Evaluation of Different Surgical Removal Techniques for Impacted Mandibular Third Molar Impactions: A Comparative Study.

Introduction: The removal of impacted mandibular third molars (wisdom teeth) is a common surgical procedure. Multiple techniques are used, including conventional drilling, piezosurgery, and flap designs, each with distinct outcomes in terms of postoperative pain, swelling, and healing. This study compares the outcomes of different techniques to guide optimal clinical choices. Methods: A comparative clinical study was conducted with patients undergoing mandibular third molar extraction using three surgical techniques: traditional rotary drilling, piezosurgery, and a minimally invasive approach. Parameters assessed included postoperative pain (measured on a visual analog scale), swelling (using facial measurements), and healing (evaluated by the healing index). Statistical analysis was performed using ANOVA and post hoc tests to compare the techniques, with a significance level set at P < 0.05. Results: Piezosurgery demonstrated significantly lower pain and swelling scores compared to conventional rotary techniques (P < 0.05). However, healing outcomes were comparable across all methods. Data are presented in Tables 1 and 2. Conclusion: Piezosurgery provides better postoperative comfort with reduced pain and swelling, making it a preferable option for impacted mandibular third molar extraction. Future studies should explore long-term outcomes to confirm these findings.