Work

Efficacy of 45-Degree Turbine Handpiece Versus Conventional Motor Handpiece in Surgical Removal of Impacted Third Molar: A Comparative Study

Year: 2025

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: Objective: This study aims to compare the efficacy of the conventional motor handpiece and the 45-degree turbine handpiece in the surgical removal of impacted third molars, with a focus on operative time, pain, swelling, trismus, and the risk of subcutaneous emphysema. Methods: A total of 240 patients were randomly assigned into two groups: Group A (n = 120) underwent surgery using the conventional motor handpiece, while Group B (n = 120) used the 45-degree turbine handpiece. Postoperative outcomes were evaluated on days 3, 7, and 30, including pain (VAS score), swelling (C-T and O-A measurements), and trismus (mouth opening). Results: = 0.03) and faster resolution of swelling and trismus by day 30 compared to Group A. The risk of subcutaneous emphysema was higher in Group B, though complications were minimal. Conclusion: The 45-degree turbine handpiece offers advantages in terms of reduced postoperative pain, swelling, and faster recovery of mouth opening compared to the conventional motor handpiece. However, the risk of subcutaneous emphysema necessitates caution when using the turbine handpiece in impacted third molar surgery.

Source: Journal of Pharmacy And Bioallied Sciences

DOI: 10.4103/jpbs.jpbs_1859_24

Authors: Sunil Kumar Gulia, Sanjeev Kumar, Rahul Kashyap, Rohit Punga, Sunita Malik, Keerat Preet Kour

Institutions: Shree Guru Gobind Singh Tricentenary University, Sharda University, Government of Haryana

Language: English

Topic: Dental Radiography and Imaging

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $250