TY - JOUR
T1 - Piezoelectric bone surgery for impacted lower third molar extraction compared with conventional rotary instruments
T2 - a systematic review, meta-analysis, and trial sequential analysis
AU - Cicciù, M.
AU - Stacchi, C.
AU - Fiorillo, L.
AU - Cervino, G.
AU - Troiano, G.
AU - Vercellotti, T.
AU - Herford, A. S.
AU - Galindo-Moreno, P.
AU - Di Lenarda, R.
N1 - Publisher Copyright:
© 2020 International Association of Oral and Maxillofacial Surgeons
PY - 2021/1
Y1 - 2021/1
N2 - The aim of this study was to evaluate whether piezoelectric bone surgery (PBS) for impacted lower third molar extraction reduces the surgical time and risk of intra- and postoperative complications in comparison with conventional rotary instruments. This meta-analysis followed the PRISMA guidelines and was registered in the PROSPERO database. The PubMed, Embase, Scopus, and OpenGrey databases were screened for articles published from January 1, 1990 to December 31, 2018. Selection criteria included randomized controlled trials (RCTs) comparing PBS with conventional rotary instruments for impacted lower third molar extraction and reporting any of the clinical outcomes (intra- and postoperative complications and duration of surgery) for both groups. A risk of bias assessment was performed using the Cochrane Collaboration tool. A meta-analysis was performed, and the power of the meta-analytic findings was assessed by trial sequential analysis (TSA). Strong evidence suggests that PBS prolongs the duration of surgery and low evidence suggests that PBS reduces postoperative morbidity (pain and trismus) in comparison with rotary instruments. Data were insufficient to determine whether PBS reduces neurological complications and postoperative swelling in comparison with burs.
AB - The aim of this study was to evaluate whether piezoelectric bone surgery (PBS) for impacted lower third molar extraction reduces the surgical time and risk of intra- and postoperative complications in comparison with conventional rotary instruments. This meta-analysis followed the PRISMA guidelines and was registered in the PROSPERO database. The PubMed, Embase, Scopus, and OpenGrey databases were screened for articles published from January 1, 1990 to December 31, 2018. Selection criteria included randomized controlled trials (RCTs) comparing PBS with conventional rotary instruments for impacted lower third molar extraction and reporting any of the clinical outcomes (intra- and postoperative complications and duration of surgery) for both groups. A risk of bias assessment was performed using the Cochrane Collaboration tool. A meta-analysis was performed, and the power of the meta-analytic findings was assessed by trial sequential analysis (TSA). Strong evidence suggests that PBS prolongs the duration of surgery and low evidence suggests that PBS reduces postoperative morbidity (pain and trismus) in comparison with rotary instruments. Data were insufficient to determine whether PBS reduces neurological complications and postoperative swelling in comparison with burs.
KW - Piezosurgery
KW - lower third molar extraction
KW - morbidity
KW - piezoelectric surgery
KW - trial sequential analysis
UR - http://www.scopus.com/inward/record.url?scp=85083017875&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85083017875&partnerID=8YFLogxK
U2 - 10.1016/j.ijom.2020.03.008
DO - 10.1016/j.ijom.2020.03.008
M3 - Review article
C2 - 32284166
SN - 0901-5027
VL - 50
SP - 121
EP - 131
JO - International Journal of Oral and Maxillofacial Surgery
JF - International Journal of Oral and Maxillofacial Surgery
IS - 1
ER -