Piezosurgery in implant dentistry

Stübinger, Stefan; Stricker, Andres; Berg, Britt‐Isabelle

doi:10.2147/ccide.s63466

Cited by 42 publications

(38 citation statements)

References 78 publications

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“…PHASOR is, to our knowledge, the first application of piezoelectric technique to rodent cranial window surgery for optical imaging. We find that the use of piezoelectric surgery in mice shares the advantages of increased speed and decreased adverse events also reported in humans 7 8 9 10 . Utilization of the piezoelectric device resulted in faster surgeries ( Figure 2A ) and fewer adverse events of bleeding when compared to a high-speed rotary drill ( Figure 2B ).…”

Section: Discussionsupporting

confidence: 53%

“…The vibrations are transferred through the handpiece to diamond coated tips to cut through bone without damaging soft tissues, an advantage over rotary drills that do not discriminate between tissue types. Piezoelectric surgery was originally developed for use in human by Tomaso Vercellotti and has led to improvements in dental and cranio-maxilofacial surgery 7 8 9 10 11 .…”

Section: Introductionmentioning

confidence: 99%

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Piezo High Accuracy Surgical Osteal Removal (PHASOR): A Technique for Improved Cranial Window Surgery in Mice

Clark

Mikofsky

Lawson

et al. 2018

JoVE

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Multiphoton microscopy has been widely adapted for imaging neurons in vivo. Repeated imaging requires implantation of a cranial window or repeated thinning of the skull. Cranial window surgery is typically performed with a high speed rotary drill, and many investigators find it challenging to prevent the drill from damaging the delicate dura and blood vessels. Extensive training and practice is required to remove the bone without damage to underlying tissue and thus cranial window surgery can be difficult, time consuming, and produce tissue damage. Piezoelectric surgery, which is extensively used for maxillofacial and dental surgery, utilizes ultrasonic vibrations to remove bone without damaging soft tissues. We have developed a method applying piezoelectric surgery to improve cranial window surgery in mice in preparation for multiphoton imaging. Comparisons within our lab find that the method requires less surgery time and has a lower average rate of complications due to dural bleeding than cranial window surgery with a rotary drill.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Piezo High Accuracy Surgical Osteal Removal (PHASOR): A Technique for Improved Cranial Window Surgery in Mice

Clark

Mikofsky

Lawson

et al. 2018

JoVE

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“…According to researchers maximum surgical visibility is allowed during osteotomy, thanks to cavitation effect of the sterile saline. Stübinger et al [24] also underlined advantage of piezoelectric unit over conventional rotary instruments in ridge splitting osteotomy. The authors drew attention to the biological aspects associated with the use of this type of devices.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

Matys¹,

Flieger²,

Dominiak

2016

BioMed Research International

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The most common adverse effect after bone cutting is a thermal damage. The aim of our study was to evaluate the bone temperature rise during an alveolar ridge splitting, rating the time needed to perform this procedure and the time to raise the temperature of a bone by 10°C, as well as to evaluate the bone carbonization occurrence. The research included 60 mandibles (n = 60) of adult pigs, divided into 4 groups (n = 15). Two vertical and one horizontal cut have been done in an alveolar ridge using Er:YAG laser with set power of 200 mJ (G1), 400 mJ (G2), piezosurgery unit (G3), and a saw (G4). The temperature was measured by K-type thermocouple. The highest temperature gradient was noted for piezosurgery on the buccal and lingual side of mandible. The temperature rises on the bone surface along with the increase of laser power. The lower time needed to perform ridge splitting was measured for a saw, piezosurgery, and Er:YAG laser with power of 400 mJ and 200 mJ, respectively. The temperature rise measured on the bone over 10°C and bone carbonization occurrence was not reported in all study groups. Piezosurgery, Er:YAG laser (200 mJ and 400 mJ), and surgical saw are useful and safe tools in ridge splitting surgery.

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“…Piezosurgery is an innovative osteotomy technique using piezoelectric ultrasonic vibrations. Ultrasonic vibrating instruments for cutting mineralized tissue have been reported since the 1950s 1 , 2 . In 1988, Italian oral sugeon, Tomaso Vercellotti, developed a piezoelectric osteotomy device, which provided the opportunity for the widespread clinical use of piezosurgery 3 , 4 .…”

Section: Introductionmentioning

confidence: 99%

“…In 1988, Italian oral sugeon, Tomaso Vercellotti, developed a piezoelectric osteotomy device, which provided the opportunity for the widespread clinical use of piezosurgery 3 , 4 . Currently, piezoelectric devices are used widely for osteotomies, such as maxillary sinus lift, impacted mandibular third molar extraction, and bone grafting, in the field of oral and maxillofacial surgery 2 , 4 .…”

Section: Introductionmentioning

confidence: 99%

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

Otake

Nakamura

Henmi

et al. 2018

Sci Rep

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Piezosurgery is an innovative technique widely used for osteotomies in the field of oral and maxillofacial surgery. The surgical technique has been clinically supposed to cut mineralized bone selectively with reducing the risk of damage to adjacent soft tissues. However, none of the previous literature has reported any evidence of scientific experiments to examine performance of the piezoelectric device, i.e. the time required for cutting bone and the effect on soft tissues under the standardized conditions. This 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 standardized experimental system. We measured the time for cutting bone and soft tissues of rats with the piezoelectric device and rotary instruments. Damage to soft tissues was examined histologically, and the cut surface of bone was investigated using scanning electron microscopy. Our study demonstrated experimentally that piezosurgery provides a smooth cut bony surface with no damage to soft tissues and takes longer time to cut bone than conventional drillings. We propose that piezosurgery is beneficial for medical safety and usability.

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Piezosurgery in implant dentistry

Cited by 42 publications

References 78 publications

Piezo High Accuracy Surgical Osteal Removal (PHASOR): A Technique for Improved Cranial Window Surgery in Mice

Piezo High Accuracy Surgical Osteal Removal (PHASOR): A Technique for Improved Cranial Window Surgery in Mice

Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er:YAG Laser, Piezosurgery, and Surgical Saw: An Ex Vivo Study

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

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