Wang ZY, Li M, Chen YQ, Shi H, Cui QY. A New Surgical Assistance Aid for Mesiodens Extraction Based on the Ideal Approach.
J Oral Maxillofac Surg 2024;
82:325-331. [PMID:
38158190 DOI:
10.1016/j.joms.2023.12.003]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 12/03/2023] [Accepted: 12/05/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND
To date, the classification of mesiodens has been based on the location, crown orientation, and morphology; however, there is no assistance aid focusing on choosing surgical approach.
PURPOSE
This study aimed to introduce and evaluate a new surgical assistance aid for mesiodens extraction based on surgical approach.
STUDY DESIGN, SETTING, SAMPLE
For the retrospective trial part of this study, case data from mesiodens patients who had surgery at the Affiliated Stomatological Hospital was collected, and a new surgical assistance aid was developed. A prospective randomized controlled trial was conducted on mesiodens patients who were seen in our department (patients with one mesiodens were included).
PREDICTOR VARIABLE
The predictor variable was surgical approach either with or without the surgical assistance aid. Subjects were randomized to one of the two study groups. For subjects assigned to the group using the surgical assistance guide, the approach was selected according to the aid detailed in this study. For subjects assigned to the group without the surgical assistant aid, 2 residents chose an approach based on their judgment and review of relevant imaging and physical examination.
MAIN OUTCOME VARIABLES
The preoperative evaluation time, operative time, and complications associated with surgery were recorded separately for the two groups.
COVARIATES
The age and sex were also recorded.
ANALYSES
Variables were analyzed using the independent t-test and χ2 test. The level of statistical significance is P < .05.
RESULTS
In the retrospective trial part, a new surgical assistance aid for mesiodens extraction was developed based on the ideal surgical approach. In the prospective randomized controlled trial, the experimental group (n = 50) was statistically significant in preoperative evaluation time (4.51 ± 0.34 mins vs 5.43 ± 0.34 mins) and operative time (31.87 ± 5.57 mins vs 36.32 ± 5.28 mins) compared to the control group (n = 50) (P < .001). There was no significant intergroup difference in complications associated with surgery (P > .05).
CONCLUSION AND RELEVANCE
The new surgical assistance aid developed in this study guides surgeons to ease the selection of surgical approaches and shorten the operative time.
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