Evidence map›Paper›PMID 40665268›Full record

ArticleBMC oral health2025

Clinical efficacy of magnet-assisted removal for dental high-speed dental handpiece broken Burs in mandibular third molar surgery: a retrospective study.

Dongdong Xu, Yaoguang Zhang, Aijun Jiang, Yayi Cai, Xin Nie, Gu Cheng

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dongdong Xu *School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang P.R., China.
Yaoguang Zhang *Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, Shandong University, Jinan, China.
Aijun JiangSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang P.R., China.
Yayi CaiSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang P.R., China.
Xin NieSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang P.R., China. dr.xinnie@wmu.edu.cn.
Gu ChengSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang P.R., China. gucheng@wmu.edu.cn.

Funding

Basic Scientific Project of Wenzhou Medical University KYYW202312Basic Scientirch Project of Wenzhou Science and Technology Bureau No.Y20220385
6 · The paper itself

Abstract

backgroundBreakage and displacement of the high-speed dental handpiece bur is one of the intraoperative complications during mandibular third molar extraction. The retained metallic fragments can trigger issues such as pain and infection. Traditional retrieval methods require extensive tissue dissection, increasing the risk of nerve injury and postoperative complications. While emerging technologies are precise, their high cost and technical complexity hinder widespread adoption. Therefore, there is an urgent need for minimally invasive and easy-to-use treatments. This retrospective study aimed to compare the clinical efficacy of magnet-assisted removal and conventional methods for retrieving broken burs during mandibular third molar surgery, as well as to analyze the associated factors and outcomes.

methodsThis retrospective study analyzed 15 cases of broken burs removal divided into conventional removal (n = 7) and magnet-assisted removal (n = 8) groups. Primary outcomes included operative time and success rate; secondary outcomes encompassed 24-hour postoperative visual analogue scale (VAS) pain scores, limited mouth opening at 72 h postoperatively, and neurosensory disturbances.

resultsCompared to conventional removal, magnet-assisted removal significantly reduced operative time (P = 0.03) and showed a non-significant trend toward lower neurosensory complication rates (P = 0.036). Although the success rate of magnet-assisted removal (100%) exceeded that of conventional removal techniques (71.4%), this difference was not statistically significant. The magnet group demonstrated superior secondary outcomes, lower mean VAS scores and fewer cases of limited mouth opening.

conclusionsMagnet-assisted removal is a technically simple, safe, and effective minimally invasive alternative to conventional removal methods. Its advantages include reduced operative duration and potentially improved postoperative recovery.

Indexed as

Dental High-Speed EquipmentForeign BodiesMagnetsMolar, ThirdTooth ExtractionAdultEquipment FailureFemaleHumansMaleMandibleOperative TimePain MeasurementPostoperative PainRetrospective StudiesTreatment Outcome

Identifiers

PMID40665268
PMCPMC12265203

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.