Suárez-Pérez L, Peralta-Mamani M, Velázquez-Cayón R-T
Calle la Juventud, s/n, 35450 Santa María de Guía, Las Palmas Canary Islands, Spain
Med Oral Patol Oral Cir Bucal. 2025 May 1;30(3):e333-e344. doi: 10.4317/medoral.26799.
Despite the comprehensive classifications provided by the WHO, the most common lesions include radicular cysts, dentigerous cysts, odontogenic keratocysts, ameloblastomas, and odontomas. The piezoelectric technique has shown effectiveness in removing intraosseous pathologies by relying on ultrasonic microvibrations, which help preserve soft and vascular tissues. Precision in manipulating intraosseous pathology can impact the prognosis and improve the surgical procedure by controlling hemorrhage and promoting microscopic benefits. While previous research has compared the advantages of piezoelectric surgery and rotational methods, a systematic review is needed to consolidate the available information on this specific clinical issue.
A search strategy was developed with de PRISMA statement. PubMed, Web of Science, Scopus, and Embase electronic databases were searched. The bibliographic search was conducted in December 2023. The methodological quality of the studies followed the Joanna Briggs Institute (JBI) critical evaluation tool for randomized clinical trials.
The final sample comprised 5 clinical trials, involving 231 cysts and 120 tumors in the experimental group. The mean age of participants was 30.6 years, with 196 men and 141 women included in the study. However, conventional surgery is faster than piezosurgery, both techniques exhibited similarities in epithelial perforation, soft tissue damage, edema, postoperative infections, and occurrences of paresthesia. Regarding recurrence, no statistically significant difference was observed between the two techniques (p-value=0.339; 95% confidence interval, -0.093-0.270).
The surgical removal of benign odontogenic cysts and tumors in the jaws using piezosurgery yielded slight intraoperative and postoperative advantages compared to conventional rotary surgery, except for the duration of surgical procedures. It shows reduced intraoperative hemorrhage and postoperative pain but similar outcomes in other variables. The results should be interpreted with caution, more studies are needed to obtain a more robust result.
尽管世界卫生组织提供了全面的分类，但最常见的病变包括根端囊肿、含牙囊肿、牙源性角化囊肿、成釉细胞瘤和牙瘤。压电技术已显示出通过依靠超声微振动来去除骨内病变的有效性，这有助于保留软组织和血管组织。精确处理骨内病变可通过控制出血和促进微观益处来影响预后并改善手术过程。虽然先前的研究比较了压电手术和旋转方法的优势，但需要进行系统综述来整合关于这一特定临床问题的现有信息。
根据PRISMA声明制定了检索策略。检索了PubMed、科学网、Scopus和Embase电子数据库。文献检索于2023年12月进行。研究的方法学质量遵循乔安娜·布里格斯研究所（JBI）随机临床试验的批判性评价工具。
最终样本包括5项临床试验，实验组中有231个囊肿和120个肿瘤。参与者的平均年龄为30.6岁，研究纳入了196名男性和141名女性。然而，传统手术比压电手术更快，两种技术在上皮穿孔、软组织损伤、水肿、术后感染和感觉异常的发生率方面表现出相似性。关于复发，两种技术之间未观察到统计学上的显著差异（p值 = 0.339；95%置信区间，-0.093 - 0.270）。
与传统旋转手术相比，使用压电手术切除颌骨中的良性牙源性囊肿和肿瘤在术中和术后有轻微优势，但手术时间除外。它显示术中出血和术后疼痛减少，但在其他变量方面结果相似。对结果的解释应谨慎，需要更多研究以获得更可靠的结果。
