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提高牙科手术的精度和安全性——超声骨刀的优势。

Enhancing precision and safety in dental surgery - the advantages of piezosurgery.

机构信息

PRIVATE DENTAL PRACTICE - AGNIESZKA ROLEK, WROCLAW, POLAND.

出版信息

Pol Merkur Lekarski. 2024;52(4):462-465. doi: 10.36740/Merkur202404113.

DOI:10.36740/Merkur202404113
PMID:39360729
Abstract

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.

摘要

口腔领域的超声骨切割技术

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。

相似文献

1
Enhancing precision and safety in dental surgery - the advantages of piezosurgery.提高牙科手术的精度和安全性——超声骨刀的优势。
Pol Merkur Lekarski. 2024;52(4):462-465. doi: 10.36740/Merkur202404113.
2
Piezosurgery applied to implant dentistry: clinical and biological aspects.压电外科在种植牙科中的应用:临床与生物学方面。
J Oral Implantol. 2014 Jul;40 Spec No:401-8. doi: 10.1563/AAID-JOI-D-11-00196.
3
[Ultrasonic bone cutting in oral surgery: a review of 60 cases].[口腔外科中的超声骨切割:60例病例回顾]
Ultraschall Med. 2008 Feb;29(1):66-71. doi: 10.1055/s-2007-963507.
4
Piezosurgery: basics and possibilities.压电外科手术:基础与应用前景
Implant Dent. 2006 Dec;15(4):334-40. doi: 10.1097/01.id.0000247859.86693.ef.
5
Experimental Comparison of the Performance of Cutting Bone and Soft Tissue between Piezosurgery and Conventional Rotary Instruments.超声骨刀与传统旋转器械切割骨与软组织性能的实验比较
Sci Rep. 2018 Nov 21;8(1):17154. doi: 10.1038/s41598-018-35295-6.
6
Evaluation of surgically assisted rapid maxillary expansion with piezosurgery versus oscillating saw and chisel osteotomy - a randomized prospective trial.应用超声骨刀与往复锯和骨凿行上颌骨快速扩弓术的疗效评估:一项随机前瞻性试验。
Trials. 2013 Feb 17;14:49. doi: 10.1186/1745-6215-14-49.
7
Piezosurgery in oral and maxillofacial surgery.口腔颌面外科学中的超声骨刀手术。
Int J Oral Maxillofac Surg. 2011 May;40(5):451-7. doi: 10.1016/j.ijom.2010.11.013. Epub 2010 Dec 19.
8
Piezoelectric surgery inserts vs conventional burst: a clinical investigation.压电手术插入与传统爆破:临床研究。
J Biol Regul Homeost Agents. 2018 Mar-Apr;32(2 Suppl. 2):15-19.
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Benefits of piezoelectric surgery in oral and maxillofacial surgery. Review of literature.压电外科手术在口腔颌面外科中的益处。文献综述。
Minerva Stomatol. 2012 May;61(5):213-24.
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Piezosurgery in endoscopic-assisted trigonocephaly correction: a technical note.内窥镜辅助三角头矫正术中的超声骨切割术:技术说明。
Childs Nerv Syst. 2024 Sep;40(9):2825-2828. doi: 10.1007/s00381-024-06551-0. Epub 2024 Jul 23.

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