Craniomaxillofacial deformities/sleep disorders/cosmetic surgeryDoes Piezosurgery Decrease Patient Morbidity in Surgically Assisted Rapid Palatal Expansion Compared With Saw and Burrs?
Section snippets
Patients and Methods
A randomized single-blind clinical trial was designed to address the research purpose. The study population included all patients referred to the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul Aydin University, for the evaluation and management of MTD from May 2015 to September 2018. The ethics committee of School of Dentistry, Gazi University, approved the present study. All the patients and/or their parents were informed in detail about the preliminary diagnosis,
Results
The study included 80 patients (40 females and 40 males), aged 15 to 34 years (mean, 20.6 ± 4.7 years) with complete skeletal development, with a diagnosis of MTD (>5 mm) as per the posteroanterior radiographs. The edema levels, VAS scores for postoperative pain and patient satisfaction, total duration of the osteotomy, and correlation between the variables were analyzed (Table 1, Table 2, Table 3).
Discussion
The present study was performed to compare the edema, postoperative pain, patient satisfaction, and operating time in the SARPE technique when performed using piezosurgery, a reciprocal microsaw, or conventional burrs with osteotomes. We had hypothesized that no differences would be found for any of the outcomes among the groups. However, our results revealed that edema was less in the piezosurgery group and resolved within a shorter period. The patients also experienced significantly less
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Conflict of Interest Disclosures: None of the authors have any relevant financial relationship(s) with a commercial interest.