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Dental technology

Piezosurgery (Ultrasonic Bone Surgery)

Piezosurgery uses precise ultrasonic cuts for implant and bone procedures, with soft-tissue preservation among its reported advantages.

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The short answer

Piezosurgery uses piezoelectric devices for precise bone cutting while aiming to preserve soft tissues and avoid thermal damage.

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Piezosurgery (Ultrasonic Bone Surgery) dental educational illustration

What is Piezosurgery (Ultrasonic Bone Surgery)?

What is Piezosurgery (Ultrasonic Bone Surgery)? evidence questions
QuestionAnswer
What is being considered?Piezosurgery uses ultrasonic devices for precise bone cutting[2]
What should guide the choice?The clinical indication and the evidence relevant to that technology[2]

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How is it used?

In implant dentistry, piezoelectric surgery can be used for implant-site preparation, bone grafting, sinus-floor elevation, ridge splitting, and lateralisation of the inferior alveolar nerve.

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What are the limits of the evidence?

A systematic review of guided implant surgery examines surgical and implant complications, prosthesis complications, survival, economics, satisfaction, and maintenance. Those questions require separate answers for each technique.

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What other approach may be discussed?

Mechanical instruments are the conventional comparison for the same bone-surgery task. Piezosurgery is reported to provide selective cutting and to help preserve soft-tissue structures during delicate or compromised tissue work.

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What other approach may be discussed? evidence questions
QuestionAnswer
What is being considered?A consultation can compare the proposed technology with the conventional techniq[1][2][3][4][5][7]
What should guide the choice?The clinical indication and the evidence relevant to that technology[1][2][3][4][5][7]

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What does this mean for a patient?

Piezosurgery is a surgical tool used for a defined bone procedure. It can be relevant when implant preparation, grafting, sinus-floor elevation, ridge splitting, or nerve lateralisation is planned.

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What should you ask about safety?

Reported advantages include precise, selective cutting, avoidance of thermal damage, and preservation of soft-tissue structures. These properties relate to the surgical bone task rather than to implant survival or prosthesis survival.

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Frequently asked questions

Does this technology replace a clinical assessment?

The technology should be discussed within the relevant treatment context, after the clinical question and its evidence have been considered.

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