Outcome measures
impaired [, swelling, Postoperative pain, incisors, fracture, postoperative edema, Trismus, pain, infection, postoperative neurosensory disturbance, neurosensory disturbance
INTRAOPERATIVE COMPLICATIONS, POSTOPERATIVE COMPLICATIONS, TRISMUS, DEHISCENCE, INFECTION, SEPARATION
The primary outcome measure of the study was to the compare osteotomy time between the conventional method and piezosurgery. In addition, flap elevation, graft adaptation time and total operation time were recorded using a stopwatch on the watch application on the iPad. The lap button was pressed when each stage was passed. The total operation time was recorded from the first incision to the last suture. Osteotomy time was the time from full-thickness flap removal to complete separation of the block graft from the donor site. Adaptation time was also recorded. This focus on osteotomy time as the primary outcome was selected to directly address and quantify the primary disadvantage associated with piezosurgery in the context of oral and maxillofacial surgical procedures.Postoperative pain was recorded using the VAS scale. The patients were asked to score the pain in the relevant region using a visual analog scale, between 1 and 10 points according to the severity on the first day, third day, seventh day, and 14th day after surgery. In addition, patients were asked to record the number of analgesics used in the first week [Trismus was evaluated by measuring the distance between the mesio-incisal corners of the upper and lower central incisors in millimeters, using a ruler, at maximum mouth opening. In our study, postoperative edema was assessed using the technique outlined by Neupert et al., which involves linear measurements with a tape measure. This approach entailed taking measurements from five specific points: (1) from the mandibular corner to the tragus (Go-Tr), (2) from the mandibular corner to the lateral canthus of the eye (Go-Ca), (3) from the mandibular corner to the nose wing (Go-An), (4) from the mandibular corner to the oral commissures (Go-Cm), and (5) from the mandibular corner to the pogonion (Go-Pog). We acknowledge the emergence of new three-dimensional assessment techniques for facial swelling, particularly in split-mouth studies, as highlighted in recent publications [Piezo tip or bur fracture, osteosynthesis screw fracture, and nerve exposure were recorded as intraoperative complications, and mucosal dehiscence, infection and neurosensory disturbance were recorded as postoperative complications. A two-point discrimination test with calipers was used for postoperative neurosensory disturbance evaluation. Patients were asked to distinguish between the number of contacts on the oral mucosa and skin while their eyes were closed. If two points could be distinguished at less than 7 mm, it was considered normal; at a distance between 7 and 11 mm, it was considered slightly aberrant; and if it could only be distinguished at a distance greater than 11 mm, sensitivity was considered impaired [