The aim of this study was to compare the piezotome versus surgical bur on postoperative edema and pain following open sinus lift surgery.
Materials and methods
This was a double-blinded split mouth randomized clinical trial. The subjects who were candidates for bilateral open sinus lifting in the posterior maxilla were included in this experiment. Each maxillary side was assigned randomly to one group, piezosurgery or surgical diamond bur for sinus lifting. Postoperative pain and edema were evaluated on the second and seventh days after the surgery, using the VAS scale. Data were analyzed by SPSS software.
In this study, 20 subjects including 10 females (50%) and 10 males (50%) with a mean age of 50.87 ± 9.04 years participated. The mean duration of surgery in piezosurgery (240.13 ± 49.5 s) was significantly higher than the surgical bur technique (135.07 ± 43.53 s) (P < 0.001). Pain and edema were significantly decreased on the seventh day postoperatively compared to the second day in both group (P < 0.05). Pain and edema were similar between the two study groups on the second and seventh days after surgery.
The results of this study depicted that the piezosurgery clinical outcomes were similar to surgical bur following open sinus lift surgery.
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Shahakbari R, Eshghpour M, Mianbandi V, Pourgonabadi S, Tohidi E, Seyedi S et al (2019) The comparison of utilizing piezotome and surgical disc in ridge splitting of atrophic edentulous maxillary ridge. J Maxillofac Oral Surg. https://doi.org/10.1007/s12663-019-01253-6
Liu J, Hua C, Pan J, Han B, Tang X (2018) Piezosurgery vs conventional rotary instrument in the third molar surgery: a systematic review and meta-analysis of randomized controlled trials. J Dent Sci 13(4):342–349. https://doi.org/10.1016/j.jds.2016.09.006
Velazquez-Cayon R, Romero-Ruiz MM, Torres-Lagares D, Perez-Dorao B, Wainwright M, Abalos-Labruzzi C et al (2012) Hydrodynamic ultrasonic maxillary sinus lift: review of a new technique and presentation of a clinical case. Med Oral Patol Oral Cir Bucal 17(2):e271–e275. https://doi.org/10.4317/medoral.17430
Stern A, Green J (2012) Sinus lift procedures: an overview of current techniques. Dent Clin N Am 56(1):219–233. https://doi.org/10.1016/j.cden.2011.09.003
Barone A, Santini S, Marconcini S, Giacomelli L, Gherlone E, Covani U (2008) Osteotomy and membrane elevation during the maxillary sinus augmentation procedure. A comparative study: piezoelectric device vs conventional rotative instruments. Clin Oral Implants Res. 19(5):511–515. https://doi.org/10.1111/j.1600-0501.2007.01498.x
Rahpeyma A, Khajehahmadi S (2015) Open sinus lift surgery and the importance of preoperative cone-beam computed tomography scan: a review. J Int Oral Health JIOH 7(9):127–133
Delilbasi C, Gurler G (2013) Comparison of piezosurgery and conventional rotative instruments in direct sinus lifting. Implant Dent 22(6):662–665. https://doi.org/10.1097/id.0000000000000001
Radvar MMM, Vaezi S, Shahi A (2017) Clinical comparison of sinus lift via summers osteotomy and piezosurgery. J Mash Dent Sch 41(4):325–330. https://doi.org/10.22038/jmds.2017.9891
Arakji H, Shokry M, Aboelsaad N (2016) Comparison of piezosurgery and conventional rotary instruments for removal of impacted mandibular third molars: a randomized controlled clinical and radiographic trial. Int J Dent 2016:8169356. https://doi.org/10.1155/2016/8169356
Atieh MA, Alsabeeha NHM, Tawse-Smith A, Duncan WJ (2018) Piezoelectric versus conventional implant site preparation: a systematic review and meta-analysis. Clin Implant Dent Relat Res 20(2):261–270. https://doi.org/10.1111/cid.12555
