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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 458–465 | Cite as

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

  • Vimal Kalia
  • Nayla Siddiqui
  • Geeta Kalra
Comparative Study

Abstract

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.

Keywords

Radiosurgery Electrosurgery Tissue contouring system Impacted mandibular molars 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Ethical Approval

This article does not contain any studies with human participant or animals performed by any of the author.

Supplementary material

12663_2017_1071_MOESM1_ESM.doc (1.6 mb)
Supplementary material 1 (DOC 1624 kb)

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2017

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgeryBRS Dental College and HospitalSultanpur, PanchkulaIndia

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