Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study
Background Tooth extraction, one of the most commonly performed dental procedures, is often associated with trauma to the dentoalveolar complex, resulting in pain, gingival laceration, and alveolar bone loss. Materials and Methods This randomized controlled study included 100 patients requiring nons...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-06-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_19_25 |
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| author | Swati Sahu Ankita Barodiya Animesh Barodiya Mrunal Dave Bharani K. Bhattu Rajat Mohanty Mahesh Ghadage Dipooja Patil |
| author_facet | Swati Sahu Ankita Barodiya Animesh Barodiya Mrunal Dave Bharani K. Bhattu Rajat Mohanty Mahesh Ghadage Dipooja Patil |
| author_sort | Swati Sahu |
| collection | DOAJ |
| description | Background
Tooth extraction, one of the most commonly performed dental procedures, is often associated with trauma to the dentoalveolar complex, resulting in pain, gingival laceration, and alveolar bone loss.
Materials and Methods
This randomized controlled study included 100 patients requiring nonsurgical extraction of single-rooted maxillary or mandibular teeth.
The patients were divided into two groups
Group A (test group, n = 50) underwent extractions using a universal periotome, while Group B (control group, n = 50) underwent extractions with a periosteal elevator. Pain was assessed using the Visual Analog Scale at 3, 6, and 24 hours and on the 7th day postextraction. Additional parameters included duration of surgery, gingival laceration severity, and analgesic consumption. Data were analyzed using SPSS Version 21.0.
Results
The mean duration of surgery was significantly shorter in Group A (4.97 ± 0.96 minutes) compared to Group B (11.47 ± 1.66 minutes; P < 0.0001). Gingival laceration scores were lower in Group A (1.26 ± 0.56) than in Group B (1.72 ± 0.97; P = 0.005). Postoperative pain was consistently lower in Group A across all time points, with pain scores nearly absent by Day 7 (Group A: 0.00 ± 0.00 vs Group B: 0.22 ± 0.42; P < 0.0001). Analgesic consumption was also reduced in Group A, where no patients required analgesics by Day 7, compared to 22% in Group B (P < 0.0001). Minimal postoperative complications were observed, with only one case of dry socket reported in Group B.
Conclusion
The universal periotome demonstrated superior outcomes compared to conventional techniques, significantly reducing operative time, postoperative pain, gingival lacerations, and analgesic consumption. This minimally invasive technique preserves alveolar and gingival architecture, making it an effective alternative for single-rooted tooth extractions. |
| format | Article |
| id | doaj-art-7ee320f4fff94a63ab6d3b2ac068069e |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-7ee320f4fff94a63ab6d3b2ac068069e2025-08-20T03:31:38ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1484S148610.4103/jpbs.jpbs_19_25Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled StudySwati SahuAnkita BarodiyaAnimesh BarodiyaMrunal DaveBharani K. BhattuRajat MohantyMahesh GhadageDipooja PatilBackground Tooth extraction, one of the most commonly performed dental procedures, is often associated with trauma to the dentoalveolar complex, resulting in pain, gingival laceration, and alveolar bone loss. Materials and Methods This randomized controlled study included 100 patients requiring nonsurgical extraction of single-rooted maxillary or mandibular teeth. The patients were divided into two groups Group A (test group, n = 50) underwent extractions using a universal periotome, while Group B (control group, n = 50) underwent extractions with a periosteal elevator. Pain was assessed using the Visual Analog Scale at 3, 6, and 24 hours and on the 7th day postextraction. Additional parameters included duration of surgery, gingival laceration severity, and analgesic consumption. Data were analyzed using SPSS Version 21.0. Results The mean duration of surgery was significantly shorter in Group A (4.97 ± 0.96 minutes) compared to Group B (11.47 ± 1.66 minutes; P < 0.0001). Gingival laceration scores were lower in Group A (1.26 ± 0.56) than in Group B (1.72 ± 0.97; P = 0.005). Postoperative pain was consistently lower in Group A across all time points, with pain scores nearly absent by Day 7 (Group A: 0.00 ± 0.00 vs Group B: 0.22 ± 0.42; P < 0.0001). Analgesic consumption was also reduced in Group A, where no patients required analgesics by Day 7, compared to 22% in Group B (P < 0.0001). Minimal postoperative complications were observed, with only one case of dry socket reported in Group B. Conclusion The universal periotome demonstrated superior outcomes compared to conventional techniques, significantly reducing operative time, postoperative pain, gingival lacerations, and analgesic consumption. This minimally invasive technique preserves alveolar and gingival architecture, making it an effective alternative for single-rooted tooth extractions.https://journals.lww.com/10.4103/jpbs.jpbs_19_25atraumatic extractiongingival lacerationminimally invasive dentistrypostoperative paintooth extractionuniversal periotome |
| spellingShingle | Swati Sahu Ankita Barodiya Animesh Barodiya Mrunal Dave Bharani K. Bhattu Rajat Mohanty Mahesh Ghadage Dipooja Patil Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study Journal of Pharmacy and Bioallied Sciences atraumatic extraction gingival laceration minimally invasive dentistry postoperative pain tooth extraction universal periotome |
| title | Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study |
| title_full | Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study |
| title_fullStr | Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study |
| title_full_unstemmed | Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study |
| title_short | Comparative Evaluation of Universal Periotome and Conventional Techniques in Single-Rooted Tooth Extractions: A Randomized Controlled Study |
| title_sort | comparative evaluation of universal periotome and conventional techniques in single rooted tooth extractions a randomized controlled study |
| topic | atraumatic extraction gingival laceration minimally invasive dentistry postoperative pain tooth extraction universal periotome |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_19_25 |
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