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Clinical Advantages

The unmatched precision of PIEZOSURGERY preserves soft tissue and allows for minimally invasive osteotomies and osteoplasties.

DID YOU KNOW?

When clinicians first started using PIEZOSURGERY® they noticed an overall improvement in patient outcomes compared to traditional bone surgical instruments. Initially, they hypothesized that improved bone healing resulted from the unmatched precision of PIEZOSURGERY®’s cutting action. Not only did it preserve soft tissue, but the cutting action allowed for minimally invasive osteotomies and osteoplasties. However, these features alone could not explain the significantly improved osseous response that clinicians were observing.

With this in mind, histomorphological and biomolecular research was conducted to gain a better understanding of the biological factors associated with the improved “PIEZOSURGERY® healing”. Research found that PIEZOSURGERY® by Mectron resulted in earlier increases of BMP levels and a reduced expression of proinflammatory cytokines compared to conventional drilling methods. This provides evidence that PIEZOSURGERY® by Mectron was more efficient in the first phases of bone healing (Preti et al., 2007).

Extractions

Extractions

Each patient was treated [for mandibular third molar extraction], at the same appointment, using bur removal on 1 side of the mandible and PIEZOSURGERY® on the contralateral side. [PIEZOSURGERY®] was efficient in decreasing the short-term outcomes of pain and swelling [and] was preferred by patients […] because of improved comfort, less vibration, and less noise, features that can minimize a patient’s psychological stress and anxiety.Mantovani et al., J Oral Maxillofac Surg 72:1890-1897, 2014
[PIEZOSURGERY®], producing a reduction of trismus and swelling, allows a more comfortable postoperative time compared with a rotatory osteotomic techniques.Jiang et al., J Oral Maxillofac Surg 66:2444-2448, 2008
Lateral Sinus Lift

Lateral Sinus Lift

The piezoelectric bony window osteotomy easily cuts mineralized tissue without damaging the soft tissue, and the piezoelectric sinus membrane elevation separates the schneiderian membrane without causing perforations. […] resulting in a 95% success rate. The average time necessary for the piezoelectric bony window osteotomy was approximately 3 minutes, while […] membrane elevation required approximately 5 minutesVercellotti et al., Int J Periodontics Restorative Dent 2000; 20(4):359-365
Membrane perforation rate in […] 100 consecutive cases using the piezoelectric technique has been reduced from the average reported rate of 30% with rotary instrumentation to 7%. […] all perforations occurred during the hand instrumentation phase and not with the piezoelectric inserts.Wallace et al, Int J Periodontics Restorative Dent. 2007; 27(5):413-419.
Crestal Sinus Lift

Crestal Sinus Lift

[Using Piezosurgery® and Sinus Physiolift] the extent of augmentation is much greater than other crestal techniques. The most important benefit is the much less debilitating postoperative phase. Less time is spent in the surgery and the surgeon is less stressed during the procedure.Sentineri and Dagnino, Implants 2011:1:13-17
Implant Site Preparation

Implant Site Preparation

Ultrasonic implant site preparation is associated with the preservation of bone microarchitecture […] The benefits of ultrasonic implant site preparation might be observed, in particular, in the proximity of vulnerable soft tissue structures(i.e., sinus membranes, nerves, and vessels) due to selective cutting.”Rashad et al., Clin. Oral Impl. Res. 24 (Suppl. A100), 2013, 110–114
A total of 3,579 implants were inserted in 1,885 subjects, and the sites were prepared [with Piezosurgery®] with a 1- to 3-year follow-up. No surgical complications related to the UISP protocol were reported for any of the implant sites [and] an overall implant survival rate of 97.74% (96.99% maxilla, 98.75% mandible).Vercellotti et al., Int J Periodontics Restorative Dent 2014;34:11–18
Ridge Expansion

