Comparative Analysis of Surgical Techniques for Wisdom Tooth Extraction

Author:

Pillai A Rashmi1,Ibrahim Mohammed2,Malhotra Aayush3,Sunil R4,Somaraj Vinej5,Nasyam Fazil Arshad6,Tenglikar Pavan7,Managutti Anil7,Tiwari Rahul7

Affiliation:

1. Oral and Maxillofacial Surgeon, Rashmis Dentofacial Multispeciality Centre, Kavanad, Kollam, India

2. Department of Oral and Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia

3. Department of Oral and Maxillofacial Surgery, M.M.College of Dental Sciences and Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India

4. Department of Oral and Maxillofacial Surgery, Al Azhar Dental College, Thodupuzha, Kerala, India

5. Department of Public Health Dentistry, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India

6. Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Alkharj, Kingdom of Saudi Arabia

7. Department of Oral and Maxillofacial Surgery, Narsinhbhai Patel Dental College and Hospital, Sankalchand Patel University, Visnagar, Gujarat, India

Abstract

ABSTRACT Background: Wisdom tooth extraction often requires various surgical techniques due to differences in tooth position, root morphology, and patient characteristics. This research aims to compare traditional surgical extraction with minimally invasive techniques such as piezo surgery and laser-assisted extraction, as well as extraction with the aid of 3D imaging and navigation systems. Methods: Patients requiring wisdom tooth extraction were randomly assigned to one of the surgical technique groups. Preoperative imaging assessed tooth position and root morphology. Intraoperative variables and postoperative outcomes were recorded, including pain levels, swelling, and healing time. Patient-reported outcomes were assessed using standardized questionnaires. Results: Piezo surgery, 3D imaging, and navigation-guided extraction techniques demonstrated a shorter mean duration of surgery and lower incidence of intraoperative complications compared to traditional extraction and laser-assisted extraction. Postoperative outcomes were superior in the 3D imaging and navigation-guided extraction group, with lower pain scores, reduced swelling, and faster healing time. Conclusion: Advanced imaging-guided techniques, particularly 3D imaging and navigation-guided extraction, offer significant benefits for patients undergoing wisdom tooth extraction by improving surgical precision, minimizing complications, and enhancing postoperative outcomes. Incorporating these technologies into routine practice can optimize patient care and outcomes in oral surgery.

Publisher

Medknow

Reference11 articles.

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