Piezoelectric surgery: Applications in oral & maxillofacial surgery

Piezoelectric surgery was first explained by French Jacques and Pierre Curie in 1880. Piezoelectric bone surgery is a novel osteotomy and osteoplasty technique invented by Professor Vercellotti in 1988 to overcome the limitations of traditional instrumentation in oral bone surgery by modifying and improving conventional ultrasound technology. The cutting action is the result of linear microvibrations, in amplitude between 30 and 200 μm that allow to obtain a micrometer precision in the range of 25-29 KHz modulated ultrasonic resonant frequency. Nerves, vessels, and soft tissue are preserved by the microvibrations (60 to 200 mm/sec), which are optimally adjusted to target only mineralized tissue. It is a minimally invasive osteotomy device to achieve unparallel precision, patient comfort, intra-operative sensitivity, intra-operative visibility, blood free surgical site and reduced damage to the surrounding soft tissues, osteocytes and important structures like nerves, muscles and mucosa. Also Piezosurgery is very useful in harvesting autogenous bone for regenerating periodontal defects. Various treatment modalities are based on removal of etiologic factors and preserving bone architecture. Recently this novel surgical approach has gained popularity in various fields of dental implantology, oral and maxillofacial surgery, endodontics, and orthopedics. This article aims to review the clinical calibre of piezosurgery in the field of periodontology and implant dentistry. Key Words : LESS INVASIVE, PRECISION CUTTING, MICRO VIBRATIONS, FASTER RECOVERY, PIEZO TECHNIQUE

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Mandibular dentigerous cyst: Enucleation and bone reconstruction – Case report

Journal of Surgery Peridontology and Implant Research ◽

10.35252/jspir.2020.1.002.1.07 ◽

2020 ◽

Vol 2 (1) ◽

Author(s):

Fernando Duarte ◽

Carina Ramos

Keyword(s):

Case Report ◽

Treatment Plan ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Oblique Line ◽

Clinical Importance ◽

Treatment Method ◽

Pathological Examination ◽

Bone Reconstruction ◽

Piezoelectric Surgery

Purpose: The dentigerous cyst is the second most common odontogenic cyst in the jaws. These lesions are observed in routine examinations. The third molars and maxillary canines are the most affected teeth. Definition of marsupialization and enucleation techniques as well as consideration of important objective criteria for the treatment plan like cyst size, age, and proximity to anatomical structures, clinical importance of the tooth or teeth associated with the lesion and risk of bone fracture. This paper will present a case report treated by maneuver of decompression followed by enucleation and bone reconstruction. Case report: A 43-year-old female patient, Caucasian, attended the Oral-Maxillofacial Surgery consultation at Clitrofa - Centro Médico, Dentário e Cirúrgico, in Trofa - Portugal, to assess extraction of 3.8 and 4.8. On intraoral physical examination, a slight bulging of the cortical bone was noted in the region of the left external oblique line. Aspiration puncture was performed and a small amount of light-yellow liquid confirmed the cystic nature of the lesion. In a second stage, osteotomy through piezoelectric surgery was performed. The cystic capsule was excised together with the extraction of tooth 3.8 included and tooth 3.7. Bone regeneration was performed. The material obtained from the cystic cavity was sent for pathological examination, confirming the diagnosis of dentigerous cyst. During observation of the patient for twelve months, no hypoesthesia or any sign of recurrence of the lesion was observed. Conclusion: The technique preserved the neurosensory function and was effective for the enucleation and reconstruction of the lesion. Despite the clinical peculiarities of each case and the chosen treatment method, the prognosis of these lesions is favourable when appropriate therapy is used.

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