Ultrasonic bone cutting for surgically assisted rapid maxillary expansion (SARME) under local anaesthesia

Robiony, Massimo; Polini, Francesco; Costa, Fabio; Zerman, Nicoletta; Politi, Massimo

doi:10.1016/j.ijom.2006.08.013

Cited by 75 publications

(57 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Piezoelectric surgery, which is a high-frequency surgical ultrasound system, has been advocated for carrying out precise, less invasive surgical procedures, the main advantages being the selective cutting of hard tissue and preservation of the soft tissue, less vibration and noise, absence of trauma in adjacent tissue, reduction in bleeding and an excellent view of the operative field 1 . Many studies have been published regarding osteotomies performed using piezoelectric instruments for the extraction of third molars [2][3][4][5][6] , in various categories of oral and maxillofacial surgery [7][8][9][10][11] and even in orthodontic microsurgery 12 . Specifically with regard to Implant Dentistry, piezoelectric instruments have been proposed for the removal of bone grafts [13][14][15] , the preparation of the bone window in sinus lift procedures [16][17][18] and the lateralization, immobilization and transposition of the inferior alveolar nerve [19][20] .…”

Section: Introductionmentioning

confidence: 99%

Comparison between a piezoelectric device and rotary instruments in implant site preparation: an in vivo morphological, histological analysis using pigs

Sakita

Allegrini

Salles

et al. 2015

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

ObjectiveTo carry out a histological comparison, at different postoperative periods, of bone tissue repair after implant site preparations on the tibia of pigs using both a piezoelectric device and rotary instruments. MethodsSurgical procedures were performed on the tibia of four pigs. Five perforations were made in the left tibia using star shaped piezosurgery tips (Piezosonic Driller ® ) and five perforations in the right tibia using carbon coated rotary drills (DSP Biomedical ® ). The pigs were then sacrificed at 2, 7, 14, and 28 days. The tibiae were removed and the tissues were prepared for histological processing and analysis under a light microscope. ResultsThe histological analyses showed similar results at 2 days and both groups presented inflammatory infiltrate. At 7 days, the drill system produces a regular surface preparation and the process of bone repair was greater when compared with the piezoelectric device. At 14 days the presence of new bone formation was more intense with the drill system. However, at 28 days both systems showed similar results, with the presence of an organized, newly formed bone tissue. ConclusionIt was possible to conclude that both implant site preparations, using the piezoelectric device and rotatory instruments, resulted in similar bone neoformation at 28 days.Indexing terms: Bone regeneration. Osteogenesis. Osteotomy. Piezosurgery. RESUMO ObjetivoComparar os aspectos histomorfológicos do tecido ósseo após osteotomias realizadas em tíbias de suínos com sistema piezoelétrico e instrumentos rotatórios em diferentes tempos pós-operatórios. MétodosProcedimentos cirúrgicos foram realizados em tíbias de quatro suínos, sendo que cada animal recebeu cinco perfurações na tíbia esquerda utilizando sistema piezoelétrico com pontas em forma de estrela (Piezosonic Driller ® ) e cinco perfurações na tíbia direita utilizando fresas rotatórias com revestimento de carbono(DSP Biomedical ® ). Os animais foram sacrificados nos tempos pós-operatórios de 2, 7, 14 e 28 dias. As tíbias foram removidas e o material foi processado para exame histológico em microscopia de luz. ResultadosAo exame histológico, observou-se após 2 dias, achados semelhantes para os 2 grupos, revelando a presença de tecido compatível com um coágulo junto a um infiltrado inflamatório no leito osteotomizado. Aos sete dias, os preparos realizados com fresas se mostraram mais regulares e houve sinais de maior neoformação óssea próxima ao tecido ósseo remanescente quando comparados ao sistema piezoelétrico. No grupo de 14 dias ficou evidente maior neoformação óssea ao longo de todo leito cirúrgico no grupo de fresas, enquanto o sistema piezoelétrico apresentou neoformação óssea dispersa, porém ao final de 28 dias, a análise morfológica tecidual foi semelhante em ambos os grupos, com a presença de trabeculado ósseo reorganizado. ConclusãoPode-se concluir que os achados da análise morfológica revelaram que tanto o sistema piezoelétrico como as fresas na preparação de nichos para implantes promoveram neoformação óssea...

