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How Piezo Surgery Works

October 14, 2024

If the whirring sound of the dentist's drill makes you shudder or the thought of painful surgery recovery keeps you up at night, piezo surgery may be the perfect solution you've been waiting for.


This breakthrough technique relies on precisely controlled ultrasonic vibrations to perform even the most complex procedures with greater accuracy and way less trauma.


Here, you’ll learn everything you need to know about how piezosurgery dental is advancing modern dental care today.

Piezo Surgery


What is Piezo Surgery?

Piezo surgery uses an electrically powered handpiece with a thin, needle-like tip that vibrates at ultrasonic frequencies. This allows the tip to slice through bone tissue with microscopic movements while avoiding any damage to surrounding nerves, blood vessels, and soft tissue.


When the piezo tip traces along the surgical site, saline solution irrigation keeps it cool and flushes away debris. The combined effect enables extremely precise and controlled cutting of bone for a wide variety of dental procedures.


The Piezo Handpiece

The piezo handpiece is connected to a main control unit that provides the power for the ultrasonic vibrations. The dentist can adjust the frequency and amplitude of the vibrations for optimal cutting and safety.


The tip is the key working end that actually comes in contact with your bone and does the cutting. It is very slender, typically less than 1mm wide. This allows better visibility.


Ultrasonic Vibrations

The magic of piezosurgery dental lies in its ultrasonic vibrations. The piezo tip vibrates back and forth at a very high frequency of 25,000 to 30,000 oscillations per second.


To put this in perspective, a bee flaps its wings about 190 times per second. So the piezo tip is vibrating at a rate over 100 times faster than a bee!


These tiny rapid-fire movements allow the tip to slice through solid bone with surgical precision but without damaging the surrounding soft tissue.


Saline Cooling

Saline solution flows through the center of the piezo tip to keep it cool and prevent overheating of the bone. The irrigation fluid also flushes away cut bone debris from the surgical site for better visibility.


Microscopic Cuts

The combined effect of ultrasonic vibrations and saline irrigation enables the piezo tip to make microscopic cuts with each movement. It shaves away bone cell by cell, resulting in maximum control and delicacy.


This is radically different than the macro-drilling of traditional surgical burs. Piezo can cut bone so fine that nearby soft tissue remains entirely unaffected.


How is Piezo Surgery Used on Patients?

Piezoelectric dental surgery is suitable for a wide range of treatments from dental implants to major maxillofacial reconstructions. Here's an in-depth look at exactly how it is applied:


1. Patient Selection

The first step is for the dentist to thoroughly evaluate the upcoming procedure and determine if piezoelectric dental surgery is the appropriate method. The specific location in the mouth and desired surgical results are key factors.


Piezo is especially ideal for delicate procedures around critical anatomy like nerves and blood vessels or sinus cavities. Its precision and control offers safety for high risk areas.


2. Precise Cuts

One of the biggest benefits of piezosurgery dental is the ability to make extremely accurate osteotomy cuts exactly where they need to go. The dentist can gently trace the vibrating piezo tip along the bone to selectively remove tissue only along the precise desired path.


This enhances precision around vulnerable anatomy like your inferior alveolar nerve, nasopalatine neurovascular bundle, or the maxillary sinuses. Piezo allows the dentist to conservatively remove bone one micrometer at a time until reaching the target location.


3. Controlled Removal

That ultrasonic piezo tip allows bone tissue to be removed gradually in a highly controlled manner. The dentist can evenly shave off the target bone volume layer by layer while preserving more of your surrounding bone.


This incremental approach avoids excessive heat compared to conventional drilling and necrosis of healthy bone cells. Piezo selectively targets only diseased or excess bone and protects the rest.


4. Smooth Edges

As the piezo tip removes bone, its ultrasonic micro-vibrations create perfectly smooth surgical surfaces and rounded edges. This significantly reduces your surgical trauma and promotes faster healing with natural regeneration of your bone cells.


The smooth curves also enable ideal anatomically contoured implantation and bone grafting. Jagged edges get a nice finish.


5. Patient Comfort

Due to the gentle cutting action, dental piezo surgery creates much less vibration and noise compared to traditional drilling. There is also less heat and bone tissue damage.


This translates to reduced postoperative swelling, less pain, and faster recovery times for you. Patients often report experiencing a huge difference in how little it hurts compared to what they expected.


6. Bleeding & Visibility

The piezo technique offers two more advantages for the dentist. First, the continuous irrigation greatly reduces bleeding of the surgical site. Second, because it does not crush bone, the cutting action improves visibility of the surgical field.


