A carregar...
Publicação
Efetividade do sistema piezoelétrico na exodontia dos terceiros molares mandibulares inclusos: revisão umbrella
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| Projeto de pós-graduação_41321 | 941.28 KB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Esta umbrella review teve como objetivo avaliar se a técnica cirúrgica piezoelétrica reduz complicações pós-operatórias em comparação com instrumentos rotatórios convencionais na extração de terceiros molares inferiores inclusos. Foi realizada uma busca em diversas bases de dados para identificar revisões sistemáticas e meta-análises publicadas entre 2014 e 2025. Os estudos foram selecionados com base em critérios pré-definidos e avaliados quanto à qualidade metodológica. Os desfechos principais incluíram dor, edema, trismo e tempo cirúrgico. Os resultados indicam que a utilização da piezocirurgia tende a provocar menos dor e edema no pós-operatório quando comparada às técnicas rotatórias. Contudo, observou-se também uma tendência ao aumento do trismo e à maior duração da cirurgia. Foi identificada elevada heterogeneidade entre os estudos em todos os desfechos analisados, mesmo após a exclusão planejada dos estudos considerados extremos. Além disso, constatou-se ausência de padronização metodológica nas avaliações clínicas pós-operatórias, incluindo diferenças nas técnicas cirúrgicas utilizadas, critérios de inclusão da amostra, formas de mensuração e equipamentos empregados. Essas limitações dificultam comparações diretas e reduzem a confiabilidade dos resultados combinados. Conclui-se que a piezocirurgia apresenta vantagens clínicas específicas, mas não é superior em todos os parâmetros avaliados. Novos estudos com metodologia padronizada e melhor delineamento são necessários.
This umbrella review aimed to evaluate whether the piezoelectric surgical technique reduces postoperative complications compared to conventional rotary instruments in the extraction of impacted mandibular third molars. A search was conducted across several databases to identify systematic reviews and meta-analyses published between 2014 and 2025. Studies were selected based on predefined criteria and assessed for methodological quality. The main outcomes considered were pain, swelling, trismus, and surgical time. The results of this umbrella review suggest that the use of piezosurgery tends to result in lower postoperative pain and swelling compared to rotary instruments. However, it is also associated with increased trismus and longer surgical duration. High heterogeneity was observed across all outcomes, even after the planned exclusion of outlier studies. Furthermore, a lack of methodological standardization was evident in the postoperative clinical assessments, including inconsistency in measurement methods, surgical techniques, equipment used, and sample selection. These limitations hinder direct comparison between studies and reduce the reliability of the pooled estimates. Although piezosurgery offers certain clinical advantages, it cannot be considered superior in all evaluated outcomes. Future studies with standardized methodologies, consistent outcome measures, and better reporting are essential to clarify its overall clinical effectiveness and support its broader application in surgical practice.
This umbrella review aimed to evaluate whether the piezoelectric surgical technique reduces postoperative complications compared to conventional rotary instruments in the extraction of impacted mandibular third molars. A search was conducted across several databases to identify systematic reviews and meta-analyses published between 2014 and 2025. Studies were selected based on predefined criteria and assessed for methodological quality. The main outcomes considered were pain, swelling, trismus, and surgical time. The results of this umbrella review suggest that the use of piezosurgery tends to result in lower postoperative pain and swelling compared to rotary instruments. However, it is also associated with increased trismus and longer surgical duration. High heterogeneity was observed across all outcomes, even after the planned exclusion of outlier studies. Furthermore, a lack of methodological standardization was evident in the postoperative clinical assessments, including inconsistency in measurement methods, surgical techniques, equipment used, and sample selection. These limitations hinder direct comparison between studies and reduce the reliability of the pooled estimates. Although piezosurgery offers certain clinical advantages, it cannot be considered superior in all evaluated outcomes. Future studies with standardized methodologies, consistent outcome measures, and better reporting are essential to clarify its overall clinical effectiveness and support its broader application in surgical practice.
Descrição
Palavras-chave
Piezocirurgia Terceiro molar inferior Resultados clínicos Revisão sistemática Meta-análise Revisão umbrela Piezosurgery Mandibular third molar Clinical outcomes Systematic review Meta-analysis Umbrella review