Pillai A Rashmi, Ibrahim Mohammed, Malhotra Aayush, Sunil R, Somaraj Vinej, Nasyam Fazil Arshad, Tenglikar Pavan, Managutti Anil, Tiwari Rahul
Oral and Maxillofacial Surgeon, Rashmis Dentofacial Multispeciality Centre, Kavanad, Kollam, India.
Department of Oral and Maxillofacial Surgery, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2576-S2578. doi: 10.4103/jpbs.jpbs_260_24. Epub 2024 Jun 7.
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.
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.
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.
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.
由于牙齿位置、牙根形态和患者特征的差异，智齿拔除通常需要多种手术技术。本研究旨在比较传统手术拔除与微创技术，如压电手术和激光辅助拔除，以及借助三维成像和导航系统的拔除。
需要拔除智齿的患者被随机分配到其中一个手术技术组。术前成像评估牙齿位置和牙根形态。记录术中变量和术后结果，包括疼痛程度、肿胀和愈合时间。使用标准化问卷评估患者报告的结果。
与传统拔除和激光辅助拔除相比，压电手术、三维成像和导航引导拔除技术的平均手术时间更短，术中并发症发生率更低。三维成像和导航引导拔除组的术后结果更好，疼痛评分更低，肿胀减轻，愈合时间更快。
先进的成像引导技术，特别是三维成像和导航引导拔除，通过提高手术精度、减少并发症和改善术后结果，为接受智齿拔除的患者带来显著益处。将这些技术纳入常规实践可以优化口腔外科的患者护理和结果。
