Accepted Manuscript A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal Edoardo Mantovani , DSS Paolo Giacomo Arduino , DDS, MSc Gianmario Schierano , MD, DMD Luca Ferrero , MD Giorgia Gallesio , DDS Marco Mozzati , MD, DMD Andrea Russo , DDS Crispian Scully , MD, PhD Stefano Carossa , MD, DMD PII:
S0278-2391(14)00501-1
DOI:
10.1016/j.joms.2014.05.002
Reference:
YJOMS 56317
To appear in:
Journal of Oral and Maxillofacial Surgery
Received Date: 13 January 2014 Revised Date:
28 April 2014
Accepted Date: 3 May 2014
Please cite this article as: Mantovani E, Arduino PG, Schierano G, Ferrero L, Gallesio G, Mozzati M, Russo A, Scully C, Carossa S, A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal, Journal of Oral and Maxillofacial Surgery (2014), doi: 10.1016/j.joms.2014.05.002. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal.
RI PT
Edoardo Mantovani, DSS,Ŧ Paolo Giacomo Arduino, DDS, MSc,§ Gianmario Schierano MD, DMD,ç Luca Ferrero, MD,Ŧ Giorgia Gallesio, DDS,Ŧ Marco Mozzati MD, DMD,Ŧ Andrea Russo,
Ŧ
M AN U
SC
DDS,Ŧ Crispian Scully, MD, PhD,Ψ Stefano Carossa, MD, DMD.ł
Clinician, Oral Surgery Unit, CIR – Dental School, University of Turin, Turin, Italy.
§
ç
Researcher, Oral Medicine Unit, CIR – Dental School, University of Turin, Turin, Italy.
Professor, Prosthodontics Unit, CIR – Dental School, University of Turin, Turin, Italy.
Ψ ł
TE D
Professor, UCL, London, UK.
AC C
EP
Head, Prosthodontics Unit, CIR – Dental School, University of Turin, Turin, Italy.
ACCEPTED MANUSCRIPT Short title: piezo for wisdom tooth. Computer system: Mac OS X, Version 10.8.4; Word-processor: Microsoft ® Word 2011 for Mac,
CORRESPONDING AUTHOR: Dr. Paolo G. Arduino Department of Surgical Sciences
SC
Oral Medicine Section, University of Turin.
Tel:+390116331522 Fax:+39011618639
AC C
EP
TE D
E-mail: [email protected]
M AN U
CIR- Dental School Via Nizza 230, 10126 Turin, Italy.
RI PT
Version 14.3.5
ACCEPTED MANUSCRIPT Abstract Purpose: The surgical removal of mandibular third molars is frequently accompanied by significant post-surgical sequelae, and different protocols have been described to improve such adverse events. The aim of this study was to investigate the performance of piezosurgery
RI PT
compared with traditional rotating instruments during mandibular third molar removal.
Methods: A single-centre, randomized, split-mouth study was performed using a consecutive series of unrelated healthy patients, attending the Oral Surgery Unit of the University of Turin,
SC
for surgical removal of bilateral mandibular third molar teeth. Each patient was treated, at the same appointment, using bur removal on one side of the mandible and a piezoelectric device
M AN U
on the contralateral side. The primary outcomes reported were post-operative pain, objective orofacial swelling and the duration of surgical time; secondary outcomes were sex, age and possible adverse events. Anova or paired t-test were used as appropriate to test any significant differences at baseline according to each treatment subgroups and categorical variables were
TE D
analysed by χ2 test.
Results: The study sample consisted of 100 otherwise healthy patients. The mean pain evaluation reported by patients who underwent surgery with the piezosurgery was significantly
EP
lower than that experienced after bur (conventional) removal, reaching a statistical difference
AC C
after 4 days (P=0.043). The clinical value of orofacial swelling at 7th day, normalized to baseline, was lower in the piezosurgery group (P
S0278-2391(14)00501-1
DOI:
10.1016/j.joms.2014.05.002
Reference:
YJOMS 56317
To appear in:
Journal of Oral and Maxillofacial Surgery
Received Date: 13 January 2014 Revised Date:
28 April 2014
Accepted Date: 3 May 2014
Please cite this article as: Mantovani E, Arduino PG, Schierano G, Ferrero L, Gallesio G, Mozzati M, Russo A, Scully C, Carossa S, A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal, Journal of Oral and Maxillofacial Surgery (2014), doi: 10.1016/j.joms.2014.05.002. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT A split-mouth randomized clinical trial to evaluate the performance of piezosurgery compared with traditional technique in lower wisdom tooth removal.
RI PT
Edoardo Mantovani, DSS,Ŧ Paolo Giacomo Arduino, DDS, MSc,§ Gianmario Schierano MD, DMD,ç Luca Ferrero, MD,Ŧ Giorgia Gallesio, DDS,Ŧ Marco Mozzati MD, DMD,Ŧ Andrea Russo,
Ŧ
M AN U
SC
DDS,Ŧ Crispian Scully, MD, PhD,Ψ Stefano Carossa, MD, DMD.ł
Clinician, Oral Surgery Unit, CIR – Dental School, University of Turin, Turin, Italy.
§
ç
Researcher, Oral Medicine Unit, CIR – Dental School, University of Turin, Turin, Italy.
Professor, Prosthodontics Unit, CIR – Dental School, University of Turin, Turin, Italy.
Ψ ł
TE D
Professor, UCL, London, UK.
AC C
EP
Head, Prosthodontics Unit, CIR – Dental School, University of Turin, Turin, Italy.
ACCEPTED MANUSCRIPT Short title: piezo for wisdom tooth. Computer system: Mac OS X, Version 10.8.4; Word-processor: Microsoft ® Word 2011 for Mac,
CORRESPONDING AUTHOR: Dr. Paolo G. Arduino Department of Surgical Sciences
SC
Oral Medicine Section, University of Turin.
Tel:+390116331522 Fax:+39011618639
AC C
EP
TE D
E-mail: [email protected]
M AN U
CIR- Dental School Via Nizza 230, 10126 Turin, Italy.
RI PT
Version 14.3.5
ACCEPTED MANUSCRIPT Abstract Purpose: The surgical removal of mandibular third molars is frequently accompanied by significant post-surgical sequelae, and different protocols have been described to improve such adverse events. The aim of this study was to investigate the performance of piezosurgery
RI PT
compared with traditional rotating instruments during mandibular third molar removal.
Methods: A single-centre, randomized, split-mouth study was performed using a consecutive series of unrelated healthy patients, attending the Oral Surgery Unit of the University of Turin,
SC
for surgical removal of bilateral mandibular third molar teeth. Each patient was treated, at the same appointment, using bur removal on one side of the mandible and a piezoelectric device
M AN U
on the contralateral side. The primary outcomes reported were post-operative pain, objective orofacial swelling and the duration of surgical time; secondary outcomes were sex, age and possible adverse events. Anova or paired t-test were used as appropriate to test any significant differences at baseline according to each treatment subgroups and categorical variables were
TE D
analysed by χ2 test.
Results: The study sample consisted of 100 otherwise healthy patients. The mean pain evaluation reported by patients who underwent surgery with the piezosurgery was significantly
EP
lower than that experienced after bur (conventional) removal, reaching a statistical difference
AC C
after 4 days (P=0.043). The clinical value of orofacial swelling at 7th day, normalized to baseline, was lower in the piezosurgery group (P
