PIEZOELECTRIC SURGERY VERSUS CONVENTIONAL ROTATORY BURS FOR SINUS LIFT SURGERY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS.
Evangelos N. Vitkos1, Papadopoulos A. Konstantinos2, Kyrgidis Athanassios3
Author affiliations:
Doi: 10.54936/haoms231o2
Objective: The aim of this study is to compare the outcomes after implementation of piezoelectric bone surgery versus conventional rotatory devices in sinus lift surgery.
Methods: A systematic review of MEDLINE (via PubMed), Scopus and Cochrane Library database was performed (last search date: 04 March 2022) according to the PRISMA guidelines. Only randomized controlled trials that directly compare the two techniques were included. Random-effects model meta-analysis were performed.
Results: Six studies, comprising a total of 140 patients/ 259 sinuses, 130 undergoing sinus lift with piezoelectric osteotomy device and 129 with conventional rotatory burs were identified and five of them were included in our meta-analysis. The two techniques were compared for intraoperative membrane perforation and operative time. No statistically significant difference was observed regarding membrane perforation (Standardized Mean Difference [SMD]: 0.87, 95% Confidence Interval [CI]: [0.33] – [2.28], p=0.78, I2= 0.00%) and operative time (SMD: 0.76, 95% CI: [-0.09] – [1.60], p=0.08, I2=77.70%).
Conclusions: Data seem to agree that both piezoelectric osteotomy and osteotomy with conventional rotatory burs have similar results in membrane perforation and operative time when used for sinus lift surgery.
Evangelos N. Vitkos1, Papadopoulos A. Konstantinos2, Kyrgidis Athanassios3
Author affiliations:
- Department of General Surgery, General Hospital of Katerini, Katerini, Greece.
- Department of Orthopaedics and Traumatology, ST. Anna-Hospital Henre, Germany.
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Doi: 10.54936/haoms231o2
Objective: The aim of this study is to compare the outcomes after implementation of piezoelectric bone surgery versus conventional rotatory devices in sinus lift surgery.
Methods: A systematic review of MEDLINE (via PubMed), Scopus and Cochrane Library database was performed (last search date: 04 March 2022) according to the PRISMA guidelines. Only randomized controlled trials that directly compare the two techniques were included. Random-effects model meta-analysis were performed.
Results: Six studies, comprising a total of 140 patients/ 259 sinuses, 130 undergoing sinus lift with piezoelectric osteotomy device and 129 with conventional rotatory burs were identified and five of them were included in our meta-analysis. The two techniques were compared for intraoperative membrane perforation and operative time. No statistically significant difference was observed regarding membrane perforation (Standardized Mean Difference [SMD]: 0.87, 95% Confidence Interval [CI]: [0.33] – [2.28], p=0.78, I2= 0.00%) and operative time (SMD: 0.76, 95% CI: [-0.09] – [1.60], p=0.08, I2=77.70%).
Conclusions: Data seem to agree that both piezoelectric osteotomy and osteotomy with conventional rotatory burs have similar results in membrane perforation and operative time when used for sinus lift surgery.