Periotome Versus Peizotome as an Aid of Atraumatic Extraction.
Condition: Dental Extraction; Dental Implant
Study type: Interventional

Summary: 
      This study aims to compare between periotome and piezotome in terms of efficiency and
      durability in procedures of simple extractions as an alternative atraumatic extraction
      technique.
    

Detailed description: 
      Teeth extraction is one of the commonly preformed procedures in the dental clinics, and one
      of the most important precautions followed during the different techniques of teeth
      extraction is tissue preservation and the avoidance of tissue trauma. So, for the
      preservation of bone and tissues integrity and elimination of post operative pain and
      discomfort, atraumatic extraction techniques are presented.

      A claim has risen that due to its thin tips which is inserted vertically to the PDL avoiding
      the leveraging forces caused by conventional elevators, Periotome will aid in the reduction
      of soft tissue injury and the preservation of bone integrity. While Piezotome which is a
      newer and innovative device using ultrasonic vibrations mainly for the purpose of osteotomy
      is considered very efficient due to its selective cutting and being inert against soft
      tissues, including nerves and blood vessels. leading to lesser cell necrosis and faster bone
      regeneration providing a minimally invasive atraumatic extraction technique.

      And with the rapid development of implantology and painless dentistry, the demands on more
      efficient, minimally invasive and more durable atraumatic extraction techniques has
      increased.

      This study aims to compare between periotome and piezotome in terms of efficiency and
      durability in procedures of simple extractions as an alternative atraumatic extraction
      technique.
    

Intervention name(s): Periotome; Piezotome
Intervention type(s): Device; Device
Intervention description(s): Dental instrument used to perform atraumatic dental extraction.
After the initial de attachment, the periotome was inserted between the root and the bone parallel to the long axis of the root and pushed apically to the maximum depth that the tissue allowes severing the PDL and leaving it for 10-15 seconds allowing the biomechanical creep to occur.
This proses is repeated at different points of entries at all the different surfaces of the tooth.; Dental device used for many purposes one of which is performing atraumatic dental extraction.
An LC2 tip was used for all the procedures and it was inserted between the tooth root and the bone parallel to the long axis of the root and moved in a sweeping motion 3-4mm toward the apex severing the PDL.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: All patients attending Qassim University dental clinics with teeth indicated for simple extraction will be assigned randomly to one of the two study groups either (Periotome Group) or (Piezotome Group) after insuring that they fit the inclusion criteria.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Extraction; Implant; Periotome; Piezotome; Atraumatic