Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research

Introduction: In oral and maxillofacial surgery, their clinical application has largely been restricted to soft tissue. Hence, the aim of this study was to assess the feasibility of erbium-yttrium aluminum garnet (Er: YAG) laser in bone cutting for removal of impacted lower third molar teeth and to...

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Autores principales:	Niladri Maiti, Piyush Sharma, Samiksha Singh Jadon, Fida Qadri, V R Chandra Babu Pamidi, Sagar Ramesh Ganvir, Rahul V C Tiwari
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	burs erbium-yttrium aluminium garnet impacted third molars lasers Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
Acceso en línea:	https://doaj.org/article/dd3ad4a558e842fd9a4f27a491f2078e
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spelling	oai:doaj.org-article:dd3ad4a558e842fd9a4f27a491f2078e2021-11-19T12:15:53ZEfficiency of laser versus bur in impacted mandibular third molar surgery: An original research0975-740610.4103/jpbs.jpbs_266_21https://doaj.org/article/dd3ad4a558e842fd9a4f27a491f2078e2021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1501;epage=1505;aulast=Maitihttps://doaj.org/toc/0975-7406Introduction: In oral and maxillofacial surgery, their clinical application has largely been restricted to soft tissue. Hence, the aim of this study was to assess the feasibility of erbium-yttrium aluminum garnet (Er: YAG) laser in bone cutting for removal of impacted lower third molar teeth and to compare its outcomes with that of surgical bur. Materials and Methods: The study comprised forty subjects requiring removal of impacted mandibular third molar, randomly categorized into two equal groups of 20 each, who had their impacted third molar removed either using Er: YAG laser or surgical bur as per their group, using standard methodology of extraction of impacted teeth. Clinical parameters such as pain, bleeding, time taken for bone cutting, postoperative swelling, trismus, wound healing, and complications were compared for both groups. Results: Clinical parameters such as pain, bleeding, and swelling were lower in laser group than bur group, although the difference was statistically not significant. However, postoperative swelling showed a significant difference in the two groups. Laser group required almost double the time taken for bone cutting with bur. Trismus persisted for a longer period in laser group. Wound healing and complications were assessed clinically and there was no significant difference in both the groups. Conclusion: Based on the results of our study, the possibility of bone cutting using lasers is pursued, the osteotomy is easily performed, and the technique is better suited to minimally invasive surgical procedures. The use of Er: YAG laser may be considered an alternative tool to surgical bur, especially in anxious patients.Niladri MaitiPiyush SharmaSamiksha Singh JadonFida QadriV R Chandra Babu PamidiSagar Ramesh GanvirRahul V C TiwariWolters Kluwer Medknow Publicationsarticleburserbium-yttrium aluminium garnetimpacted third molarslasersPharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1501-1505 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	burs erbium-yttrium aluminium garnet impacted third molars lasers Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142
spellingShingle	burs erbium-yttrium aluminium garnet impacted third molars lasers Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142 Niladri Maiti Piyush Sharma Samiksha Singh Jadon Fida Qadri V R Chandra Babu Pamidi Sagar Ramesh Ganvir Rahul V C Tiwari Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
description	Introduction: In oral and maxillofacial surgery, their clinical application has largely been restricted to soft tissue. Hence, the aim of this study was to assess the feasibility of erbium-yttrium aluminum garnet (Er: YAG) laser in bone cutting for removal of impacted lower third molar teeth and to compare its outcomes with that of surgical bur. Materials and Methods: The study comprised forty subjects requiring removal of impacted mandibular third molar, randomly categorized into two equal groups of 20 each, who had their impacted third molar removed either using Er: YAG laser or surgical bur as per their group, using standard methodology of extraction of impacted teeth. Clinical parameters such as pain, bleeding, time taken for bone cutting, postoperative swelling, trismus, wound healing, and complications were compared for both groups. Results: Clinical parameters such as pain, bleeding, and swelling were lower in laser group than bur group, although the difference was statistically not significant. However, postoperative swelling showed a significant difference in the two groups. Laser group required almost double the time taken for bone cutting with bur. Trismus persisted for a longer period in laser group. Wound healing and complications were assessed clinically and there was no significant difference in both the groups. Conclusion: Based on the results of our study, the possibility of bone cutting using lasers is pursued, the osteotomy is easily performed, and the technique is better suited to minimally invasive surgical procedures. The use of Er: YAG laser may be considered an alternative tool to surgical bur, especially in anxious patients.
format	article
author	Niladri Maiti Piyush Sharma Samiksha Singh Jadon Fida Qadri V R Chandra Babu Pamidi Sagar Ramesh Ganvir Rahul V C Tiwari
author_facet	Niladri Maiti Piyush Sharma Samiksha Singh Jadon Fida Qadri V R Chandra Babu Pamidi Sagar Ramesh Ganvir Rahul V C Tiwari
author_sort	Niladri Maiti
title	Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
title_short	Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
title_full	Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
title_fullStr	Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
title_full_unstemmed	Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research
title_sort	efficiency of laser versus bur in impacted mandibular third molar surgery: an original research
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/dd3ad4a558e842fd9a4f27a491f2078e
work_keys_str_mv	AT niladrimaiti efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT piyushsharma efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT samikshasinghjadon efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT fidaqadri efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT vrchandrababupamidi efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT sagarrameshganvir efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch AT rahulvctiwari efficiencyoflaserversusburinimpactedmandibularthirdmolarsurgeryanoriginalresearch
_version_	1718420162674163712

Efficiency of laser versus bur in impacted mandibular third molar surgery: An original research

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