title: Piezosurgery vs High Speed Rotary Handpiece: a comparison between the two techniques in the impacted third molar surgery.
abstract: OBJECTIVE
  The aim of the Study was to compare the impacted third molar surgical technique by means of the high speed rotary handpiece with the piezoelectric one.
  
  
  METHODS
  192 patients have been selected among those who had to undergo a third molar surgical extraction. These patients' surgeries have been performed by means of one of the techniques, randomly chosen. Each patient has undergone the same analgesic therapy (paracetamol 1000 mg tablets). Each surgery has been performed by the same surgeon. The patients were asked to fill in a questionnaire concerning the postoperative pain ("happy face pain" rating scale).
  
  
  RESULTS
  The average duration of the surgeries performed by means of the high speed rotary handpiece was 32 minutes, while the duration of the ones performed by means of the piezoelectric handpiece was much longer (54 minutes). The postoperative pain values were almost equal.
  
  
  CONCLUSIONS
  In conclusion, the osteotomy performed by means of the traditional technique still represents the gold standard in the impacted third molar surgery. The piezoelectric technique may be an effective choice, especially for the less skilled surgeons, in order to guarantee the protection of the delicate locoregional anatomical structures.
authors.affiliation: PhD Program in "Material for Health, Environment and Energy", University of Rome "Tor Vergata"
authors.forename: F N
authors.initials: FN
authors.lastname: Bartuli
authors.forename: F
authors.initials: F
authors.lastname: Luciani
authors.forename: F
authors.initials: F
authors.lastname: Caddeo
authors.forename: L
authors.initials: L
authors.lastname: DE Chiara
authors.forename: M
authors.initials: M
authors.lastname: DI Dio
authors.forename: P
authors.initials: P
authors.lastname: Piva
authors.forename: L
authors.initials: L
authors.lastname: Ottria
authors.forename: C
authors.initials: C
authors.lastname: Arcuri
keywords: high speed handpiece; piezosurgery; third molar