![]() ![]() ![]() Literature Reviewīone graft particles with a size of 500 μm are ideal to bone regeneration, maintaining the osteogenic, osteoinductive, and osteoconductive ability. Among them, we have 3 review articles, 12 case reports, 15 clinical trials, 2 in vitro studies, 3 in vivo studies, 2 mechanical studies, 5 editorial, and 8 classical articles of implantology. After reading the abstracts, we selected 50 articles that fit these criteria, with publication dates ranging from 1961 (the beginning of ultrasonic surgery in bone tissue) to 2009. As a criterion for selection of these studies, we included only the articles published in English and, because piezosurgery is used in other areas of dentistry and medicine (eg, periodontal, endodontic, orthopedic, and neural surgery), we focused on the use of ultrasound in bone surgery, especially in implantology and maxillofacial surgery, plus some classical articles of surgical techniques in implantology. In total, we found 240 relevant articles. PubMed/Medline were the electronic resources used to review the biomedical literature, using the following key words: piezosurgery, piezoelectric surgery, ultrasonic vibration, and osteotomy, either disconnected or linked. Overall, piezosurgery enables critical operations in simple and fully executable procedures and effectively, areas that are difficult to access have less risk of soft tissue and neurovascular tissue damage via piezosurgery. Moreover, this study addressed the biological aspects related to piezosurgery that differentiate it from those of bone tissue approaches. The aim of this review was, through literature review, to present clinical applications of piezosurgery in implant dentistry and outline their advantages and disadvantages over conventional surgical systems. With the piezoelectric osteotomy technique, receptor site preparation for implants, autogenous bone graft acquistition (particles and blocks), osteotomy for alveolar bone crest expansion, maxillary sinus lifting, and dental implant removal can be performed accurately and safely, providing excellent clinical and biological results, especially for osteocyte viability. Selective cutting is possible for different ultrasonic frequencies acting only in hard tissues (mineralized), saving vital anatomical structures. 93/42/CEE:ģ0sec. ON - 120sec.Piezosurgery is a new and modern technique of bone surgery in implantology. Technical specifications Device compliant to Dir. The cavitation effect of the ultrasonic movements lead to a blood-free surgical site. PIEZOSURGERY® offers maximum intra-operative visibility. Thus PIEZOSURGERY® offers maximum safety for surgeons and patients. Nerves, vessels and membranes will not be injured while cutting bone. Selective cuts protects any kind of soft tissue. PIEZOSURGERY ® provides micrometric cuts for minimally invasive surgeries with maximum surgical precision and intra-operative tactile sensation. No soft tissue is damaged, which allows you to work with a precision that facilitates not only surgery itself, but reduces postoperative discomfort for your patients at the same time. The patented ultrasonic microvibrations of the original PIEZOSURGERY® technique cut bone – and nothing else. They do cut bone, too – but they do not differentiate: any soft tissue getting in their way will also be cut. When it comes to cutting bone, you can of course use traditional burs and saws. ![]()
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