Comparative study on extraction of impacted mandibular wisdom teeth by Er:YAG laser and turbine handpiece

doi:10.19439/j.sjos.2023.01.014

Abstract

Abstract: PURPOSE: To compare the clinical effect of Er:YAG laser and turbine handpiece in the removal of lower horizontally impacted wisdom teeth, and to evaluate the operation time, postoperative pain, facial swelling, degree of mouth opening limitation and complications. METHODS: From March 2020 to May 2022, forty patients with bilateral lower mandibular horizontally impacted wisdom teeth in the Department of Oral and Maxillofacial Surgery of Linyi People's Hospital were selected,and all bilateral wisdom teeth were partially bone buried. The bilateral wisdom teeth of each patient were removed by Er:YAG laser on one side and turbine handpiece on the other side, respectively. The patients were divided into experimental(laser) group and control(turbine handpiece) group according to the ways of bone removal on each side. The clinical effect of the two groups was compared after a week of follow-up. Statistical analysis was performed with SPSS 19.0 software package. RESULTS: There was no significant difference between the two groups in operation time(P>0.05). The incidence of postoperative pain, facial swelling, mouth opening limitation and complications in the experimental group were significantly lower than those in the control group(P<0.05). CONCLUSIONS: The operation time of extraction with Er:YAG laser is similar to that with turbine handpiece, but laser can reduce postoperative reaction and the incidence of complications, which is easy to be accepted by patients and worthy of wide application.

Key words: Lower impacted wisdom teeth in the mandible, Er:YAG laser, Turbine handpiece

CLC Number:

R782

ZHANG Ying-hao, ZHAO Ning, ZHAO Ai-jie, ZHU Chao. Comparative study on extraction of impacted mandibular wisdom teeth by Er:YAG laser and turbine handpiece[J]. Shanghai Journal of Stomatology, 2023, 32(1): 75-79.

