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Egyptian Dental Journal
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Volume Volume 67 (2021)
Volume Volume 66 (2020)
Issue Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry)
Issue Issue 4 - October (Oral Surgery)
Issue Issue 4 - October (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)
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Issue Issue 3 - July (Orthodontics, Pediatric & Preventive Dentistry)
Issue Issue 3 - ِJuly (Oral Surgery)
Issue Issue 3 - July (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)
Issue Issue 3 - July (Fixed Prosthodontics, Removable Prosthodontics and Dental Materials)
Issue Issue 3 - July (Conservative Dentistry and Endodontics)
Issue Issue 2 - April (Orthodontics, Pediatric & Preventive Dentistry)
Issue Issue 2 - April (Oral Surgery)
Issue Issue 2 - April (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)
Issue Issue 2 - April (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)
Issue Issue 1 - January (Orthodontics, Pediatric & Preventive Dentistry)
Issue Issue 1 - January (Oral Surgery)
Issue Issue 1 - January (Oral Medicine, X-Ray, Oral Biology & Oral Pathology)
Issue Issue 1 - January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)
Volume Volume 65 (2019)
Volume Volume 64 (2018)
Volume Volume 63 (2017)
Volume Volume 62 (2016)
Noureldin, M., Melek, L. (2020). CLINICAL AND RADIOGRAPHIC OUTCOMES OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL SURGERY. Egyptian Dental Journal, 66(Issue 2 - April (Oral Surgery)), 943-950. doi: 10.21608/edj.2020.24071.1023
Marwa Gamaleldin Noureldin; Lydia N. Melek. "CLINICAL AND RADIOGRAPHIC OUTCOMES OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL SURGERY". Egyptian Dental Journal, 66, Issue 2 - April (Oral Surgery), 2020, 943-950. doi: 10.21608/edj.2020.24071.1023
Noureldin, M., Melek, L. (2020). 'CLINICAL AND RADIOGRAPHIC OUTCOMES OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL SURGERY', Egyptian Dental Journal, 66(Issue 2 - April (Oral Surgery)), pp. 943-950. doi: 10.21608/edj.2020.24071.1023
Noureldin, M., Melek, L. CLINICAL AND RADIOGRAPHIC OUTCOMES OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL SURGERY. Egyptian Dental Journal, 2020; 66(Issue 2 - April (Oral Surgery)): 943-950. doi: 10.21608/edj.2020.24071.1023

CLINICAL AND RADIOGRAPHIC OUTCOMES OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL SURGERY

Article 12, Volume 66, Issue 2 - April (Oral Surgery), April 2020, Page 943-950  XML PDF (729.51 K)
Document Type: Original Article
DOI: 10.21608/edj.2020.24071.1023
Authors
Marwa Gamaleldin Noureldin email orcid 1; Lydia N. Melek2
1Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.
Abstract
Abstract
AIM: The study was intended to evaluate the effectiveness of piezosurgery in enucleation of radicular odontogenic cysts in comparison to the conventional technique.
METHODS: Fourteen patients 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 in which cyst enucleation was using piezosurgery, 2) control group in which the cysts were removed using the conventional technique. The following were assessed; operation time, hemorrhage control and field visibility, ease of operation, neurosensory evaluation and radiographic percentage of change in bone defect volume.
RESULTS: The piezosurgery group showed a statistically significant control over heamorrhage and a clearer, more visible field when compared to the conventional group. The difference between the times required for cyst enucleation in both groups was statistically significant, with longer time recorded with piezosurgery. No complications were observed with the piezosurgery technique. However, with the conventional technique, 2 patients complained of neurosensory involvement which was resolved over time. Also, with piezosurgery, there was a significant reduction of bone defect volume than the conventional surgery, 3 months after the operation in comparison to the preoperative baseline value.
CONCLUSIONS: Piezosurgery proved to be more effective for cyst enucleation than the conventional method. The piezosurgery was more efficient for preserving important anatomical structures while providing a clearer field of surgery. Also, better early healing potential of the bone defect resulting from cyst enucleation was detected.
Keywords
Piezosurgery; cyst enucleation; radicular cyst; periapical cyst
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