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison between a piezoelectric device and rotary instruments in implant site preparation: an in vivo morphological, histological analysis using pigs

Sakita

Allegrini

Salles

et al. 2015

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

show abstract

“…In contrast to low-power ultrasonic devices or classical drills, microscopic examination of bone fragments obtained during surgery showed no signs of coagulative necrosis or viable cells on the bony surfaces. With piezosurgery, the use of chisels is of limited value 8 .…”

mentioning

confidence: 99%

Piezosurgery prevents brain tissue damage: an experimental study on a new rat model

Pavlíková

Foltán

Burian

et al. 2011

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…Dessa forma, uma revisão completa da literatura sobre o tema permite encontrar o relato de seu uso em cirurgias de lateralização de nervo alveolar (Bovi 2005;Metzger et al, 2006;Camargo Filho et al, 2008), em expansões rápidas da maxila assistidas cirurgicamente (Robiony et al, 2007;Camargo Filho et al, 2009) em cirurgias ortognáticas (Ueki et al, 2004;Geha et al, 2006;Gruber et al, 2005;Landes et al, 2008a,b), cirurgias crânio-maxilo-faciais , cirurgias paraendodônticas (Labanca et al, 2008), cirurgias periodontais (Peivandi et al, 2007), etc. Entretanto, passaremos a apresentar nesta revisão apenas a descrição de artigos que fundamentem a discussão do presente estudo.…”

Section: Uso Da Osteotomia Ultrassônica Em Odontologiaunclassified

“…Estes últimos possibilitam a execução de traços extremamente finos e retilínios, o que é certamente vantajoso em diversas situações (Robiony et al, 2007).…”

Section: Osso Particuladounclassified

“…Um dos acidentes mais corriqueiros desta técnica é a perfuração da membrana sinusal durante a realização da osteotomia, o que pode inviabilizar, em alguns casos, a evolução do procedimento cirúrgico. Vercellotti et al (2001) O estudo cuidadoso e embasado do emprego da técnica ultrassônica (Robiony et al, 2007) tanto na abordagem da parede anterior do seio maxilar quanto na remoção de tecido ósseo da área doadora poderá abrir uma nova frente no arsenal de equipamentos e em novas técnicas na implantodontia, na cirurgia e traumatologia buco-maxilo-facial e em outras áreas da saúde.…”

Section: Introductionunclassified

See 1 more Smart Citation

Estudo comparativo de duas técnicas de enxerto autógeno utilizando piezocirurgia para levantamento de seio maxilar

Filho¹,

Corrêa

Costa

et al.

View full text Add to dashboard Cite

Camargo Filho GP. Comparative study of two autogenous graft techniques using piezosurgery for sinus lifting [thesis]. São Paulo: Universidade de São Paulo, faculdade de Odontologia; 2010.Maxillary sinus lifting is a technique which presents as a possible complication the sinus membrane perforation. The use of ultrasonic devices is presented as an interesting tool, particularly safe and efficient to perform ostectomies of sinus wall and dissection of sinus membrane. This study aimed to compare two techniques that used ultrasound surgery to perform autogenous graft for maxillary sinus lifting. Ten rabbits were used in the study, one of which did not undergo surgery. The other nine rabbits had their maxillary sinuses filled with autogenous bone grafts collected from the external skull diploe in particulate form on the right side and shaved on the left side, both with ultrasonic device. Data on bone density in left and right maxillary sinus, obtained by computed tomography in transverse and longitudinal sections, recorded 90 days after the grafts, were compared statistically. Histological sections of the grafted areas were performed with descriptive purposes. There were no statistically significant differences between the two techniques that used shaved and particulate bone collected by means of ultrasonic device of the skull of rabbits. Histological aspects after 90 days were similar in both groups, showing mature bone through a fibrous connective tissue. Operatory assessment procedures leads us to conclude that the piezoelectric ultrasound showed as a safe tool in the surgical approach of the maxillary sinus of rabbits, allowing the maintenance of sinus membrane integrity during surgical procedures.

show abstract

Ultrasonic bone cutting for surgically assisted rapid maxillary expansion (SARME) under local anaesthesia

Cited by 75 publications

References 8 publications

Comparison between a piezoelectric device and rotary instruments in implant site preparation: an in vivo morphological, histological analysis using pigs

Comparison between a piezoelectric device and rotary instruments in implant site preparation: an in vivo morphological, histological analysis using pigs

Piezosurgery prevents brain tissue damage: an experimental study on a new rat model

Estudo comparativo de duas técnicas de enxerto autógeno utilizando piezocirurgia para levantamento de seio maxilar

Contact Info

Product

Resources

About