Evaluation of Periotome versus Piezotome in non-restorable teeth extraction with immediate implant placement (A Clinical Study)

Aim: This study was performed to compare the clinical and radiographic outcomes of Periotome versus Piezotome in non-restorable teeth extraction with immediate implant placement
Materials and Methods:
Twenty patients (12 males and 8 females with a mean age of 40.8 ± 11.9 years) with non-restorable maxillary single rooted teeth indicated for extraction and requesting implant placement were selected in this study. The patients were divided equally into 2 groups. In the first group (Group I) the non-restorable teeth were extracted using periotome and in the second group (Group II), teeth were extracted using piezotome followed by simultaneous implant placement in both groups. Clinical and radiographic assessment was carried out in terms of post-operative pain, duration of extraction, horizontal bone width and vertical bone changes.
Results: Periotome group showed a statistically significant lower pain scores and shorter duration of extraction when compared to piezotome group. Considering the horizontal and vertical bone changes, a non-statistically significant difference appeared between the two groups.
Conclusion: Atraumatic extraction using periotome or piezotome with simultaneous implant placement showed excellent results regarding ridge preservation with insignificant changes in bone width or height after two months postoperatively. Concerning the clinical outcomes, our findings were in favor of periotome over piezotome in terms of less post-operative pain and shorter duration of the extraction procedure.