Escalating role of piezosurgery in dental therapeutics

Abstract

Dentistry, an art in science and tranquilizer in medicine, has seen a lot of changing concepts over a decade and one such novel innovation is piezosurgery. Piezosurgery is a true revolution in bone surgery as it fulfils both biological and technical criteria. It has a variety of applications ranging from minor surgical procedures to complex implantology, plastic and reconstructive surgeries. Piezosurgery uses a low frequency modulated ultrasonic insert which produces microvibrations in the range of 60-200micro meter/sec and leads to safe and precise bony incision without damaging underlying vital structures like nerves, mucosa and vessels. It overcomes technical difficulties such as visibility by producing bloodless field during surgery and removes debris simultaneously through internal irrigation mechanism. The soft tissues remain safe and biological factors like release of certain cytokines promote bone healing and enhance patients recovery. This critical review outweighs piezosurgery over traditional tools and emphasizes on its clinical and biological aspects contributing to beneficial dental health.

Keywords: Cavitation; Implants; Osteotomy; Piezosurgery.

[Table/Fig-1]:

The Equipment (Courtesy: Mectron Dental- India Pvt Ltd)

[Table/Fig-2]:

Osteotomy insert tips (Courtesy: Mectron Dental- India Pvt Ltd)

[Table/Fig-3]:

Osteotomy by bone saw: limited surgical control and lack of precision resulting in trauma to the adjacent tissues as well as osteonecrosis

[Table/Fig-4]:

Osteotomy by bone bur: macrovibrations produced by the bur also limit the access to surgical field and produce damage to the adjacent tissues

[Table/Fig-5]:

Osteotomy by piezosurgery: easy and precise cut, with reduced trauma and complications to the adjacent tissues (Courtesy: Mectron Dental- India Pvt Ltd)