The use of piezosurgery as an alternative method of minimally invasive surgery in the authors' experience.

Rahnama, Mansur; Czupkałło, Łukasz; Czajkowski, Leszek; Grasza, Joanna; Wallner, J.

doi:10.5114/wiitm.2011.35144

Cited by 20 publications

(22 citation statements)

References 7 publications

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“…Case reports and studies demonstrate the successful use of the piezosurgical device, even with a modified protocol, to lateralize the inferior alveolar nerve. 54 – 57 …”

Section: Different Applications In Implantologymentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

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Piezosurgery, or the use of piezoelectric devices, is being applied increasingly in oral and maxillofacial surgery. The main advantages of this technique are precise and selective cuttings, the avoidance of thermal damage, and the preservation of soft-tissue structures. Through the application of piezoelectric surgery, implant-site preparation, bone grafting, sinus-floor elevation, edentulous ridge splitting or the lateralization of the inferior alveolar nerve are very technically feasible. This clinical overview gives a short summary of the current literature and outlines the advantages and disadvantages of piezoelectric bone surgery in implant dentistry. Overall, piezoelectric surgery is superior to other methods that utilize mechanical instruments. Handling of delicate or compromised hard- and soft-tissue conditions can be performed with less risk for the patient. With respect to current and future innovative surgical concepts, piezoelectric surgery offers a wide range of new possibilities to perform customized and minimally invasive osteotomies.

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“…Case reports and studies demonstrate the successful use of the piezosurgical device, even with a modified protocol, to lateralize the inferior alveolar nerve. 54 – 57 …”

Section: Different Applications In Implantologymentioning

confidence: 99%

Piezosurgery in implant dentistry

Stübinger¹,

Stricker²,

Berg³

2015

CCIDE

View full text Add to dashboard Cite

show abstract

“…The unit provides extreme precision and safety as well as micrometric cutting. Moreover, the device causes less bleeding during and after the operation and the healing process is shorter [11]. …”

Section: Introductionmentioning

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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“…This technique also benefits from a bleed-free surgery site, as a cavitation effect creates bubbles in the physiological fluid which implode to generate shockwaves which cause microcoagulation. Enhanced bone regeneration and superior healing processes are also associated with piezoelectric surgery, as oxygen released during cutting has an antiseptic effect and the ultrasound vibration is reported to stimulate bone cell metabolism (Rahnama et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Bone Healing Following Different Types of Osteotomy: Scanning Electron Microscopy (SEM) and Three-Dimensional SEM Analyses

et al. 2016

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Abstract:The aim of the present study was to compare dynamics of the bone healing process after different types of osteotomies. In total, 24 Wistar rats were subjected to different types of osteotomy performed with standard steel bur, piezosurgery, contact, and non-contact Erbium:yttrium-aluminum-garnet (Er:YAG) laser ablation. The animals were randomly divided into four groups, to be euthanized immediately after the procedure, or at 1, 2, or 3 weeks after surgery. The obtained bone samples were analyzed by scanning electron microscopy (SEM). Immediately after surgery, there were significant differences in the appearance of the bone defects, with presence of bone fragments and debris after standard steel bur preparation, compared with the clean smooth walls and relatively sharp edges in all other groups. The initial bone formation in defects prepared by piezosurgery was observed to be the most rapid. After 3 weeks, all bone defects were completely restored; although, differences in the healing pattern were noted, with a modest initial delay in healing after laser preparation. The first stage of the bone healing process was delayed when contact and non-contact Er:YAG laser modes were used and accelerated by piezosurgery; however, the results after 3 weeks demonstrated similar restitution of defects in all tested groups.

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The use of piezosurgery as an alternative method of minimally invasive surgery in the authors' experience.

Cited by 20 publications

References 7 publications

Piezosurgery in implant dentistry

Piezosurgery in implant dentistry

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

Bone Healing Following Different Types of Osteotomy: Scanning Electron Microscopy (SEM) and Three-Dimensional SEM Analyses

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