Optimizing Multi-Rooted Tooth Extraction: A Comprehensive Study on the Efficacy of Periotome Utilization in Non-Surgical Exodontia

Background: Tooth extraction, is a common yet distressing procedure; using appropriate instruments is crucial. While elevators and luxators are typically used, they can cause significant socket damage due to applied force. Periotomes offer less traumatic alternatives, are designed to facilitate extraction with minimal force, reduced soft tissue damage, and better wound healing. Objective: The intention of this research is to assess the effectiveness of periotomes in non-surgical extraction of multi-rooted teeth. Study Design: Randomized controlled experiment. Settings: Department of Oral and maxillofacial Surgery, Lahore Medical and Dental College, Lahore Pakistan. Duration: The study lasted for one year and six months. Methods: This randomized controlled experiment was carried on 120 patients, age range of 16-60; requiring non-surgical extraction of multi-rooted teeth. Patients were randomly assigned to either an investigational group (extractions performed with a periotome and conventional forceps) or a control group (extractions performed using a straight elevator and conventional forceps). The level of pain was evaluated using a visual analogue scale within first week after surgery. Parameters such as gingival tear, length of procedure, consumption of analgesics and complications were also recorded. Results: Comparison of the two groups explored statistically significant variances (p < 0.05) across all parameters. The investigational group showed reduced extraction time, minimizing damage to surrounding bone and soft tissue a significant reduction in postoperative pain (53.7%), while the control group showed an increase in pain (67%). Conclusion: Findings suggest that incorporating periotomes into tooth extractions may reduce post-extraction pain, shorter extraction time and cause negligible injury to surrounding structures.