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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


DIAS-RIBEIRO, Eduardo et al. Third molar removal with the use of piezosurgery: literature review. Rev Esp Cirug Oral y Maxilofac [online]. 2018, vol.40, n.2, pp.84-89. ISSN 2173-9161.

The aim of this study was to conduct a systematic review of the literature regarding the use of Piezosurgery instead of conventional rotary instruments in the extractions of lower third molars.

Material and method:

An electronic databases search was performed in PubMed, ISI Web of Knowledge, Science Direct in the last eight years, using the keywords; third molar, osteotomy, surgical instruments, maxillofacial surgery.


Twenty six articles were selected after applying inclusion and exclusion criteria. Articles that evaluated the perioperative time, facial edema, postoperative pain and amount of analgesics used, were selected, and a common variable in the studies was the longest working time during the procedures performed with piezoelectric devices.


According to the evidence found, most studies have associated the use of Piezosurgery for extractions of third molars with less facial post-operative oedema. However piezosurgery has a longer greater intra-operative time, which can increase post-operative pain and presence of trismus.

Keywords : Third molar; Osteotomy; Surgical Instruments; Oral Surgery.

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