Year : 2022

Volume : Volume 13

Issue : Issue 3

Address for correspondence :
Dr. M. Rama Nalini
nalini.munduri@gmail.com

Abstract

Background: One of the most essential and pivotal steps in surgical extraction is osteotomy or alveolar bone removal, for which several techniques are employed, for example, chisels and mallet, rotary instruments, lasers, and ultrasonic instruments. The air-driven contra-angled handpiece is a newer innovative and high precision device that can be routinely used for osteotomy of impacted third molars. Aim: The aim
of the study was to compare the post-operative complications using conventional straight handpiece and air-driven contra-angled handpiece for surgical removal of mandibular third molars. Materials and Methods: Patients were randomly categorized into Group A using motordriven straight handpiece and Group B using contra-angled air-driven handpiece. Operative time was recorded in both the groups. Parameters
such as pain, swelling, and trismus were evaluated and compared between both the groups on pre-operative, 3rd and 7th post-operative days. Results: The mean operating time was 35.67 min in Group A and 28.20 min in Group B which was statistically significant (P < 0.05). Furthermore, there was statistically significance difference (P < 0.05) in the levels of pain, trismus, and swelling on 3rd and 7th post-operative
days. Conclusion: Post-surgical complications and intraoperative time taken were markedly reduced in air-driven contra-angled handpiecegroup when compared to conventional handpiece group.
 

Keywords: Mandibular third molars, Osteotomy, Post-surgical complications, Surgical extraction.