Magrin GL, Sigua-Rodriguez EA, Goulart DR, Asprino L (2015) Piezosurgery in bone augmentation procedures previous to dental implant surgery: a review of the literature. Open Dent J. 9:426–430. https://doi.org/10.2174/1874210601509010426
Carini F, Saggese V, Porcaro G, Baldoni M (2014) Piezolelectric surgery in dentistry: a review. Minerva Stomatol 63(1–2):7–34
Landes CA, Stubinger S, Rieger J, Williger B, Ha TK, Sader R (2008) Critical evaluation of piezoelectric osteotomy in orthognathic surgery: operative technique, blood loss, time requirement, nerve and vessel integrity. J Oral Maxillofac Surg 66(4):657–674. https://doi.org/10.1016/j.joms.2007.06.633
Pereira CC, Gealh WC, Meorin-Nogueira L, Garcia-Junior IR, Okamoto R (2014) Piezosurgery applied to implant dentistry: clinical and biological aspects. J Oral Implantol 40(Spec No):401–408. https://doi.org/10.1563/aaid-joi-d-11-00196
Rahimi A (2018) Comparison of piezosurgery and conventional hand-pieces in open sinus lifting surgery. Am J Oral Maxillofac Surg 5(1):29–41
Rickert D, Vissink A, Slater JJ, Meijer HJ, Raghoebar GM (2013) Comparison between conventional and piezoelectric surgical tools for maxillary sinus floor elevation. A randomized controlled clinical trial. Clin Implant Dent Relat Res 15(2):297–302. https://doi.org/10.1111/j.1708-8208.2011.00364.x
Pasqualini D, Cocero N, Castella A, Mela L, Bracco P (2005) Primary and secondary closure of the surgical wound after removal of impacted mandibular third molars: a comparative study. Int J Oral Maxillofac Surg 34(1):52–57. https://doi.org/10.1016/j.ijom.2004.01.023
Silva LD, de Lima VN, Faverani LP, de Mendonca MR, Okamoto R, Pellizzer EP (2016) Maxillary sinus lift surgery-with or without graft material? A systematic review. Int J Oral Maxillofac Surg 45(12):1570–1576. https://doi.org/10.1016/j.ijom.2016.09.023
Pjetursson BE, Tan WC, Zwahlen M, Lang NP (2008) A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol 35(8 Suppl):216–240. https://doi.org/10.1111/j.1600-051X.2008.01272.x
Jiang Q, Qiu Y, Yang C, Yang J, Chen M, Zhang Z (2015) Piezoelectric versus conventional rotary techniques for impacted third molar extraction: a meta-analysis of randomized controlled trials. Medicine 94(41):1–7
Pavlikova G, Foltan R, Horka M, Hanzelka T, Borunska H, Sedy J (2011) Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 40(5):451–457. https://doi.org/10.1016/j.ijom.2010.11.013
Kotrikova B, Wirtz R, Krempien R, Blank J, Eggers G, Samiotis A et al (2006) Piezosurgery–a new safe technique in cranial osteoplasty? Int J Oral Maxillofac Surg 35(5):461–465. https://doi.org/10.1016/j.ijom.2005.12.006
Heinemann F, Hasan I, Kunert-Keil C, Gotz W, Gedrange T, Spassov A et al (2012) Experimental and histological investigations of the bone using two different oscillating osteotomy techniques compared with conventional rotary osteotomy. Ann Anat 194(2):165–170. https://doi.org/10.1016/j.aanat.2011.10.005
Torrella F, Pitarch J, Cabanes G, Anitua E (1998) Ultrasonic ostectomy for the surgical approach of the maxillary sinus: a technical note. Int J Oral Maxillofac Implants 13(5):697–700
None. This study was self-funded.
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Shahakbari, R., Labafchi, A., Salami, S. et al. Piezotome Versus Surgical Bur: Which is More Effective in Reducing the Postoperative Pain and Edema Following Open Sinus Lift Surgery?. J. Maxillofac. Oral Surg. 20, 642–648 (2021). https://doi.org/10.1007/s12663-020-01391-2