Ridge Expansion

The new piezoelectric ridge expansion technique […] permits implant therapy in anatomic situations previously impossible in a single-stage surgical operation.” Vercellotti, Int J Periodontics Restorative Dent. 2000; 20(4):359-365
The precise and conservative use of Piezosurgery® and assisted manipulation of the labialized bony pedicle […] affords a highly predictable surgical procedure, which allows implants to be placed at the time of surgery, reducing patient treatment time, morbidity, functional losses, and overall cost, […]” Horrocks, Int J Periodontics Restorative Dent. 2010 Oct;30(5):495-501
Bone Block Grafting

Bone Block Grafting

The Piezosurgery System (Mectron) creates an effective osteotomy with minimal or no trauma to soft tissue, in contrast to conventional surgical burs or saws. In addition, piezoelectric surgery produces less vibration and noise because it uses microvibration, in contrast to the macrovibration and extreme noise that occur with a surgical saw or bur.Sohn et al, Int J Periodontics Restorative Dent 2007; 27(2):127-131
The use of Piezosurgery® to prepare the osseous bed and make a precise incision in the bone tissue facilitates the healing process and reduces the inflammatory reaction while the graft is healing. [Piezosurgery®] reduced the surgical time and impacted the final result [, making] it possible to achieve better clinical outcomes in terms of function and tissue esthetics over long-term observations.Majewski, Int J Periodontics Restorative Dent 2012;32:e210–e217.
Particulate Bone Grafting

Particulate Bone Grafting

In 87.9% of the [Piezosurgery®] specimens, an outgrowth of adherent cells nearby
the bone chips was observed after 6-19 days. Confluence of cells was reached after 4 weeks. Positive staining for AP and OC identified the cells as osteoblasts. The morphometrical analysis revealed a statistically significant more voluminous size of the particles collected with [Piezosurgery®] than [rotating drills].
Chiriac et al, J Clin Periodontol. 2005; 32(9):994-999
Apicoectomies

Apicoectomies

Piezosurgery® is a promising technical modality with applications in several aspects of endodontic surgery […] the preparation of root-end cavities with ultrasonic retrotips reduces the need for root sectioning, thus reducing the number of exposed dentinal tubules and, consequently, the possibility of apical leakage.Abella et al., J Endod 2014;40:325–332
Cyst Removal

Cyst Removal

[…] results suggest that Piezosurgery® may be considered effective in cyst enucleation compared to traditional procedures with burs […]; patients in the Piezosurgery® group […], as well as having presented a lower VAS, a minor swelling, and less recovery time, have presented no complications.J Cranio-Maxillo-Facial Surger 42 2014 e80ee85.
Periodontal Resective Surgery

Periodontal Resective Surgery

“[…] surgical sites treated by carbon or diamond bur evidenced a loss of bone, versus a bone gain in the Piezosurgery®-treated sites. Thus, it appears that [Piezosurgery®] provided more favourable osseous repair and remodeling when surgical ostectomy and osteoplasty procedures were performed.Vercellotti et al, Int J Periodontics Restorative Dent. 2005; 25(6):543-549.
Piezosurgical tips (Piezosurgery, Mectron Medical Technology) were preferred to rotary instruments to redesign the bone architecture. These instruments offer easier control during the ostectomy and osteoplasty and increased safety in terms of the interproximal soft tissues.Amato et al, Am J Esthet Dent 2013;3:24–37
Implant Removal (Explantation)

Implant Removal (Explantation)

The semi-quantitatively assessed amount of bone on the apical ends of the implant removed with a trephine burr was apparently greater than on those explanted with a piezosurgical device. At a higher magnification, differences in the morphology of the resected bone tissue became apparent. The amount of bone tissue adhering to the surface of the implant that had been removed with a piezoelectric device was very low.Dvorak et al., J. Stomat Occ Med 2012, 5:143–146.
Explantation of failed dental implants using a [Piezosurgery®] may provide a viable treatment modality, especially for implants in precarious locations.Dvorak et al., J. Stomat Occ Med 2012, 5:143–146.