Less bleeding means a clearer view of what they are working on. This enhances the precision and safety of the surgery compared to a drilling bur.

Dental Piezo Surgery


Piezo Applications

Now that you understand how piezo surgery works, let's explore some of the most common dental treatments taking advantage of this technology:


Sinus Lift Surgery

Dentists can perform minimally invasive sinus lifts to graft and augment available bone in the maxillary sinus cavity in order to place dental implants. The piezo tip carefully detaches the sinus membrane from the bone surface with great precision and a lower risk of perforation.


Dental Implants

Piezo can create osteotomy sites for dental implant placement with utmost control and accuracy. This reduces risk of hitting nerves and allows ideal implant angulation even in limited bone.


Bone Grafting

Surgeons use piezo ultrasonic instruments to selectively cut and shape bone from intraoral donor sites like the mandibular ramus. This promotes bone regrowth while minimizing pain.


Oral Surgery

Oral surgeons may utilize piezo for extraction of impacted wisdom teeth, cyst removal or tmj surgery since it protects nerves, blood vessels and soft tissue.


Periodontal Surgery

Piezo enables conservative pocket reduction surgery, bone recontouring and crown lengthening with accurate bone removal and faster healing times.


Pediatric Surgery

For children's developing teeth, piezo gently removes bone without disturbing underlying tooth buds of permanent teeth.


As you can see, piezosurgery dental is versatile enough for a very wide range of dental treatments from simple to complex. The technology continues to evolve and advance every year.


Benefits of Piezo Surgery

Now that you know the details of how piezo works, let's recap the many benefits it offers:


For The Dentist

◆Enhanced surgical precision and safety

◆ Improved visibility with less bleeding

◆Ability to perform minimally invasive surgery

◆ Reduced patient pain and recovery time

◆ More comfortable and efficient procedures


For The Patient

▼Significantly less pain and swelling

▼ Faster healing due to less surgical trauma

▼ Minimal damage to surrounding anatomy

▼ Reduced injections and medication needed

▼Less noise and vibration during treatment

▼ Better dental experience!


As you can see, piezo offers advantages for both the dentist and the patient. It empowers dentists with superior capabilities while also improving patients' comfort and outcomes. This winning combination makes piezo surgery a very promising technology for the future of dentistry.

Piezoelectric Dental Surgery


Final Thoughts

Piezo surgery harnesses the magic of ultrasonic frequencies to bring a new level of precision, control, and comfort to even complex dental treatments. Both dentists and patients can benefit tremendously from this exciting innovation. If you are looking for dental equipment suppliers, welcome to contact Wisedent!


FAQs

Q: Can piezo surgery be used on children?

A: Yes,piezoelectric dental surgery is safe and effective for pediatric dental procedures. The delicate cutting action protects developing teeth and avoids damage to tooth buds of permanent teeth that have not yet erupted.


Q: Is special training required to use piezo equipment?

A: Yes, dentists need specialized training and instruction to learn proper manipulation of piezo surgical tips. Manufacturers provide training courses to certify dentists on piezo techniques.


Q: Does insurance cover piezo surgery procedures?

A: Most dental insurance plans cover dental piezo surgery just as they would conventional dental surgery. However, patients should verify coverage with their specific provider. Some plans may classify it as an elective upgrade.


Q: What materials can the piezo tip cut apart from bone?

A: The piezo tip can cut through enamel, dentin, dental cement, porcelain, and prosthetic materials like crowns. However, it does not cut soft tissue, nerves, blood vessels or sinus membrane.


Q: Can piezoelectric dental surgery remove plaque and calculus from teeth?

A: No, piezo surgery is not suitable for removing plaque, calculus or performing non-surgical dental cleanings. It is designed only for cutting through hard dental tissues like bone and teeth.


Q: Does piezo surgery take longer than conventional drilling?

A: Not necessarily. Precise piezo cuts may reduce overall surgery time in skilled hands. However, the learning curve can initially prolong procedures for dentists new to the technique.


Q: Does the piezo tip get hot enough to cause burns?

A: No, the constant irrigation keeps the piezo handpiece cool. The tip generates minimal heat and does not present a risk of burns to the patient's mouth tissues or the dentist's fingers.


Q: Can piezo surgery correct a gummy smile?

A: Yes, piezo can conservatively recontour excessive gum and bone tissue to reduce a "gummy" smile. The technology allows controlled reshaping with accelerated healing.


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