2019, Vol. 5 Issue 2, Part A
Physiodispenser versus conventional rotary instrument in transalveolar extraction of impacted mandibular third molars- A randomized controlled clinical trial
AUTHOR(S): Naiya Pathak, Dhara Shukla, Kalpita Shringarpure and SN Goryawala
ABSTRACT:The purpose of the study was to compare perioperative effects of physiodispenser and conventional rotary in transalveolar extraction of impacted mandibular third molar. This randomized controlled clinical trial was conducted from September 2017 to April 2018 at a tertiary care hospital. Applying open labeled allocation concealment, patients were divided into two groups: conventional rotary instrument and physiodispenser group. Patients with Pell and Gregory classification class 2, 3 and position B, C impactions were treated surgically; using either physiodispenser or conventional rotary instrument. Assessment was done for following outcomes-intraoperatively: bone cutting time, bone cutting resistance, heat produced during bone cutting procedure; and, post operatively: pain, trismus, swelling and healing. The data was statistically analysed using chi square test and Mann Whitney U test. Out of 70 patients screened, 48 patients were included (24 patients in each group) in the study. The time required for bone cutting in two groups showed no significant difference (p=0.09). 'Mild heat' production while bone-cutting was seen in a significantly higher proportion of patients in the physiodispenser group (95.8%) as compared to conventional rotary (41.7%; (p<0.0001). Significantly higher proportion of ‘mild’ resistance was felt in patients from the physiodispenser group (91.7%) as compared to conventional rotary method (8.3%; p< 0.001). Postoperative outcomes recorded on Day 1, Day 3 and Day 7 (pain, trismus, wound healing and swelling) showed no significant difference between two groups. Physiodispenser offered significant ease to perform surgical procedure; however, bone cutting time and postoperative complications were comparable between both the instruments.
Pages: 45-50 | 417 Views 13 Downloads
How to cite this article:
Naiya Pathak, Dhara Shukla, Kalpita Shringarpure, SN Goryawala. Physiodispenser versus conventional rotary instrument in transalveolar extraction of impacted mandibular third molars- A randomized controlled clinical trial. Int J Appl Dent Sci 2019;5(2):45-50.