For citation purposes: Yaman Z, Suer BT. Piezoelectric surgery in oral and maxillofacial surgery. Annals of Oral & Maxillofacial Surgery 2013 Feb 01;1(1):5.

Critical review

 
Implantology

Piezoelectric surgery in oral and maxillofacial surgery

Z Yaman,, BT Suer
 

Authors affiliations

(1) American Hospital Department of Oral Surgery, Istanbul, Turkey

(2) Department of Oral Surgery and Oral Medicine, Gulhane Military Medical Academy, Haydarpasa Teaching Hospital, Istanbul, Turkey

* Corresponding author Email: zekaiy@amerikanhastanesi.org

Abstract

Introduction

Piezoelectric device or piezosurgery device was originally developed for the atraumatic cutting of bone by way of ultrasonic vibrations and as an alternative to the mechanical and electrical instruments that are used in conventional oral surgery. Over the past two decades, an increasing amount of literature has shown that piezoelectric devices are innovative tools and that there is extensive indication of their use in dental implantology and oral and maxillofacial surgery. Recent publications have also shown the benefits of their use in craniofacial surgery, plastic and reconstructive surgery, head and neck surgery, neurosurgery, ophthalmology, traumatology, and orthopaedics. Key features of piezosurgery include the selective cutting of bone without damaging the adjacent soft tissue (e.g. vessels, nerves or mucosa), providing a clear visibility in the operating field, and cutting with micron sensitivity without the generation of heat. The cutting characteristics of piezosurgery are mainly depending upon the degree of bone mineralization, the design of the insert being used, the pressure being applied on the handpiece and the speed of movement during usage. Therefore, a novice user must know these factors and adapt their operating technique in order to utilize the advantages of piezosurgery.

This critical review summarizes the basic operating principles of piezoelectric devices and outlines the application areas in oral and maxillofacial surgery that piezosurgery can be utilized supported by clinical examples.

Conclusion

Piezosurgery can create clear vision of the surgical area from pressurized irrigation and cavitation effect. Disadvantages can include large initial costs. The number of studies covering this topic is insufficient; thus, further research needs to be conducted to enable us to learn more and clarify any misconceptions.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
Keywords