Comparison of piezosurgery and conventional rotatory instruments in surgical removal of lower third molars

Comparison of piezosurgery and conventional rotatory instruments in transalveolar extraction of mandibular third molars â?? A Randomized Controlled Trial

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2019/05/019265

Enrollment

Registered

2019-05-21

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K011- Impacted teeth

Interventions

Intervention1: Piezosurgery: Piezosurgical handpiece (Acteon Piezotome 2) Control Intervention1: Conventional rotatory handpiece: conventional rotatory straight handpiece with surgical burs

Eligibility

Inclusion criteria

Inclusion criteria: Presence of bilaterally impacted lower third molars with a similar extraction difficulty

Exclusion criteria

Exclusion criteria: 1] Teeth affected by acute infections, such as pericoronitis, an acute alveolar abscess at the time of surgery. 2] Patients on steroid treatments. 3] Patients with conditions in which cortisol secretion is altered (Addisonâ??s disease, Cushingâ??s syndrome, and congenital adrenal hyperplasia). 3] Patients with conditions of decreased or altered secretion of saliva (caused by atropine, calcium channel blockers, antidepressants, antihistamines, Sjogrenâ??s syndrome, and radiotherapy) 4] Patients with systemic diseases. 5] Patients who smoke. 6] Pregnant patients. 7] Patient allergic to penicillin or other drugs used in the standardized postoperative therapy. 8] Patient with chronic alcoholism

Design outcomes

Primary

Measure	Time frame
1.Pain - using Visual Analog Scale (1-10) 2. Edema - measured using measuring tape method Schultze Mosgau et al - S1: from tragus of ear to corner of mouth. S2: from tragus of ear to soft tissue pogonion. S3: from lateral canthus of eye to the angle of mandible. 3. Trismus - using a ruler by measuring interincisal distance.Timepoint: 1.Pain - on 1st,2nd,3rd,4th,5th,6th postoperative day 2. Edema - measured at baseline and 1 week postoperatively 3. Trismus - measured at baseline and 1 week postoperatively	—

Measure

Time frame

1.Pain - using Visual Analog Scale (1-10) 2. Edema - measured using measuring tape method Schultze Mosgau et al - S1: from tragus of ear to corner of mouth. S2: from tragus of ear to soft tissue pogonion. S3: from lateral canthus of eye to the angle of mandible. 3. Trismus - using a ruler by measuring interincisal distance.Timepoint: 1.Pain - on 1st,2nd,3rd,4th,5th,6th postoperative day 2. Edema - measured at baseline and 1 week postoperatively 3. Trismus - measured at baseline and 1 week postoperatively

—

Secondary

Measure	Time frame
Stress response of body using salivary cortisol levelsTimepoint: Collection of saliva - before extraction, immediately after extraction, 20 minutes after extraction, 1 week after extraction	—

Countries

India

Contacts

Public ContactDr Nouman Rashid

AIIMS Rishikesh

ashichug@gmail.com8475000290

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026