amp; Maxillofacial Surgery, College of Dentistry, Qassim University, Qassim, Saudi ArabiaOral and Maxillo facial surgery, Prince sultan military medical city, Saudi ArabiaSurgery Attachment, College of Dentistry, Qassim University, Qassim, Saudi ArabiaAbstarct: Introduction: This is a double clinical trial conducted to study the patient satisfaction and comfort during and after surgical removal of impacted mandibular 3rd molar using Piezo electric tips. Material and methods: Two groups of 25 each [14 (56 %) males and 11 (44 %) females] and [18 (72 % males and 07 (28 %) females] represented the Rotary and Piezo groups respectively with bilateral impactions. one side of the patient is operated by piezo and the other side by rotary instrument after a gap of 2–3 week between the procedures. The variables considered are pain, swelling, trismus, patient satisfaction and comfort. The readings were taken on base line,3rd day,7th and 14th day. Results: Descriptive statistical analysis was performed using means and standard deviations for continuous variables and percentages for categorical variables. The level of significance was set at p < 0.05. The surgery time taken was more in the Piezo group (26.96 ± 12.201) in comparison with the Rotary group (21.32 ± 12.786- (p = 0.011∗). Satisfaction was rated better in the Piezo group (3.18 ± 0.909 vs 2.88 ± 0.881) (p = 0.013∗). Tactile sensation was less in the Piezo group (1.24 ± 0.436) vs (2.28 ± 0.678) (p = 0.001). Less pain was reported in the piezo group patients and the difference between the two groups was statistically significant only during the third day follow up (p = 0.001). Conclusion: The overall patient satisfaction and comfort was better in piezo in spite of longer duration of surgery. It provides better quality of life as the patients experienced less pain and the total number of analgesics taken is significantly less compared to rotary group.http://www.sciencedirect.com/science/article/pii/S2212426824001854Mandibular impactionPiezo surgeryPatient comfortSatisfactionNerve injury
spellingShingle Khalid Zabin Alotaibi
Waleed Mohammed Al Rasheed
Jiingade Krishnojirao Dayashankara Rao
Abdulrahman Altwaijri
Gharam Mefleh Alharbi
Shatha saleh Aljaber
Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
Journal of Oral Biology and Craniofacial Research
Mandibular impaction
Piezo surgery
Patient comfort
Satisfaction
Nerve injury
title Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
title_full Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
title_fullStr Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
title_full_unstemmed Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
title_short Evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo-electric technique: A randomized double-blind clinical trial
title_sort evaluation of patient comfort and satisfaction after the surgical removal of mandibular impacted molars using a piezo electric technique a randomized double blind clinical trial
topic Mandibular impaction
Piezo surgery
Patient comfort
Satisfaction
Nerve injury
url http://www.sciencedirect.com/science/article/pii/S2212426824001854
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