\(\dfrac{\sqrt{45+27\sqrt{2}}+\sqrt{45-27\sqrt{2}}}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}}{\sqrt{3+\sqrt{2}}-\sqrt{3-\sqrt{2}}}\\ =\dfrac{3\sqrt{5+3\sqrt{2}}+3\sqrt{5-3\sqrt{2}}}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}}{\sqrt{3+\sqrt{2}}-\sqrt{3-\sqrt{2}}}\\ =\dfrac{3\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)^2}{\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)\left(\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}\right)}-\dfrac{\sqrt{6+4\sqrt{2}}+\sqrt{6-4\sqrt{2}}}{\sqrt{6+3\sqrt{2}}-\sqrt{6-4\sqrt{2}}}\\ =\dfrac{3\left(5+3\sqrt{2}+2\sqrt{25-18}+5-3\sqrt{2}\right)}{5+3\sqrt{2}-5+3\sqrt{2}}-\dfrac{\sqrt{4+2+4\sqrt{2}}+\sqrt{4+2-4\sqrt{2}}}{\sqrt{4+2+4\sqrt{2}}-\sqrt{4+2-4\sqrt{2}}}\\ =\dfrac{3\left(10+2\sqrt{7}\right)}{6\sqrt{2}}-\dfrac{\sqrt{\left(2+\sqrt{2}\right)^2}+\sqrt{\left(2-\sqrt{2}\right)^2}}{\sqrt{\left(2+\sqrt{2}\right)^2}-\sqrt{\left(2-\sqrt{2}\right)^2}}\\ =\dfrac{10+2\sqrt{7}}{2\sqrt{2}}-\dfrac{2+\sqrt{2}+2-\sqrt{2}}{2+\sqrt{2}-2+\sqrt{2}}\\ =\dfrac{10+2\sqrt{7}}{2\sqrt{2}}-\dfrac{4}{2\sqrt{2}}=\dfrac{6+2\sqrt{7}}{2\sqrt{2}}\)
\(\dfrac{\sqrt{45+27\sqrt{2}}+\sqrt{45-27\sqrt{2}}}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}}{\sqrt{3+\sqrt{2}}-\sqrt{3-\sqrt{2}}}\)
\(=\dfrac{\sqrt{9\left(5+3\sqrt{2}\right)}+\sqrt{9\left(5-3\sqrt{2}\right)}}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}}{\sqrt{3+\sqrt{2}}-\sqrt{3-\sqrt{2}}}\)
\(=\dfrac{3\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)}{\sqrt{5+3\sqrt{2}}-\sqrt{5-3\sqrt{2}}}-\dfrac{\left(\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}\right)\left(\sqrt{3+\sqrt{2}}+\sqrt{3-\sqrt{2}}\right)}{3+\sqrt{2}-3+\sqrt{2}}\)
\(=\dfrac{3\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)\left(\sqrt{5+3\sqrt{2}}+\sqrt{5-3\sqrt{2}}\right)}{5+3\sqrt{2}-5+3\sqrt{2}}-\dfrac{3+\sqrt{2}+2\sqrt{\left(3+\sqrt{2}\right)\left(3-\sqrt{2}\right)}+3-\sqrt{2}}{2\sqrt{2}}\)
\(=\dfrac{3\left[5+3\sqrt{2}+5-3\sqrt{2}+2\sqrt{\left(5+3\sqrt{2}\right)\left(5-3\sqrt{2}\right)}\right]}{6\sqrt{2}}-\dfrac{6+2\sqrt{7}}{2\sqrt{2}}\)
\(=\dfrac{3\left(10+2\sqrt{7}\right)}{6\sqrt{2}}-\dfrac{6+2\sqrt{7}}{2\sqrt{2}}=\dfrac{30+6\sqrt{7}-18-6\sqrt{7}}{6\sqrt{2}}=\dfrac{12}{6\sqrt{2}}\)
\(=\sqrt{2}\)