References

[1] Shenoi RS, Rajguru JG, Parate SR, et al.Compliance of postoperative instructions following the surgical extraction of impacted lower third molars[J]. Indian J Dent Res, 2021, 32(1): 87-91.
[2] Singh K, Kumar S, Singh S, et al.Impacted mandibular third molar: comparison of coronectomy with odontectomy[J]. Indian J Dent Res, 2018, 29(5): 605-610.
[3] Giovannacci I, Giunta G, Pedrazzi G, et al.Erbium Yttrium-Aluminum-Garnet laser versus traditional bur in the extraction of impacted mandibular third molars: analysis of intra- and postoperative differences[J]. J Craniofac Surg, 2018, 29(8): 2282-2286.
[4] 徐芳, 张慧霞. 微创拔牙法与传统拔牙法拔除下颌阻生智牙疗效比较[J]. 上海口腔医学, 2016, 25(5): 613-616.
[5] 袁春平, 彭辉, 石玉, 等. 2种拔牙方法在下颌阻生第三磨牙拔除术中的应用比较[J]. 口腔生物医学, 2018, 9(4): 206-209.
[6] 肖佳灵, 徐国超. 超声骨刀与高速涡轮钻拔除下颌中低位水平阻生智齿的比较[J]. 实用医学杂志, 2020, 36(11): 1483-1487.
[7] Singh K, Kumar S, Singh S, et al.Impacted mandibular third molar: comparison of coronectomy with odontectomy[J]. Indian J Dent Res, 2018, 29(5): 605-610.
[8] Kiencalo A, Jamka-Kasprzyk M, Panas M, et al.Analysis of complications after the removal of 339 third molars[J]. Dent Med Probl, 2021, 58(1): 75-80.
[9] 胡开进, 李永锋, 吴迪. 微动力系统在牙拔除术中的应用[J]. 华西口腔医学杂志, 2015, 33(1): 1-5.
[10] 李树朝. 涡轮手机与传统凿骨劈冠法应用于下颌阻生智齿拔除的临床探讨[J]. 北京口腔医学, 2018, 26(2): 102-104.
[11] Patil C, Jadhav AKR, Bhola N, et al.Piezosurgery vs bur in impacted mandibular third molar surgery: evaluation of postoperative sequelae[J]. J Oral Biol Craniofac Res, 2019, 9(3): 259-262.
[12] 李有楠, 刘骁征, 王子滔, 等. 激光技术在血管内成像及治疗方面的应用[J]. 激光与光电子学进展, 2021, 58(23): 19-30.
[13] 帕尔哈提·柔孜, 杨晓君, 木合布力·阿布力孜, 等. 4种动物骨骼的化学成分与生物活性研究进展[J]. 现代食品科技, 2020, 36(5): 337-346.
[14] Moslemi N, Shahnaz A, Masoumi S, et al.Laser-assisted osteotomy for implant site preparation: a literature review[J]. Implant Dent, 2017, 26(1): 129-136.
[15] 于林彤, 宋光泰. 铒激光在儿童口腔医学中的应用[J]. 国际口腔医学杂志, 2020, 47(3): 351-355.
[16] Moslemi N, Shahnaz A, Masoumi S, et al.Laser-assisted osteotomy for implant site preparation: a literature review[J]. Implant Dent, 2017, 26(1): 129-136.
[17] Tao S, Li L, Yuan H, et al.Erbium laser technology vs traditional drilling for caries removal: a systematic review with meta-analysis[J]. J Evid Based Dent Pract, 2017, 17(4): 324-334.
[18] Sales P, Barros A, Silva P, et al.Is the Er: YAG laser effective in reducing pain, edema, and trismus after removal of impacted mandibular third molars? a meta-analysis[J]. J Oral Maxillofac Surg, 2022, 80(3): 501-516.
[19] 林洁, 孙宇, 雷雅燕. 常用激光在口腔软硬组织中的应用[J]. 医学综述, 2018, 24(9): 1749-1754.
[20] Ohsugi Y, Aoki A, Mizutani K, et al.Evaluation of bone healing following Er:YAG laser ablation in rat calvaria compared with bur drilling[J]. J Biophotonics, 2019, 12(3): e201800245.
[21] Zeitouni J, Clough B, Zeitouni S, et al.The effects of the Er:YAG laser on trabecular bone micro-architecture: comparison with conventional dental drilling by micro-computed tomographic and histological techniques[J]. F1000Res, 2017, 6: 1133-1144.
[22] Alsaad SM, Ross EV, Smith WJ, et al.Analysis of depth of ablation, thermal damage, wound healing, and wound contraction with Erbium YAG laser in a yorkshire pig model[J]. J Drugs Dermatol, 2015, 14(11): 1245-1252.
[23] Shamsudeen SM, Thavarajah R, Joshua E, et al.Evaluating and comparing the morphological and histopathological changes induced by erbium:yttrium-aluminum-garnet laser and diamond bur on enamel, dentin and pulp tissue[J]. J Investig Clin Dent, 2019, 10(4): e12475.
[24] Larionova EV, Diachkova EY, Morozova EA, et al.Laser-assisted tooth extraction in patients with impaired hemostasis[J]. Biomedicine (Taipei), 2021, 11(2): 47-54.
[25] Baek KW, Dard M, Zeilhofer HF, et al.Comparing the bone healing after cold ablation robot-guided Er:YAG laser osteotomy and piezoelectric osteotomy-a pilot study in a minipig mandible[J]. Lasers Surg Med, 2021, 53(3): 291-299.
[26] 昝世蒙. 铒激光在口腔种植中的应用[J]. 中国医疗器械信息, 2022, 28(6): 34-36.
[27] 吴带生, 陈俊兰, 彭伟, 等. 超声骨刀和涡轮手机在复杂下颌阻生智齿拔除中的临床应用[J]. 中国医学创新, 2017, 14(24): 10-13.
[28] Zengin Celik T, Saglam E, Ercan C, et al.Clinical and microbiological effects of the use of erbium: yttrium-aluminum-garnet laser on chronic periodontitis in addition to nonsurgical periodontal treatment: a randomized clinical trial-6 months follow-up[J]. Photobiomodul Photomed Laser Surg, 2019, 37(3): 182-190.
[29] Valenti C, Pagano S, Bozza S, et al.Use of the Er:YAG laser in conservative dentistry: evaluation of the microbial population in carious lesions[J]. Materials (Basel), 2021, 14(9): 2387-2400.
[30] Maiti N, Sharma P, Jadon SS, et al.Efficiency of laser versus bur in impacted mandibular third molar surgery: an original research[J]. J Pharm Bioallied Sci, 2021, 13(Suppl 2): S1501-S1505.