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压电外科在牙科治疗中的作用不断提升。

Escalating role of piezosurgery in dental therapeutics.

作者信息

Agarwal Esha, Masamatti Sujata Surendra, Kumar Ashish

机构信息

Intern, I.T.S-Centre for Dental Studies and Research , Muradnagar, Ghaziabad, India .

Reader, Department of Periodontology, I.T.S-Centre for Dental Studies and Research , Muradnagar, Ghaziabad, India .

出版信息

J Clin Diagn Res. 2014 Oct;8(10):ZE08-11. doi: 10.7860/JCDR/2014/9161.4988. Epub 2014 Oct 20.

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.

摘要

牙科,一门科学中的艺术和医学中的镇定剂,在过去十年间经历了诸多观念的转变,压电手术就是其中一项新颖的创新技术。压电手术是骨外科领域的一场真正革命,因为它满足了生物学和技术方面的标准。它有多种应用,从小型外科手术到复杂的种植牙学、整形和重建手术。压电手术使用一种低频调制超声插入器,可产生60 - 200微米/秒范围内的微振动,能实现安全、精确的骨切开,而不会损伤诸如神经、黏膜和血管等下方的重要结构。它通过在手术过程中产生无血视野克服了诸如视野问题等技术难题,并通过内部冲洗机制同时清除碎屑。软组织得以保持安全,某些细胞因子的释放等生物学因素促进骨愈合并加快患者康复。这篇批判性综述突出了压电手术相对于传统工具的优势,并强调了其对有益口腔健康的临床和生物学方面的贡献。

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