The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial
<b>(1) Background</b>: Impacted third molar extraction with a scalpel and rotary instruments is one of the most traumatic surgeries in dentistry. Therefore, it is necessary to discover less traumatic methods and instruments to reduce the risk of postoperative complications. <b>(2)...
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MDPI AG
2024-11-01
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| Series: | Dentistry Journal |
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| author | Diana Sologova Ekaterina Diachkova Susanna Sologova Elena Smolyarchuk Arus Margaryan Ekaterina Grigorevskikh Pavel Petruk Elizaveta Tumanova Oxana Svitich Svetlana Tarasenko |
| author_facet | Diana Sologova Ekaterina Diachkova Susanna Sologova Elena Smolyarchuk Arus Margaryan Ekaterina Grigorevskikh Pavel Petruk Elizaveta Tumanova Oxana Svitich Svetlana Tarasenko |
| author_sort | Diana Sologova |
| collection | DOAJ |
| description | <b>(1) Background</b>: Impacted third molar extraction with a scalpel and rotary instruments is one of the most traumatic surgeries in dentistry. Therefore, it is necessary to discover less traumatic methods and instruments to reduce the risk of postoperative complications. <b>(2) Methods</b>: This study is reported in accordance with the CONSORT guidelines. The study aim is to assess the effectiveness of an Er:YAG laser with a wavelength of 2.94 μm, cutting and rotating instruments in the extraction of lower third molars in comparison with the traditional instruments using clinical and radiology parameters. In the control group, the impacted third molars were extracted with the traditional instruments, like scalpel and rotary instruments; in the test group, the impacted third molars were extracted with an Er:YAG laser. As per the inclusion and exclusion criteria, we enrolled 60 patients who were randomly assigned into two groups (Er:YAG laser group and control group). The efficacy of the Er:YAG laser was assessed by postoperative pain, collateral swelling, mouth opening, and radiology parameters such as radiographic infrabony defects and radiographic bone height after tooth extraction. <b>(3) Results</b>: The results showed that the clinical postoperative parameters like pain, collateral swelling, and mouth opening were less pronounced in the Er:YAG laser group than those in the control group (<i>p</i> < 0.001). According to the data of the radiology parameters (RBH and RID), the regeneration of the socket after extraction was better in the laser group than in the control group (<i>p</i> < 0.001). <b>(4) Conclusions</b>: Based on the obtained results of clinical and radiology parameters assessment, it was shown that third molar extraction using an Er:YAG laser is a less traumatic method than extraction using a scalpel and rotary instruments. |
| format | Article |
| id | doaj-art-3eef5433b25a4adcaf096954f9836c8a |
| institution | DOAJ |
| issn | 2304-6767 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj-art-3eef5433b25a4adcaf096954f9836c8a2025-08-20T02:56:06ZengMDPI AGDentistry Journal2304-67672024-11-01121238810.3390/dj12120388The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical TrialDiana Sologova0Ekaterina Diachkova1Susanna Sologova2Elena Smolyarchuk3Arus Margaryan4Ekaterina Grigorevskikh5Pavel Petruk6Elizaveta Tumanova7Oxana Svitich8Svetlana Tarasenko9Department of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaDepartment of Pharmacology, Nelyubin Institute of Pharmacy, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaMaxillofacial Surgery Department, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, RussiaDepartment of Microbiology, Virology, and Immunology, I.M. Sechenov First Moscow State Medical University (Sechenov University), 125009 Moscow, RussiaDepartment of Oral Surgery of the Institute of Dentistry, I.M. Sechenov First Moscow State Medical University (Sechenov University), 119048 Moscow, Russia<b>(1) Background</b>: Impacted third molar extraction with a scalpel and rotary instruments is one of the most traumatic surgeries in dentistry. Therefore, it is necessary to discover less traumatic methods and instruments to reduce the risk of postoperative complications. <b>(2) Methods</b>: This study is reported in accordance with the CONSORT guidelines. The study aim is to assess the effectiveness of an Er:YAG laser with a wavelength of 2.94 μm, cutting and rotating instruments in the extraction of lower third molars in comparison with the traditional instruments using clinical and radiology parameters. In the control group, the impacted third molars were extracted with the traditional instruments, like scalpel and rotary instruments; in the test group, the impacted third molars were extracted with an Er:YAG laser. As per the inclusion and exclusion criteria, we enrolled 60 patients who were randomly assigned into two groups (Er:YAG laser group and control group). The efficacy of the Er:YAG laser was assessed by postoperative pain, collateral swelling, mouth opening, and radiology parameters such as radiographic infrabony defects and radiographic bone height after tooth extraction. <b>(3) Results</b>: The results showed that the clinical postoperative parameters like pain, collateral swelling, and mouth opening were less pronounced in the Er:YAG laser group than those in the control group (<i>p</i> < 0.001). According to the data of the radiology parameters (RBH and RID), the regeneration of the socket after extraction was better in the laser group than in the control group (<i>p</i> < 0.001). <b>(4) Conclusions</b>: Based on the obtained results of clinical and radiology parameters assessment, it was shown that third molar extraction using an Er:YAG laser is a less traumatic method than extraction using a scalpel and rotary instruments.https://www.mdpi.com/2304-6767/12/12/388Er:YAG laserimpacted third molarextractionlaser bone cutting |
| spellingShingle | Diana Sologova Ekaterina Diachkova Susanna Sologova Elena Smolyarchuk Arus Margaryan Ekaterina Grigorevskikh Pavel Petruk Elizaveta Tumanova Oxana Svitich Svetlana Tarasenko The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial Dentistry Journal Er:YAG laser impacted third molar extraction laser bone cutting |
| title | The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial |
| title_full | The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial |
| title_fullStr | The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial |
| title_full_unstemmed | The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial |
| title_short | The Efficacy of Er:YAG Laser in the Extraction of Impacted Third Molars: A Randomized Clinical Trial |
| title_sort | efficacy of er yag laser in the extraction of impacted third molars a randomized clinical trial |
| topic | Er:YAG laser impacted third molar extraction laser bone cutting |
| url | https://www.mdpi.com/2304-6767/12/12/388 |
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