Radicular Cyst Enucleation Using Piezosurgery Versus Conventional Surgery

Alexandria University

Status: Completed

Conditions: RADICULAR CYSTS

Treatments: Other: PIEZOSURGERY VERSUS CONVENTIONAL SURGERY

Study type: Interventional

Funder types: Other

Identifiers

NCT04244422

Piezosurgery cyst enucleation

Details and patient eligibility

About

AIM: The study was intended to evaluate the effectiveness of piezosurgery in enucleation of radicular odontogenic cysts in comparison to the conventional technique from both the clinical and radiographic perspectives.

Full description

METHODS: Fourteen (8 females and 6 males) patients with age range of 30-55 years who had radicular cysts associated with non-vital teeth, were operated at the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. The patients were randomly divided into 2 groups;1) the study group (7 patients) in which cyst enucleation using piezosurgery was employed, 2) control group in which the cysts were removed using the conventional technique. The following parameters were assessed; postoperative pain, time of operation, hemorrhage control and field visibility, ease of operation, neurosensory evaluation and radiographic percentage of change in bone defect volume between preoperative and 3-months postoperative values.

Enrollment: 14 patients

Sex: All

Ages: 31 to 52 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 1. Periapical cysts involving more than one tooth in close relation to the maxillary sinus, nasal cavity or inferior alveolar neurovascular bundle,
• 2. Intact labial/buccal cortical plate with no perforation.

Exclusion criteria

• 1. Patients with systemic diseases contraindicating surgery
• 2. Cases in suspicion of malignancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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14 participants in 2 patient groups

cyst enucleation using piezosurgery

Active Comparator group

Description:

SATLEC ACTEON peizotome 2 was used for bone cutting and separating the cystic lining from the surrounding bone.After complete removal of the cyst, the bony window was replaced back in place and the flap was sutured.

Treatment:

Other: PIEZOSURGERY VERSUS CONVENTIONAL SURGERY

cyst enucleation using conventional surgery

Active Comparator group

Description:

A carbide bur was used to remove the bone to uncover the cyst. A periosteal elevator and a curette were used to aid in the removal of the cystic lesion.

Treatment:

Other: PIEZOSURGERY VERSUS CONVENTIONAL SURGERY