\(\dfrac{\sqrt{45+27\sqrt{2}}+\sqrt{45-27\sqrt{2}}}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}}{\sqrt{3+\sqrt{2}}-\sqrt{3-\sqrt{2}}}=\dfrac{\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)^2}{2\sqrt{2}}-\dfrac{\left(\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}\right)^2}{2\sqrt{2}}=\dfrac{4+2\sqrt{\left(5+3\sqrt{2}\right)\left(5-3\sqrt{2}\right)}-2\sqrt{\left(3+\sqrt{2}\right)\left(3-\sqrt{2}\right)}}{2\sqrt{2}}\) \(=\dfrac{4+2\sqrt{7}-2\sqrt{7}}{2\sqrt{2}}=\dfrac{2}{\sqrt{2}}=\sqrt{2}\)