Comparative Analysis of Radiosurgery and Scalpel Blade Surgery in Impacted Mandibular Third Molar Incisions: a Clinical Trial

被引:0
作者
Kalia V. [1 ]
Siddiqui N. [1 ]
Kalra G. [1 ]
机构
[1] Department of Oral and Maxillofacial Surgery, BRS Dental College and Hospital, Sultanpur, Panchkula, Haryana
关键词
Electrosurgery; Impacted mandibular molars; Radiosurgery; Tissue contouring system;
D O I
10.1007/s12663-017-1071-2
中图分类号
学科分类号
摘要
Aims: This study aims to compare the outcome of radiosurgically assisted incision technique with the conventional scalpel blade technique in impacted mandibular third molar incisions. Methods: On 100 patients (50 patients each in GROUP R and GROUP S) with impacted mandibular third molar, incisions were given using radio surgical and scalpel technique, respectively. Impacted third molars were classified according to Winter’s classification. Two types of incisions (Ward’s and modified Ward’s) were performed. Results were evaluated considering various parameters like surgical ease, field of surgery, odour, bleeding, discomfort/pain, post-operative analgesic intake and healing in both groups. Results: In our study, mean age of patient was 25.30 years, 54% were females and 46% males; mesioangular was the most common type of impaction, and the average length of incision was 3.105 ± 0.546 cm. There was a significant statistical difference (p < 0.01) in the five measure moments (field of surgery, surgical ease, intra-operative bleeding, odour and post-operative analgesic intake at 3–5th day) between the impacted molars operated with scalpel and the ones done with radiosurgery. There was statistically insignificant difference in pain/discomfort, healing and post-operative analgesic intake at 1st and 7–10th day. Conclusions: Radiosurgery was very effective in providing clear field of surgery, surgical ease and created less intra-operative bleeding than scalpel blade surgery making day to day minor oral surgery less stress full and productive. © 2017, The Association of Oral and Maxillofacial Surgeons of India.
引用
收藏
页码:458 / 465
页数:7
相关论文
共 25 条
[1]  
Manivannan N., Ahathya R.S., Rajaram P.C., Scalpel versus electrosurgery: comparison of gingival perfusion status using ultrasound Doppler flowmetry, J Pharm Bioallied Sci, 5, 2, pp. 5154-5159, (2013)
[2]  
Sanghirian L.M., Electrosurgical gingivoplasty, J Am Dent Assoc, 38, 1, pp. 67-78, (1949)
[3]  
Malik N.A., Minor oral surgical procedures, Textbook of oral and maxillofacial surgery, pp. 138-159, (2012)
[4]  
Sharma S., Sachdeva S.D., A comparative study of electro surgery and scalpel surgery, Heal Talk, 5, 1, pp. 36-38, (2012)
[5]  
Hainer B.L., Fundamentals of electrosurgery, J Am Board Fam Pract, 4, pp. 419-426, (1991)
[6]  
Deepa D., Chawla A., Srivastava P., Gingival depigmentation by scalpel, diode laser and electrosurgery—a case report, Indian J Dent Sci, 7, 2, pp. 1-4, (2015)
[7]  
Hasar Z.B., Ozmeric N., Gokemnoglu C., Altan G., Comparison of radiofrequency and electrocautery with conventional scalpel incisions, J Oral Maxillofac Surg, 5, 4, pp. 1-6, (2016)
[8]  
Funde S., Baburaj M.D., Pimpale S.K., Comparison between laser, electrocautery and scalpel in the treatment of drug induced gingival overgrowth: a case report, Indian J Dent Assoc, 1, 10, pp. 27-30, (2015)
[9]  
Raghavan R., Shajahan P.A., Koruthu A., Sukumar B., Nair A., Divakar K.P., Second stage surgery: a clinical report comparing efficacy of laser and electrocautery, Int J Dent Res, 2, 1, pp. 26-28, (2014)
[10]  
Babaji P., Singh V., Chaurasia V.R., Jawale M.R., Electrosurgery in dentistry: report of cases, J Pediatr Dent, 2, 1, pp. 20-24, (2014)