Periotome Versus Peizotome as an Aid of Atraumatic Extraction. (RCT)

Qassim University

Status: Completed

Conditions: Dental Extraction; Dental Implant

Treatments: Device: Periotome; Device: Piezotome

Study type: Interventional

Funder types: Other

Identifiers

NCT04915443

EA/m-2019-3013

Details and patient eligibility

About

This study aims to compare between periotome and piezotome in terms of efficiency and durability in procedures of simple extractions as an alternative atraumatic extraction technique.

Full description

Teeth extraction is one of the commonly preformed procedures in the dental clinics, and one of the most important precautions followed during the different techniques of teeth extraction is tissue preservation and the avoidance of tissue trauma. So, for the preservation of bone and tissues integrity and elimination of post operative pain and discomfort, atraumatic extraction techniques are presented.

A claim has risen that due to its thin tips which is inserted vertically to the PDL avoiding the leveraging forces caused by conventional elevators, Periotome will aid in the reduction of soft tissue injury and the preservation of bone integrity. While Piezotome which is a newer and innovative device using ultrasonic vibrations mainly for the purpose of osteotomy is considered very efficient due to its selective cutting and being inert against soft tissues, including nerves and blood vessels. leading to lesser cell necrosis and faster bone regeneration providing a minimally invasive atraumatic extraction technique.

And with the rapid development of implantology and painless dentistry, the demands on more efficient, minimally invasive and more durable atraumatic extraction techniques has increased.

This study aims to compare between periotome and piezotome in terms of efficiency and durability in procedures of simple extractions as an alternative atraumatic extraction technique.

Enrollment: 19 patients

Sex: All

Ages: 18 to 62 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Grade I or II patients according to ASA
• Teeth indicated for simple extraction
• Teeth indicated for extraction and immediate implant placement
• Teeth of grade 0-I Mobility
• Remaining roots with sound form

Exclusion criteria

• Grade III-VI patients according to ASA

• Mobility Grade ≥ II

• Teeth indicated for surgical extraction

  • ASA: American Society of Anesthesiologists Physical Status Classification System 2020

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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19 participants in 2 patient groups

Periotome Group

Experimental group

Description:

An Atraumatic simple extraction procedure is done to teeth or roots with sound form indicated for simple extraction using H.ZEPF 26.182.13 \& 26.182.11 periotome instrument.

Treatment:

Device: Periotome

Piezotome Group

Experimental group

Description:

An Atraumatic simple extraction procedure is done to teeth or roots with sound form indicated for simple extraction using SOLO LED PIEZOTOME Kit with ESSENTIAL tips from SATELEC ACTEON.

Treatment:

Device: Piezotome