PRIVATE DENTAL PRACTICE - AGNIESZKA ROLEK, WROCLAW, POLAND.
Pol Merkur Lekarski. 2024;52(4):462-465. doi: 10.36740/Merkur202404113.
Piezosurgery in dentistry is an innovative surgical technique utilizing ultrasonic vibrations to precisely cut bone tissue while minimizing damage to surrounding soft tissues. This method is particularly advantageous for delicate procedures in oral and maxillofacial surgery, including bone graft harvesting, sinus lifts, and tooth extractions. Piezosurgery operates on the principle of piezoelectricity, discovered by Jacques and Pierre Curie in the 19th century, where a piezoelectric crystal converts oscillating electric fields into mechanical vibrations. Devices used in piezosurgery generate ultrasonic frequencies (25-30 kHz) that enable linear vibrations and controlled cutting, selective for mineralized tissues.The technology offers significant benefits over conventional surgical methods, including improved visibility, precise and smooth cuts, and a reduced risk of soft tissue damage. Clinical applications of piezosurgery demonstrate its effectiveness in preserving vital cells such as osteoblasts and osteocytes, promoting faster healing, and better osseointegration of implants. Specialized inserts and operating modes enhance its versatility for various surgical needs. Piezosurgery has shown to lower postoperative complications and enhance patient safety in complex procedures like sinus lifts and bone splitting. This advanced surgical technique represents a significant improvement in dental and oral surgery, offering enhanced precision, safety, and clinical outcomes, ultimately improving the standard of care and patient satisfaction.
创新的手术方法
在口腔颌面外科领域,包括骨移植、鼻窦提升和拔牙等精细手术中,超声骨切割技术是一种微创的手术方法。它利用超声振动精确切割骨组织,同时最大限度地减少对周围软组织的损伤。
超声骨切割技术基于压电效应原理,该原理由雅克和皮埃尔·居里于 19 世纪发现,即压电晶体将振荡电场转换为机械振动。超声骨切割设备产生的超声频率(25-30 kHz)可实现线性振动和精确切割,对矿化组织具有选择性。
与传统手术方法相比,超声骨切割技术具有显著优势,包括提高手术视野、精确平滑切割以及降低软组织损伤风险。该技术在临床中的应用证明了其在保护成骨细胞和破骨细胞等重要细胞方面的有效性,促进更快的愈合和植入物更好的骨整合。特殊的插入物和操作模式增强了其在各种手术需求下的多功能性。
超声骨切割技术已被证明可降低鼻窦提升和骨劈开等复杂手术的术后并发症,提高患者安全性。这项先进的手术技术代表了口腔颌面外科领域的重大改进,提供了更高的精确性、安全性和临床效果,最终提高了治疗标准和患者满意度。