Piezoelectric Bone Surgery: A Review of the Literature and Potential Applications in Veterinary Oromaxillofacial Surgery

Abstract

Piezoelectric bone surgery is a recent and innovative technology, permitting a selective cut of mineralized tissue while sparing soft tissue. Similar to a dental scaler, a high frequency vibration, in the range of 25–35 kHz, is transmitted to a metallic tip. However, the power of the piezosurgical instrument is three to six times higher than that of a dental scaler. The major advantages of this technology include high precision, a design that increases ease of curvilinear osteotomy, less trauma to soft tissue, preservation of neurological and vascular structures, reduced hemorrhage, minimal thermal damage to the bone, as well as overall improvement of healing. The handpiece of the instrument is equipped with a sterile irrigation system and light-emitting diode (LED) light, which improves visibility and overall safety. Piezoelectric surgery is particularly useful when performing delicate bone procedures such as periodontal or endodontic surgery. It is also indicated when performing more invasive bone surgery such as maxillectomy, mandibulectomy, and condylectomy, where preservation of neurovascular structures is important. Piezoelectric instruments are different from rotary instrumentation or oscillating saws, they require light pressure with constant motion of the tip. Training is required to master the technique.

Temporomandibular Joint Gap Arthroplasty in Cats

“…The piezotome was demonstrated to be an effective surgical tool that allows for accurate bone cutting with reduced risk of hemorrhage and damage to surrounding soft tissues and neurovascular structures (6,19,20). The piezotome is an innovative surgical instrument that uses high frequency (25-35 kHz) vibration of a metallic tip to selectively cut bone while sparing neurovascular structures and soft tissues (19). Use of a piezosurgical unit also results in more rapid healing (19,20).…”

Use of Plant Extracts as an Effective Manner to ControlClostridium perfringensInduced Necrotic Enteritis in Poultry

“…Carvacrol and thymol are two of the most common single molecules used to determine spices/EOs antimicrobial activity [ 50 , 123 ], and differences in presence and concentration of these molecules will contribute to explain the contradiction of published results. The aforementioned molecules are main components of several EOs with antimicrobial activity such as oregano, rosemary, and thyme oils [ 123 , 136 ].…”

Experimental Comparison of the Performance of Cutting Bone and Soft Tissue between Piezosurgery and Conventional Rotary Instruments

“…The present study was designed to test the hypothesis that cutting time of the piezoelectric device is longer than that of rotary instruments while the cut surface of bone is smoother and soft tissues are less damaged with piezosurgery under the condition of the standardized cutting force, 1.5 N, which was recommended in a previous study 19 . We characterized piezosurgery by comparing it to conventional drillings.…”