Piezoelectric bone cutting in multipiece maxillary osteotomies

Robiony, Massimo; Polini, Francesco; Costa, Fabio; Vercellotti, Tomaso; Politi, Massimo

doi:10.1016/j.joms.2004.01.010

Cited by 176 publications

(98 citation statements)

References 4 publications

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“…From a technical point of view, the first instrument that aimed to change the manner in which osteotomy was performed has been the piezoelectric device, which increases the precision of bone cutting, ensuring a lower incidence of adjacent soft-tissue damage due to less extensive soft-tissue dissection and a reduction in surgical trauma (Kramer et al, 2006;Robiony et al, 2004;Vercellotti, 2004).…”

Section: Discussionmentioning

confidence: 99%

Complex craniofacial advancement in paediatric patients: Piezoelectric and traditional technique evaluation

Spinelli

Mannelli

Zhang

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Complex craniofacial advancement in paediatric patients: Piezoelectric and traditional technique evaluation

Spinelli

Mannelli

Zhang

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…The removal of the necrotic area of the jaw was followed by a complete normalization of the inflammatory markers. The piezoelectric bone surgery, employing ultrasonic waves to cut mineralized tissues without producing overheating (11,12), results in a reduction of bleeding, time for healing, hematoma and postoperative pain. Piezo-surgery might be the technique of choice for the cleaning of the necrotic area as well as for the extraction in all risk conditions predisposing to the onset of BRONJ (11,12).…”

Section: Discussionmentioning

confidence: 99%

“…The piezoelectric bone surgery, employing ultrasonic waves to cut mineralized tissues without producing overheating (11,12), results in a reduction of bleeding, time for healing, hematoma and postoperative pain. Piezo-surgery might be the technique of choice for the cleaning of the necrotic area as well as for the extraction in all risk conditions predisposing to the onset of BRONJ (11,12). Samples from patients treated with piezo-surgery revealed the absence of osteoclastic activity and the presence of fibro-vascular granulation tissue in the central surface of the cutting, with good adherence of fibrin to the bone surface (11,12).…”

Section: Discussionmentioning

confidence: 99%

Osteonecrosis of the jaw in a patient with rheumatoid artritis treated with an oral aminobisphosphonate: a clinical case report

Longato¹,

Cavalli²,

Marcucci³

et al. 2013

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SummaryOsteonecrosis of the jaw (ONJ) has been recently described after intravenous administration of amino-bisphosphonates and -less frequently -in association with the use of oral bisphosphonates. Bisphosphonate-Related Osteonecrosis of the Jaw (BRONJ) may affect mandible bone (65%), maxilla bone (26%) and rarely (9%) both sites simultaneously. Although causality may never be proven, emerging experimental data have established a strong association between monthly intravenous bisphosphonate administration and ONJ. Current level of evidence does not fully support a cause and effect relationship between the use of oral BPs and ONJ. In this paper, we report a clinical case of BRONJ in a 73 years old woman affected by rheumatoid arthritis (RA) and periodontitis, after three years of treatment with alendronate 70 mg one a week, plus daily calcium and vitamin D. The patient developed a tooth abscess at the lower jaw, accompanied by increased inflammatory markers, that never returned to normal range despite antibiotic therapy, inducing deterioration of joint synovium. The worsening of joint status after the onset of ONJ was reflected by the progressive increase in the number of swollen (SJ) and tender (TJ) joints, by the deterioration of the score DAS 28 (which passed from 5.46 to 7.07), pain (with VAS increasing from 60 to 90), and by a progressively impaired quality of life, as reported using the HAQ score (from 1,25 to 2,5). The patient was switched to antifracture therapy with strontium ranelate and the osteonecrosis was successfully treated with antibiotics, surgical curettage and local ultrasounds.

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“…Tradicionalmente, la osteotomía Le Fort I, las osteotomías sagital de rama mandibular (OSRM), la osteotomía vertical de rama mandibular (OVRM) y las osteotomías segmentarias se realizan con brocas y sierras, sin embargo, los primeros reportes de la osteotomía segmentaria maxilar a multi fragmentos con sistemas de ultrasonido viene de Robiony et al 23 , quienes presentan la técnica junto al análisis de algunos casos. Recientemente han sido publicadas otras técnicas de segmentación cortical que permiten realizar movimientos dentales en masa, acelerados y con bajo riesgo de daño periodontal gracias a los sistemas ultrasónicos 24 .…”

Section: Cirugía Ortognáticaunclassified

“…Por otra parte, la expansión quirúrgica transversal del maxilar mediante osteotomía LeFort I ha sido empleada con éxito con el manejo de ultrasonido, incluyendo también osteotomías a nivel de la sutura pterigomaxilar donde se podría realizar la totalidad de las osteotomías con bajo riesgo de daño vascular, especialmente de la arteria maxilar 23 .…”

Section: Cirugía Ortognáticaunclassified

Osteotomías craneomaxilofaciales con sistemas ultrasónicos

Olate

et al. 2013

Rev Chil Cir

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Craneomaxillofacial osteotomy with ultrasonic system. Treatment option and initial experienceUltrasonic system has revolutionized the surgical technique in maxillofacial surgery; they work with a cavitation phenomenon being able to perform osteotomies without damaging on nervous, muscular and vascular tissues or any soft tissue. This condition provides security to the variety of surgery with bone cut close to vessel or important nerves how the condilectomy technique of the mandibular condyle, mandibular osteotomy close to the alveolar nerve, orbital osteotomy and others. This paper present contemporary information about the use in craniofacial surgery and the initial experience of the authors using this system. We conclude that the osteotomy with ultrasonic system can be optimized the surgery with slight increase of surgical time decreasing bleeding and risk to the injury to the soft tissie; is possible beleave that this kind of instrument can be used in any surgery with bone cut necessity.Key words: Ultrasonic, osteotomy, maxillofacial surgery. ResumenLos sistemas ultrasónicos han revolucionado la técnica quirúrgica en cirugía maxilofacial; son sistemas que funcionan con el fenómeno de cavitación siendo capaces de realizar osteotomías sin lesionar los tejidos nerviosos, musculares, vasculares o tejidos blandos en general; esta condición entrega seguridad a la variedad de cirugías que actúan cortando tejido óseo en áreas próximas a vasos y nervios importantes, como en la técnica de condilectomía del cóndilo mandibular, osteotomía mandibular próximo al nervio alveolar inferior, osteotomías orbitarias, entre otras. Este artículo presenta la información actual respecto del uso en cirugía cra-

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Piezoelectric bone cutting in multipiece maxillary osteotomies

Cited by 176 publications

References 4 publications

Complex craniofacial advancement in paediatric patients: Piezoelectric and traditional technique evaluation

Complex craniofacial advancement in paediatric patients: Piezoelectric and traditional technique evaluation

Osteonecrosis of the jaw in a patient with rheumatoid artritis treated with an oral aminobisphosphonate: a clinical case report

Osteotomías craneomaxilofaciales con sistemas ultrasónicos

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