title: Periotome as an Aid to Atraumatic Extraction: A Comparative Double Blind Randomized Controlled Trial.
abstract: OBJECTIVE
  The aim of this study was to evaluate the efficacy of periotomes in single rooted nonsurgical tooth extractions.
  
  
  METHODS
  A double blind, randomized controlled clinical trial of 100 patients requiring nonsurgical single rooted tooth extractions was performed. The subjects were randomized into the experimental group (underwent extractions with periotome and conventional extraction forceps) or into the control group (subjects underwent extractions using periosteal elevator and conventional extraction forceps). Pain was assessed using visual analogue scale all throughout 7 days postoperatively. Gingival laceration, duration of surgery, number and frequency of analgesics consumed and complications (if present) were also noted.
  
  
  RESULTS
  On inter-group comparison, all the parameters were statistically significant in control group (p < 0.05). Also on pre and post-operative inter-group comparison, statistically significant pain reduction was noted in experimental group (52.8 %) whereas pain increased in control group (65 %).
  
  
  CONCLUSIONS
  The results of this study suggest that use of periotome may be helpful in reducing post extraction discomfort.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana 121003 India.
authors.forename: Sneha D
authors.initials: SD
authors.lastname: Sharma
authors.affiliation: Department of Oral and Maxillofacial Surgery, The Oxford Dental College, Bommanahalli, Bangalore, 586214 India.
authors.forename: B
authors.initials: B
authors.lastname: Vidya
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, MAHSA University, Kuala Lumpur, Malaysia.
authors.forename: Mohan
authors.initials: M
authors.lastname: Alexander
authors.affiliation: Department of Oral and Maxillofacial Surgery, D J College of Dental Sciences and Research, Modinagar, UP India.
authors.forename: Sunny
authors.initials: S
authors.lastname: Deshmukh
keywords: Atraumatic; Complications; Extraction; Gingival Laceration; Periotome