Osteotomy speed, heat development, and bone structure influence by various piezoelectric systems—an in vitro study

Noetzel, Nicolas; Fienitz, Tim; Kreppel, Matthias; Zirk, Matthias; Safi, Ali Farid; Rothamel, Daniel

doi:10.1007/s00784-019-02838-8

Cited by 12 publications

(6 citation statements)

References 24 publications

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“…The thicker split drill can create a larger gap, which is convenient for the tooth segment to be taken out smoothly. 21,22 At the same time, it can avoid the accident fracture of the lingual bone plate and damage to the adjacent teeth. The combination of the two kinds of split drills can further reduce alveolar bone injury.…”

Section: Discussionmentioning

confidence: 99%

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New bone conservation technology of impacted teeth extraction

2021

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Object: To introduce an impacted wisdom tooth extraction method based on the new concept of bone preservation.Methods: About 60 cases with impacted mandibular third molars in our clinic were reviewed from January to March 2021. Two senior attending doctors were selected to perform the extraction operations. Two different techniques were used to extract the impacted third molar. The duration of the operation time, the postoperative swelling scaling and the pain scaling were reviewed. Research results:There was no significant difference between the two groups in operation time, the postoperative swelling scaling and the pain scaling. Both methods can remove wisdom teeth, and clinicians should choose less invasive methods. Conclusion:The extraction of impacted teeth should be improved with more precision and less trauma.

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Section: Discussionmentioning

confidence: 99%

“…The finer split drill can be operated accurately to avoid damaging the periodontal bone. The thicker split drill can create a larger gap, which is convenient for the tooth segment to be taken out smoothly 21,22 . At the same time, it can avoid the accident fracture of the lingual bone plate and damage to the adjacent teeth.…”

Section: Discussionmentioning

confidence: 99%

New bone conservation technology of impacted teeth extraction

2021

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“…During the extraction, it is worth mentioning that it is always preferable to perform as many tooth sections as necessary, minimizing ostectomy and, consequently, reducing the fragility of the mandible and the incidence of fracture [3,10,11]. It is described in the literature that the use of piezo electrical handpiece for osteotomy is indicated to reduce excessive forces during tooth avulsion and reduce manipulation of the neural structures, avoiding paresthesia [12]. In our report we performed a minimal ostectomy, tooth section and the piezo electrical handpiece was used.…”

Section: Discussionmentioning

confidence: 99%

Extraction of impacted third molar with preventive installation of titanium miniplate: Case report

Feniar

Kawano

Camolesi

et al. 2020

Annals of Medicine and Surgery

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IntroductionEven though is rarely, mandibular fracture after the extraction of third molars can occur in almost 1% of the procedures. Gender, age, position of third molar, tooth volume, bone fragility, systemic disorders, associated lesions, and degree of mandibular atrophy are factors that contribute to increase the incidence of fracture. The installation of the titanium miniplate during exodontia is an important tool to prevent the fracture.Presentation of caseThe objective of this study is to present a clinical case of extraction of inferior impacted third molar, in atrophic mandible, with posterior installation of titanium miniplate, to prevent mandibular fracture.Discussion and conclusionpreventive installation of titanium miniplate was effective and indeed prevented the mandibular fracture. No trans-operative or immediate post-operative complications were observed. Post-operative follow-up was of three years, with no complications, showing the success of the procedure.

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“…According to Noetzel et al even though conventional rotatory saws were faster and created less heat compared to all tested piezoelectric systems, piezosurgery systems offer an increased safety and precision level than J Oral Med Oral Surg 2022;28:2 N. Nandagopal and B. John conventional methods. They also proved that straight tips offer faster osteotomy speed than angulated tips and thin insert tips have a positive relation with osteotomy time and performed faster than conventional microsaw [23]. Lefort I osteotomy can be performed using piezoelectric scalpel with slightly curved base and thinner and wider extremity at light pressure till the osteotomy of the maxillary cortex was completed.…”

Section: Orthognathic Surgeriesmentioning

confidence: 99%

An overview on the art of piezosurgery in the maxillofacial practice

Nandagopal¹,

John

2021

J Oral Med Oral Surg

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Introduction: Piezosurgery is an emerging boom in the field of maxillofacial surgery for precise, safe and effective osteotomies sparing the adjacent vital structures compared to conventional surgery. Corpus: It works on the principle of piezoelectric effect in which crystals in the piezoelectric substances get deformed on the application of an electric field. Various studies gave the evidence of improved wound healing and bone formation compared to conventional approaches. The soft tissue sparing capability with improved patient comfort and decreased blood loss gave the utmost importance for this surgical technique in the present as well as future world of surgery. Conclusion: Piezosurgery has emerging as a promising surgical modality with a wide range of clinical applications throughout the whole field of surgery.

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Osteotomy speed, heat development, and bone structure influence by various piezoelectric systems—an in vitro study

Cited by 12 publications

References 24 publications

New bone conservation technology of impacted teeth extraction

New bone conservation technology of impacted teeth extraction

Extraction of impacted third molar with preventive installation of titanium miniplate: Case report

An overview on the art of piezosurgery in the maxillofacial practice

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