Optimizing Osteotomy Techniques: Comparison of Conventional Rotary Instruments Versus Other Bone Cutting Devices

Osteotomy procedures can be performed using conventional rotary instruments or piezoelectric surgery. Each technique has distinct advantages and disadvantages regarding surgical precision, patient outcomes, and recovery. To systematically review the literature comparing conventional rotary instruments and piezoelectric surgery in osteotomy procedures. PubMed, Cochrane Library, and Embase were systematically searched. Studies were included if they compared outcomes of conventional rotary instruments and piezoelectric surgery in osteotomy. Data on postoperative pain, swelling, surgical time, and other relevant outcomes were extracted. Thirteen studies met the inclusion criteria. Findings indicated no significant difference in postoperative swelling between the 2 techniques, whereas piezoelectric surgery was associated with reduced postoperative pain and improved tissue integration but required longer surgical times. Piezoelectric surgery shows potential benefits over conventional rotary instruments in specific contexts but requires longer operative times.